Internet-Based Behavioral Activation Program for Depression and Problem Gambling: Lessons Learned from Stakeholder Interviews

Behavioral activation (BA) is a well-established treatment for depression, often used as an adjuvant for gambling disorder. Internet-based BA programs exist and are easily accessible. However, many neglect to report program evaluations. DoNamic is an Internet-based BA program for individuals aged 14–40 years with depression and those with comorbid depression and problem gambling. We evaluated DoNamic in a pre-implementation context through interviews with 15 care providers and health care decision-makers (“stakeholders”) to guide improvements to enhance uptake. Stakeholders were interviewed regarding content, design, and implementation. Stakeholders believed DoNamic’s self-guided nature offered a unique means of enhancing access to care. Concerns with DoNamic involved its design, anonymity, and the language used within DoNamic. Suggestions included a brighter design, enhanced anonymity, and modifying language to enhance reach. Lastly, robust evaluations were deemed necessary to sustain DoNamic in certain settings. Stakeholder feedback informed integral changes to DoNamic, potentially enhancing uptake within the health system.