Trial results for a study investigating Behavioral Activation-Rehabilitation to improve depressive symptoms and physical function after acute respiratory failure were posted on 2025-09-19. The trial reported high feasibility for the intervention, with 0.94 proportion of total intervention visits completed.
Background
Patients surviving acute respiratory failure in the intensive care unit often experience problems with depression and physical functioning, which can lead to reduced quality of life. There is a recognized lack of effective treatments for this patient population. Previous research suggests that interventions addressing both mental and physical health concurrently may yield greater success. This study aimed to evaluate the feasibility and potential benefit of a combined therapy, delivered via telephone and home visits, targeting both depression and physical rehabilitation.
Trial design
This completed study, designated as Phase NA, enrolled 52 participants. The trial focused on conditions including Respiratory Insufficiency, Depression, Rehabilitation, and Critical Care. The intervention involved a combined approach of Behavioral Activation - Rehabilitation, while the comparator arm received Usual Care Control. The brief summary indicates the research evaluated whether this combined therapy was feasible and might help patients, though specific primary outcomes were not detailed in the provided data.
Key results
The study reported several key measurements, primarily focusing on feasibility:
- Feasibility Measure Per Participant in the Behavioral Activation - Rehabilitation group was 0.8 proportion of intended visits.
- Total Feasibility Measure for the Behavioral Activation - Rehabilitation group was 0.94 proportion of total intervention visits.
- Feasibility Measure/Assess Loss to Follow-up was 0.88 proportion of participants in the Behavioral Activation - Rehabilitation group and 0.93 proportion of participants in the Usual Care Control group.
- Feasibility Measure (average participants per month) was a mean of 0.3 (Standard Deviation 0.5) in the Behavioral Activation - Rehabilitation group and a mean of 0.4 (Standard Deviation 0.5) in the Usual Care Control group.
- Regarding psychological outcomes, the Hospital Anxiety and Depression Scale (HADS) - Anxiety Subscale showed a mean of 6.6 (Standard Deviation 3.6) in the Behavioral Activation - Rehabilitation group and 6.5 (Standard Deviation 4.5) in the Usual Care Control group.
- The Hospital Anxiety and Depression Scale (HADS) - Depression Subscale showed a mean of 6.9 (Standard Deviation 4.9) in the Behavioral Activation - Rehabilitation group and 5.0 (Standard Deviation 4.1) in the Usual Care Control group.
- The Personal Health Questionnaire - 8 Item Version (PHQ-8) showed a mean of 9.3 (Standard Deviation 6.9) in the Behavioral Activation - Rehabilitation group and 6.0 (Standard Deviation 6.2) in the Usual Care Control group.
What this means
The reported feasibility measures suggest that the Behavioral Activation-Rehabilitation intervention, delivered via telephone and home visits, is largely feasible. A high proportion of intended visits were completed (0.8 per participant, 0.94 overall), and participant retention was also high in both groups (0.88 and 0.93 for intervention and control, respectively). While scores for the HADS and PHQ-8 scales were reported, these are descriptive measurements from a feasibility study, and without further statistical analysis or designation as primary endpoints, definitive conclusions regarding the intervention's efficacy on depressive symptoms cannot be drawn from these figures alone. The data primarily supports the operational viability of delivering such an intervention.
Source
The information for these trial results was obtained from ClinicalTrials.gov, a public database of clinical studies. The results for the study NCT03431493, titled "Behavioral Activation-Rehabilitation to Improve Depressive Symptoms & Physical Function After Acute Respiratory Failure", were posted on 2025-09-19 on clinicaltrials.gov.
