[Correspondence] Behavioural activation training for depression

Based on their non-inferiority randomised controlled trial (RCT), David A Richards and colleagues (Aug 27, p 871)1 concluded that behavioural activation (BA) training should be a frontline treatment for depression, particularly as BA can be delivered by inexperienced junior mental health workers with no professional training in psychological therapies, with no less effect than that of more highly trained cognitive behavioural therapists. There are four essential insights from implementation research that should be considered when reflecting on this conclusion.

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