Getting Out of the House: Using Behavioral Activation to Increase Community Participation

The activity logs are open ended forms in which participants are asked to enter in the primary activities they did in a day (e.g., work), the amount of time they did if for (e.g., 2 hours), how effortful it was on a scale of 1-5, and what their mood was before, during, and after the activity on a scale of 1-5. A higher score on effort (5) is indicative of greater effort, and a higher score ono mood indicates a better or more positive mood. Activities type will be analyzed qualitatively.

Participants will be asked to state whether they did an activity from a list of 20 items. Response options include yes or no. A greater number of "yes" responses will indicate a greater level of participation that week.

The behavior activation depression scale measures related to activity, social interaction, and negative thinking or feelings There are 25 statements measured on a 6-point Likert scale varying from not at all to completely. The range of scores is 0 to 54, with high scores representing higher behavioral activation.activities

Measures engagement in 29 participation areas, if those areas are important to them, how often they did them and if it was enough, not enough, or too much. Higher reported frequency across a greater number of areas indicates higher rates of participation. Higher number of activities reported as being important and done enough indicate greater sufficiency of participation.

Participants will carry a cellphone that will track their movements in the community using a GPS app. GPS data shows movements in the community in distance traveled in kilometers. This will be analyzed as total distance traveled.

Participants will carry a cellphone that will track their movements in the community using a GPS app. GPS data shows locations participants go to in the community with GPS coordinates. This will be analyzed as the number of locations visited.

This measure assesses the overall perceived quality of life. There are 11 items across three domains: community inclusion, holistic health and functioning, and human and legal rights. The statement "[If homeless or in jail, the place where you typically sleep at night?]" will be removed from Q5 the questionnaire as it is not relevant to our study participants. Response options vary from terrible to delighted on a 7-point scale. Responses closer to 7 (delighted) indicate greater perceived quality of life and responses closer to 1 (terrible) indicate lower perceived quality of life. The scores will be summed across questions and higher scores indicate better perceived quality of life.

This is a self-report measure of self-efficacy or perceived ability to participate in the community. There are 10 items with 4 responses options ranging from not at all (1) to exactly true (4). Total scores can range from 10-40 with a higher score indicated greater self-efficacy

Three subscale from the RAS will be used: 1) reliance on others, 2) confidence and hope, and 3) willingness to ask for help. Responses range from strongly disagree (1) to strongly agree (5). Scores can range from 16-80 with higher scores indicating greater recovery, reliance on others, confidence, and willingness to ask for help.

Measures motivation, ease, pleasure, and satisfaction related to behaviors that are precursors to participation (e.g., planning transportation and outings). Each subscale (e.g., motivation) is measured on a 4-point scale from "not at all" to "extremely." Each subscale is scored separately with scores ranging from 5 to 20. Higher scores indicate higher level of each subscale (e.g. ease).

Includes 8 statements related to capabilities tied to participation (e.g., I feel comfortable taking public transportation) and 14 related to opportunities tied to participation (e.g., I have access to materials or equipment to participate). All items are measure on a scale of 1-6 from strongly disagree to strongly agree. For 17 of the 22 items higher scores indicate greater capabilities and opportunities and for 5 of the 22 lower scores indicate greater capabilities and opportunities.

The 16-item instrument includes statements about self-control and self-management. The scoring is on a 6-point Likert scale, and the anchors adopted for score reporting are 1 to 6. Thus, the possible total scale score range is 16-96 with higher scores indicating greater self-management and self-control.

This was modified to measures habit strength for participation rather than moderate to vigorous activity. The measure consists of 17 items or statements with response options ranging from 1-6 on a 6-point Likert scale from strongly disagree to strongly agree. Possible scores range from 17 to 102 with higher scores indicating greater habit strength.

These 3 questions are only being given to people who report having a mental illness. The questions related to how often people feel socially isolated or lonely. Response options range from 1) hardly ever, 2) some of the time, and 3) often. Responses (3) indicate increased loneliness and more "hardly ever" responses indicate less loneliness.

This subscale is an indicator of social relationships and networks. It contains 6-items rated on a 5-point scale and 6 additional measures on a 7-point scale. Higher scores on the items indicate better social relationships.

This measure assesses primary symptom dimensions over the past week using a 25-item assessment with a 4-point Likert scale (0 = not at all to 4 = extremely). Higher scores indicate higher levels of symptoms. Separate averages of depression and anxiety items are calculated and a total score represents the mean of the total 25 items.

The measure assesses purpose in life. There are 6 items/statements with response options on a 5-point Likert scale ranging from 1-5, (1= "Strongly disagree" and 5 = "Strongly agree"). Scores for each question are summed with a range of scores from 6 to 30. Higher scores indicate greater levels of purpose in life.

The measure contains 28 items with statements related to readiness to change. The readiness score is determined by calculating the means for precontemplation, contemplation, action, and the maintenance responses. The mean from the precontemplation is then subtracted from the summation of the means of the other three stages. 8 or lower classified as people in Precontemplation, 8-11 classified as people in Contemplation, and 11-14 classified as people in Preparation or Action.

The 20-item self-report measure designed assess the likelihood of environmental rewards. Each question is scored on a scale of 1-4 from strongly disagree to strongly agree. Higher scores on 11 of the 20 items and lower scores on 9 of the items indicate a greater likelihood of environmental reward.