Authors: Lena Violetta Krämer; Claudia Mueller-Weinitschke; Tina Zeiss; Harald Baumeister; David Daniel Ebert; Jürgen Bengel · Research

Can Web-Based Behavioral Activation Help People with Depression Get More Active?

New research investigates an online program to help people with depression increase their daily activities and improve their symptoms

Source: Krämer, L. V., Mueller-Weinitschke, C., Zeiss, T., Baumeister, H., Ebert, D. D., & Bengel, J. (2022). Effectiveness of a web-based behavioural activation intervention for individuals with depression based on the Health Action Process Approach: protocol for a randomised controlled trial with a 6-month follow-up. BMJ Open, 12(1), e054775.

What you need to know

  • Depression often leads to reduced activity levels, which can worsen symptoms
  • This study tests an online program teaching strategies to help people with depression become more active
  • The program is based on proven behavior change principles and delivered through an accessible web platform

Why Getting Active Matters When You’re Depressed

Think about the last time you felt really down. You may have noticed that you started doing less - maybe skipping activities you usually enjoy, spending more time in bed, or avoiding social situations. This pattern is incredibly common in depression and creates a challenging cycle: feeling depressed leads to doing less, which often makes the depression worse.

Breaking this cycle is a key focus of an effective depression treatment called behavioral activation. The basic idea is simple but powerful - helping people gradually increase meaningful activities in their daily lives can help lift their mood. However, getting started with new activities when you’re depressed isn’t easy. That’s why researchers are testing a new online program designed to help people overcome the barriers to becoming more active.

A New Approach to Building Healthy Habits

The program, called InterAKTIV, takes a unique approach by incorporating principles from health psychology about how people successfully change their behavior. Rather than just telling people to “get more active,” it walks them through a step-by-step process based on the Health Action Process Approach (HAPA) - a well-researched model of behavior change.

Think of it like building a bridge between intentions and actions. Many of us have good intentions to be more active but struggle to follow through. The program helps people:

  • Identify personally meaningful activities
  • Build confidence in their ability to get started
  • Make specific plans for when, where and how they’ll do activities
  • Anticipate and prepare for potential obstacles
  • Stay on track even when facing setbacks

How the Program Works

InterAKTIV consists of seven online modules that participants complete over 8 weeks. Each module takes about 45 minutes and includes interactive elements like videos, audio clips, and practical exercises. Participants also receive supportive feedback from a trained coach via messaging and can opt to get motivational text messages.

The program starts by helping people understand the connection between activities and mood, then guides them to choose activities aligned with their personal values. Later modules focus on turning intentions into action through detailed planning and problem-solving. Throughout the program, people learn skills to maintain their progress over time.

What Makes This Program Different

While other online depression treatments exist, InterAKTIV is unique in several ways:

  1. It’s based on a clear theoretical framework for behavior change rather than just general advice
  2. It focuses specifically on helping people increase meaningful activities
  3. It combines the convenience of online delivery with personalized coach support
  4. It teaches skills that can be applied long after the program ends

What This Means for You

If you’re struggling with depression, this research suggests that:

  • Increasing daily activities can be an important part of recovery
  • Breaking down behavior change into smaller steps makes it more manageable
  • Online programs can provide accessible support and practical strategies
  • Having a structured approach and coach support may help you follow through on your intentions

While the study is still ongoing, the program shows promise as a way to make evidence-based depression treatment more widely available. This could be especially helpful for people who face barriers to in-person therapy like cost, transportation, or scheduling conflicts.

Conclusions

  • Depression often creates a cycle of reduced activity that maintains symptoms
  • Online behavioral activation programs may help break this cycle by teaching practical strategies
  • Combining psychological theory with accessible technology could make effective depression treatment available to more people
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