{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T20:26:27Z","timestamp":1790367987466,"version":"4.1.0"},"reference-count":38,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Geoffery Gardiner Dairy Foundation Ltd."}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The mental health of people living in farming communities has been identified as an important public health issue. Cumulative exposure to a range of situational factors contributes to heightened risk of poor mental health and suicide. Access to evidence-based psychological treatments is limited by the availability of skilled mental health professionals. The aim of this trial\u2014co-designed by members of the farming community\u2014is to establish the feasibility of conducting randomised controlled, trial-testing, peer-worker-delivered Behavioural Activation in the farming community. We will undertake a single-blind, parallel group, randomised controlled feasibility trial in rural Australia. People living in farming communities aged over 15 years and experiencing moderate to moderately severe depression symptoms will be included in the trial. Participants will be randomly allocated on a 1:1 ratio to 10 sessions of peer-worker-delivered behavioural activation (Back-on-Track) or a self-help workbook (Managing Stress on the Farm). Peer workers are members of the farming community that have completed training in behavioural activation and demonstrated competence. Feasibility outcomes include establishing recruitment rates, willingness to be randomised, dropout rate from trial, acceptability of peer delivered behavioural activation, and willingness to complete trial measures. The trial will contribute high quality evidence of the feasibility of undertaking a full-scale, randomised controlled trial of peer-delivered Behavioural Activation in farming communities in rural Australia.<\/jats:p>","DOI":"10.3390\/ijerph23020199","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T13:58:49Z","timestamp":1770127129000},"page":"199","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Back-on-Track: Protocol for Randomised Controlled Feasibility Trial of Behavioural Activation in Farmers with Mood Problems"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4450-8434","authenticated-orcid":false,"given":"Alison","family":"Kennedy","sequence":"first","affiliation":[{"name":"National Centre for Farmer Health, School of Medicine, Deakin University, Tyers Street, Hamilton 3300, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9694-4206","authenticated-orcid":false,"given":"Richard","family":"Gray","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, La Trobe University, Melbourne 3096, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifry, Edith Cowan University, Perth 6027, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Greene","sequence":"additional","affiliation":[{"name":"National Centre for Farmer Health, Western District Health Service, Hamilton 3300, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3037-6404","authenticated-orcid":false,"given":"Lauren","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Clinical Trials Platform, La Trobe University, Melbourne 3096, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meera","family":"Senthuren","sequence":"additional","affiliation":[{"name":"Clinical Trials Platform, La Trobe University, Melbourne 3096, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzy","family":"Malseed","sequence":"additional","affiliation":[{"name":"National Centre for Farmer Health, School of Medicine, Deakin University, Tyers Street, Hamilton 3300, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feby","family":"Savira","sequence":"additional","affiliation":[{"name":"National Centre for Farmer Health, School of Medicine, Deakin University, Tyers Street, Hamilton 3300, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Barnes","sequence":"additional","affiliation":[{"name":"National Centre for Farmer Health, Western District Health Service, Hamilton 3300, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0837-6814","authenticated-orcid":false,"given":"Kate","family":"Gunn","sequence":"additional","affiliation":[{"name":"IIMPACT in Health, Department of Rural Health, Allied Health and Human Performance, University of South Australia, Adelaide 5001, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6332-3374","authenticated-orcid":false,"given":"Susan","family":"Brumby","sequence":"additional","affiliation":[{"name":"National Centre for Farmer Health, School of Medicine, Deakin University, Tyers Street, Hamilton 3300, Australia"},{"name":"National Centre for Farmer Health, Western District Health Service, Hamilton 3300, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.5271\/sjweh.3682","article-title":"Suicide among agricultural, forestry, and fishery workers: A systematic literature and meta-analysis","volume":"44","author":"Klingelschmidt","year":"2018","journal-title":"Scand. 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