What patients think about E-health: patients' perspective on internet-based cognitive behavioral treatment for patients with rheumatoid arthritis and psoriasis
Abstract
In the past decade, the use of internet-based cognitive behavioral treatments (internet-based CBT) for a wide range of patients has grown intensively. Incorporating the patients' opinions and perspective into new health care innovations might improve the quality and applicability of these innovations, as high dropout rates and low attrition are the often-reported concerns in E-health research. Most studies to date have examined patient perspectives on specific internet-based interventions that patients had participated in, and not the views of the general public. The current paper explores the perspective of patients with rheumatoid arthritis and psoriasis on internet-based CBT for these patient groups. In total, 100 patients (55 % male) participated in a semi-structured telephone interview about internet-based CBT, including questions about possible advantages and disadvantages and the readiness to participate in this kind of treatment. Most patients (78 %) were prepared to participate in internet-based CBT. Patients endorsed the advantages (57 %) more often than the disadvantages (34 %). The ease of internet-based CBT and the time saved were especially appealing to patients. Main disadvantages according to patients are that not all patients will be reached due to computer illiteracy and the lack of face-to-face interaction with the therapist. The results suggest that, from the patients' perspective, internet-based CBT is a promising health care development. Further research into aspects such as therapist interaction and enhancing computer literacy might contribute to an effective way of E-health care delivery in the future.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Guided iCBT is positively reviewed by patients.
“Besides, this type of treatment is positively reviewed by patients (Ferwerda et al., 2013).”
From Guided internet-based cognitive-behavioral therapy for patients with rheumatic conditions: A systematic review (2021) · cites this paper as Ferwerda et al., 2013
Recruitment and adherence rates may improve if the perspective of the population is adopted.
“Additionally, recruitment and adherence rates may improve if the perspective of the population is adopted.16”
Cites
Eysenbach, G. (2005) · Journal of Medical Internet Research · doi:10.2196/jmir.7.1.e11 · Cited by 2,524 · see citing works
Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis
SPEK, V., CUIJPERS, P., NYKLÍČEK, I., RIPER, H., KEYZER, J., & POP, V. (2007) · Psychological Medicine · doi:10.1017/s0033291706008944 · Cited by 1,586 · see citing works
Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
Andersson, G., & Cuijpers, P. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070903318960 · Cited by 1,368 · see citing works
Adherence in Internet Interventions for Anxiety and Depression
Christensen, H., Griffiths, K. M., & Farrer, L. (2009) · Journal of Medical Internet Research · doi:10.2196/jmir.1194 · Cited by 1,133 · see citing works
Wantland, D. J., Portillo, C. J., Holzemer, W. L., Slaughter, R., & McGhee, E. M. (2004) · Journal of Medical Internet Research · doi:10.2196/jmir.6.4.e40 · Cited by 966 · see citing works
A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies
Donkin, L., Christensen, H., Naismith, S. L., Neal, B., Hickie, I. B., & Glozier, N. (2011) · Journal of Medical Internet Research · doi:10.2196/jmir.1772 · Cited by 876 · see citing works
Griffiths, F., Lindenmeyer, A., Powell, J., Lowe, P., & Thorogood, M. (2006) · Journal of Medical Internet Research · doi:10.2196/jmir.8.2.e10 · Cited by 820 · see citing works
Patient participation in decision-making
Guadagnoli, E., & Ward, P. (1998) · Social Science & Medicine · doi:10.1016/s0277-9536(98)00059-8 · Cited by 795 · see citing works
Using the Internet to provide cognitive behaviour therapy
Andersson, G. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.01.010 · Cited by 560 · see citing works
Internet-administered cognitive behavior therapy for health problems: a systematic review
Cuijpers, P., van Straten, A., & Andersson, G. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-007-9144-1 · Cited by 555 · see citing works
Privacy, Trust, and Self-Disclosure Online
Joinson, A. N., Reips, U.-D., Buchanan, T., & Schofield, C. B. P. (2010) · Human–Computer Interaction · doi:10.1080/07370020903586662 · Cited by 503 · see citing works
Computer‐Aided Psychotherapy for Anxiety Disorders: A Meta‐Analytic Review
Cuijpers, P., Marks, I. M., van Straten, A., Cavanagh, K., Gega, L., & Andersson, G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070802694776 · Cited by 429 · see citing works
Palmqvist, B., Carlbring, P., & Andersson, G. (2007) · Expert Review of Pharmacoeconomics & Outcomes Research · doi:10.1586/14737167.7.3.291 · Cited by 290 · see citing works
Kaltenthaler, E., Sutcliffe, P., Parry, G., Beverley, C., Rees, A., & Ferriter, M. (2008) · Psychological Medicine · doi:10.1017/s0033291707002607 · Cited by 267 · see citing works
What Is eHealth (6): Perspectives on the Evolution of eHealth Research
