Article

Experiences of guided Internet-based cognitive-behavioral treatment for depression: A qualitative study

Department of Behavioural Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, Sweden.
BMC Psychiatry (Impact Factor: 2.24). 06/2011; 11(107):107. DOI: 10.1186/1471-244X-11-107
Source: PubMed

ABSTRACT Internet-based self-help treatment with minimal therapist contact has been shown to have an effect in treating various conditions. The objective of this study was to explore participants' views of Internet administrated guided self-help treatment for depression.
In-depth interviews were conducted with 12 strategically selected participants and qualitative methods with components of both thematic analysis and grounded theory were used in the analyses.
Three distinct change processes relating to how participants worked with the treatment material emerged which were categorized as (a) Readers, (b) Strivers, and (c) Doers. These processes dealt with attitudes towards treatment, views on motivational aspects of the treatment, and perceptions of consequences of the treatment.
We conclude that the findings correspond with existing theoretical models of face-to-face psychotherapy within qualitative process research. Persons who take responsibility for the treatment and also attribute success to themselves appear to benefit more. Motivation is a crucial aspect of guided self-help in the treatment of depression.

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    • "In contrast, a minority would have preferred counselling. Other studies of cCBT have also found that some users want more personal assistance (Bendelin et al., 2011; Lillevoll et al., 2013; MacGregor, Hayward, Peck, & Wilkes, 2009). Together these studies highlight that cCBT is not the same as face-to-face therapy, that cCBT is appealing to many, but not to all, and that individual treatment preferences are important. "
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    Clinical Psychologist 02/2015; DOI:10.1111/cp.12052 · 0.43 Impact Factor
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    • "The analysis of the participants' accounts of the treatment sixth months after the treatment yielded three distinct themes, with a couple of sub-themes related to each theme. The results indicate that the participants' experiences on the whole are comparable with previous findings within qualitative research of internet-based guided self-help treatment (Bendelin et al., 2011; Beattie et al., 2009; Khan et al., 2007; MacDonald et al., 2007). What seems to be unique to the experience of this study's participants is that the smartphone-based treatment felt more accessible and present in their everyday life, something that has been suggested earlier (Ly et al., 2012, 2014; Palmier-Claus et al., 2013). "
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    ABSTRACT: Recently, a number of studies have investigated treatments administered via smartphones showing that this treatment format have a potential to be effective. However, we still have limited knowledge of how patients experience this treatment format. The objective of this study was to explore participants' views of a smartphone-based behavioral activation treatment. In-depth interviews were conducted with 12 strategically (participants with different overall experiences) selected participants, suffering from major depression according to the DSM-IV. The interview data were processed with the aid of thematic analysis. The analysis generated the three main themes: Commitment, Treatment and Lack of important components, with attached subthemes. In conclusion, the findings from the current study correspond with existing knowledge in the field of internet-based treatment. Considering that this kind of treatment is still quite new, the need for further research and development is considerable. Nevertheless, its availability, assimilation into users' everyday lives and possible motivational qualities speak to its potential.
    12/2014; 151(1). DOI:10.1016/j.invent.2014.12.002
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    • "Knowledge of the expectations, experiences, and attitudes of those involved in the therapeutic process is very important if this new form of treatment is to be implemented successfully. To date, research on these issues has been restricted to the perspective of the patient [32-35] without adequately addressing the perspectives of health officials who would be involved in recommending this type of intervention. Interestingly, these professionals show greater resistance to the use of this kind of intervention than the patients themselves do. "
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