{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:34:45Z","timestamp":1792787685617,"version":"4.5.0"},"reference-count":17,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T00:00:00Z","timestamp":1775088000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"COVID-19 Supplementary Funding Pool Scheme at Charles Darwin University, allocated by the Australian Federal Government","award":["0702\/6040"],"award-info":[{"award-number":["0702\/6040"]}],"id":[{"id":"https:\/\/ror.org\/048zcaj52","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The experience of conducting an unsuccessful pilot trial of behavioural activation (BA) to improve depressive symptoms in young clients with early or emerging psychosis is reported on. We aimed to identify barriers and enablers to inform the conduct of future trials with this client group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Clinicians completed BA training with the aim of delivering this to suitable clients. Feasibility outcomes were calculated as proportions of feasibility targets. The various stages of the pilot randomised trial were examined, informed by interviews with five young people with early or emerging psychosis and four clinicians. Interviews were content analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Client recruitment and retention targets were not met, with proportions of 10% and 50%, respectively. Barriers included \u2018clinician self-efficacy in recruitment\u2019, \u2018staff turnover\u2019, the \u2018fragility of young people\u2019s engagement with the service\u2019, and \u2018workload incurred from study involvement\u2019. The enablers were \u2018clients\u2019 and clinicians\u2019 perceived potential to contribute to new evidence\u2019, \u2018the clinician-client relationship\u2019, and \u2018opportunities to provide feedback to the research team\u2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Recommendations for future similar studies include pre-trial stakeholder consultation; offering multiple cycles of training; support to grow clinician confidence for recruitment; accounting for increased workload; and ongoing service-research team meetings to identify solutions to emerging issues.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261436366","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T12:30:26Z","timestamp":1775133026000},"page":"483-490","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trial tribulations: Lessons learned from an unsuccessful pilot trial of Behavioural Activation in young people with early or emerging psychosis at a regional mental health service"],"prefix":"10.1177","volume":"34","author":[{"given":"Janina","family":"Catalao Dionisio Murta","sequence":"first","affiliation":[{"name":"Charles Darwin University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6787-056X","authenticated-orcid":false,"given":"Br\u00f3na","family":"Nic Giolla Easpaig","sequence":"additional","affiliation":[{"name":"Charles Darwin University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell K.","family":"Byrne","sequence":"additional","affiliation":[{"name":"University of Wollongong"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Gray","sequence":"additional","affiliation":[{"name":"La Trobe University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Jones","sequence":"additional","affiliation":[{"name":"Edith Cowan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0470-362X","authenticated-orcid":false,"given":"David","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Charles Darwin University CDU MENZIES School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Creek","sequence":"additional","affiliation":[{"name":"headspace Darwin, Anglicare NT"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1645-5443","authenticated-orcid":false,"given":"Ellie","family":"Brown","sequence":"additional","affiliation":[{"name":"University of Melbourne"},{"name":"Orygen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing-Yu (Benjamin)","family":"Tan","sequence":"additional","affiliation":[{"name":"University of Southern Queensland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaun","family":"Dennis","sequence":"additional","affiliation":[{"name":"University of South Australia & Clinical Training Lead, Barossa Hills Fleurieu Local Health Network"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0951-2208","authenticated-orcid":false,"given":"Daniel","family":"Bressington","sequence":"additional","affiliation":[{"name":"Chiang Mai University"},{"name":"Office of The Chief Psychiatrist, Department of Health, Darwin, NT, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"e_1_3_8_2_2","unstructured":"Early Psychosis Guidelines Writing Group and EPPIC National Support Program. Australian clinical guidelines for early psychosis [internet]. Melbourne Australia: Orygen the national centre of excellence in youth mental health (2016). Available from. https:\/\/www.orygen.org.au\/Campus\/Expert-Network\/Resources\/Free\/Clinical-Practice\/Australian-Clinical-Guidelines-for-Early-Psychosis\/Australian-Clinical-Guidelines-for-Early-Psychosis.aspx?ext"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1192\/apt.bp.108.005629"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0280559"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-018-1126-z"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2850.2009.01178.x"},{"issue":"7","key":"e_1_3_8_7_2","first-page":"CD013305","article-title":"Behavioural activation therapy for depression in adults","volume":"7","author":"Uphoff E","year":"2020","unstructured":"Uphoff E, Ekers D, Robertson L, et al. Behavioural activation therapy for depression in adults. Cochrane Database Syst Rev 2020; 7(7): CD013305. https:\/\/doi.org\/10.1002\/14651858.CD013305.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/eip.12155"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2006.11.001"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/00048674211061285"},{"key":"e_1_3_8_11_2","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-11-2015-0032"},{"key":"e_1_3_8_12_2","unstructured":"Australian Bureau of Statistics. Socio-economic indexes for areas (SEIFA) Australia 2023. https:\/\/www.abs.gov.au\/statistics\/people\/people-and-communities\/socio-economic-indexes-areas-seifa-australia\/latest-release#interactive-maps"},{"key":"e_1_3_8_13_2","unstructured":"Australian Bureau of Statistics. Remoteness areas. Australian statistical geography standard (ASGS) edition 3 2023. https:\/\/www.abs.gov.au\/statistics\/standards\/australian-statistical-geography-standard-asgs-edition-3\/jul2021-jun2026\/remoteness-structure\/remoteness-areas"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-023-10034-4"},{"issue":"3","key":"e_1_3_8_15_2","article-title":"Qualitative content analysis: demarcation, varieties, developments","volume":"20","author":"Mayring P","year":"2019","unstructured":"Mayring P. Qualitative content analysis: demarcation, varieties, developments. Forum Qual Soc Res. 2019; 20(3): Article 16.","journal-title":"Forum Qual Soc Res"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/hsc.13978"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12727"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-023-01291-5"}],"container-title":["Australasian Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261436366","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10398562261436366","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10398562261436366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:50:16Z","timestamp":1791805816000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10398562261436366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,2]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/10398562261436366"],"URL":"https:\/\/doi.org\/10.1177\/10398562261436366","relation":{},"ISSN":["1039-8562","1440-1665"],"issn-type":[{"value":"1039-8562","type":"print"},{"value":"1440-1665","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,2]]}}}