Background: Behavioral Activation (BA) is a pen and paper-based therapy form for treating depression. The patient registers their activity hourly, and together with the therapist, they agree on a plan to change behavior. However, with the limited clinical personnel, and a growing patient population, new methods are needed to advance BA. Objective: The objectives of this paper were to 1) automatically identify behavioral patterns through statistical analysis of the paper-based activity schedules, and 2) determine whether it is feasible to move the BA therapy format to a digital solution. Methods: We collected activity schedules from seven patients, covering in total 2,480 hours of self-reported activities. A pleasure score, on a 1-10 rating scale, was reported for each activity. The activities were digitalized into seven activity categories, and statistical analyses were conducted. Results: Across all patients, movement-related activities were associated with the highest pleasure score followed by social activities. On an individual level, through a non-parametric Wilcoxon Signed-Rank test, one patient had a statistically significant larger amount of spare time activities when feeling bad (z = -2.045, p = .041). Through a within-subject ANCOVA, the patients were found to have a better day than the previous, if that previous day followed their diurnal rhythm ( = .265, p = .0288). Furthermore, a second-order trend indicated that ρ two hours of daily social activity was the optimal for the patients (β 2 = -0.08, t(63) = -1.22, p = .23).
Conclusions:The data-driven statistical approach was able to find patterns within the behavioral traits that could help to assist, the therapist in a future application.