Anonymised statistical results.

Behavioral Activation Therapy (BAT) is widely used in Western countries, and digital interventions based on BAT are also increasingly common. This study explored how BAT can be adapted for Chinese employees. Through twelve co-design workshops conducted online, a total of 46 Chinese employees actively participated in the process of defining positive activities for behavioural activation therapy. Using Hofstede’s cultural dimensional theory as a framework and considering the traditional influence of Confucianism and the dynamic nature of China’s contemporary socio-cultural transformation, we identified and examined culturally sensitive and controversial activities that emerged during the study. Our findings indicate that Chinese participants, when compared to their western counterparts, generally displayed less favourable attitudes towards activities such as extreme sports, religion, charitable work, family or after-work social activities. Additionally, they demonstrated less willingness to express emotions openly, provide constructive upward feedback, or seek assistance from mental health experts. Our research indicates that the implementation of behavioural activation activities, as validated in Western literature and classified into three layers in our study—general, workplace-related, and mental health-related—needs to be carefully adapted to align with the current Chinese cultural and societal context, this includes recommending leisure activities that are lighter and less risky, provide cultural sensitive advisory that facilitate effective workplace communication, and consider offering mental health self-help knowledge toolkits.

行为激活疗法（Behavioral Activation Therapy，以下简称BAT）在西方国家被广泛应用，基于该疗法的数字化干预方案也日益普及。本研究旨在探索如何针对中国职场员工适配行为激活疗法。本研究通过12场线上协同设计工作坊，共招募46名中国员工参与行为激活疗法正向活动的定义与设计工作。本研究以霍夫斯泰德文化维度理论为分析框架，同时考量儒家传统的影响以及中国当代社会文化转型的动态特征，识别并梳理了研究过程中出现的具有文化敏感性与争议性的活动类型。研究结果显示，相较于西方参与者，中国受试者对极限运动、宗教活动、慈善工作、家庭聚会或下班后社交活动等项目普遍持有更低的认可度。此外，他们更不愿公开表达情绪、向上级提供建设性反馈，或向心理健康专业人士寻求帮助。本研究表明，经西方文献验证、且本研究将其划分为三大类别（普适性、职场相关、心理健康相关）的行为激活活动，需经过细致适配以契合当前中国的文化与社会语境，具体包括推荐低强度、低风险的休闲活动，提供适配文化语境的职场沟通指导，并考虑推出心理健康自助知识工具包。