Intervention fidelity
depression, impaired volitional capacities, depressive symptoms
EVENTS
During the in-person counseling sessions the “early dropout” group made plans less frequently compared with the “low” and “high dose” groups, even though no group differences were expected at that point. There is evidence suggesting that more severe depressive symptoms are associated with impaired volitional capacities resulting in reduced planning, and maintenance self-efficacy as well as higher susceptibility to distraction [In the remote counseling sessions, the frequently used BCTs in the intervention are in line with a recent remote intervention to promote physical activity in people with depression [There was a discrepancy between pre-defined main BCTs on the “Anchor List” and BCTS, which were actually frequently used. For example, the third most frequently used BCT, not among the main BCTs on the “Anchor List”, discrepancy between current behavior and goal (1.6.), may bridge the aforementioned gap between behavior and outcome that is needed.The eighth most frequently used BCT, not among the main BCTs on the “Anchor List”, was graded tasks (8.7.). Again this reiterates that the content was implemented as designed. The coaches were instructed to encourage the participant to set an intermittent goal every two months, in an attempt to increase the participants’ belief in their capabilities over the duration of the intervention [Conversely, there were some pre-defined main BCTs on the “Anchor List”, which were not frequently used. First, social support (3.1.), which includes the encouragement of engaging a “buddy”, housemate or partner in events or raising awareness for group activities. From the current analysis it is not possible to gauge whether the coaches did not use this BCT frequently because sufficient social support was provided or because the opposite was true [The remote counseling further included text messages and the use of mobile application. Evaluations of applications for mental health have found that most frequent persuasive techniques used are self-monitoring, personalization and reminder [