Ahern, D. K., Kreslake, J. M., Phalen, J. M., & Bock, B. C. (2006) · Journal of Medical Internet Research · doi:10.2196/jmir.8.1.e4 · Cited by 220 · see citing works
The elderly's internet usage: an updated look
Reisenwitz, T., Iyer, R., Kuhlmeier, D. B., & Eastman, J. K. (2007) · Journal of Consumer Marketing · doi:10.1108/07363760710834825 · Cited by 151 · see citing works
E-Therapy for Mental Health Problems: A Systematic Review
Postel, M. G., de Haan, H. A., & De Jong, C. A. J. (2008) · Telemedicine and e-Health · doi:10.1089/tmj.2007.0111 · Cited by 125 · see citing works
Exploring public perspectives on e-health: findings from two citizen juries
King, G., Heaney, D., Boddy, D., O’Donnell, C. A., Clark, J. S., & Mair, F. S. (2010) · Health Expectations · doi:10.1111/j.1369-7625.2010.00637.x · Cited by 38 · see citing works
Meta‐Analysis of Computer‐Aided Psychotherapy: Problems and Partial Solutions
Marks, I. M., Cuijpers, P., Cavanagh, K., van Straten, A., Gega, L., & Andersson, G. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070802675239 · Cited by 26 · see citing works
Quest, E. M., Aanerud, G. J., Kaarud, S., Collins, S., Leong, A. L., Smedeby, B., Denny-Waters, A., Mellors, R., Taylor, D., & de Wit, M. P. T. (2003) · PubMed · Cited by 17 · see citing works
Problems experienced by people with arthritis when using a computer
Baker, N. A., Rogers, J. C., Rubinstein, E. N., Allaire, S. H., & Wasko, M. C. (2009) · Arthritis Care & Research · doi:10.1002/art.24465 · Cited by 16 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Artificially intelligent chatbots in digital mental health interventions: a review
Boucher, E. M., Harake, N. R., Ward, H. E., Stoeckl, S. E., Vargas, J., Minkel, J., Parks, A. C., & Zilca, R. (2021) · Expert Review of Medical Devices · doi:10.1080/17434440.2021.2013200 · Cited by 440 · see citing works
Online Recruitment Methods for Web-Based and Mobile Health Studies: A Review of the Literature
Lane, T. S., Armin, J. S., & Gordon, J. S. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4359 · Cited by 193 · see citing works
2022 EULAR points to consider for remote care in rheumatic and musculoskeletal diseases
de Thurah, A. L., Bösch, P., Marques, A., Meißner, Y., Mukhtyar, C. B., Knitza, J., Najm, A., Østerås, N., Pelle, T., Knudsen, L. R., et al. (2022) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2022-222341 · Cited by 139 · see citing works
Treatment preferences and treatment satisfaction among psoriasis patients: a systematic review
Florek, A. G., Wang, C. J., & Armstrong, A. W. (2018) · Archives of Dermatological Research · doi:10.1007/s00403-018-1808-x · Cited by 137 · see citing works
Sjöström, M., Umefjord, G., Stenlund, H., Carlbring, P., Andersson, G., & Samuelsson, E. (2015) · BJU International · doi:10.1111/bju.13091 · Cited by 84 · see citing works
Cottrell, M. A., Hill, A. J., O’Leary, S. P., Raymer, M. E., & Russell, T. G. (2017) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x17706605 · Cited by 75 · see citing works
van Beugen, S., Ferwerda, M., Koulil, S. S., Smit, J. V., Zeeuwen-Franssen, M. E. J., Kroft, E. B. M., de Jong, E. M. G. J., Otero, M. E., Donders, A. R. T., van de Kerkhof, P. C. M., et al. (2016) · Psychotherapy and Psychosomatics · doi:10.1159/000447267 · Cited by 68 · see citing works
Self-citationSharpe, L. (2016) · Journal of Pain Research · doi:10.2147/jpr.s83653 · Cited by 64 · see citing works
“However, in a small, interview-based study, 78% of patients (n=100) with either psoriatic arthritis or RA indicated that they would find an Internet-delivered psychosocial program to be acceptable.(33) Given the increases in technology, if the interventions that have been found to be effective in faceto-face formats c…”
Marasca, C., Annunziata, M. C., Camela, E., Guida, A. D., Fornaro, L., Megna, M., Napolitano, M., Patruno, C., Potestio, L., & Fabbrocini, G. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11061511 · Cited by 59 · see citing works
An interactive portal to empower cancer survivors: a qualitative study on user expectations
Kuijpers, W., Groen, W. G., Loos, R., Oldenburg, H. S. A., Wouters, M. W. J. M., Aaronson, N. K., & van Harten, W. H. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2605-0 · Cited by 58 · see citing works
Marques, A., Bösch, P., de Thurah, A. L., Meißner, Y., Falzon, L., Mukhtyar, C. B., Bijlsma, J. W. J., Dejaco, C., & Stamm, T. (2022) · RMD Open · doi:10.1136/rmdopen-2022-002290 · Cited by 53 · see citing works
Knudsen, L. R., de Thurah, A. L., & Lomborg, K. E. (2017) · Arthritis Care & Research · doi:10.1002/acr.23483 · Cited by 53 · see citing works
van Middendorp, H., & Evers, A. W. M. (2016) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2016.10.012 · Cited by 50 · see citing works
Self-citationIncorporating Biopsychosocial Characteristics into Personalized Healthcare: A Clinical Approach
Evers, A. W. M., Gieler, U., Hasenbring, M. I., & van Middendorp, H. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000358309 · Cited by 49 · see citing works
Self-citationSchulze, N., Reuter, S. C., Kuchler, I., Reinke, B., Hinkelmann, L., Stöckigt, S., Siemoneit, H., & Tonn, P. (2019) · Telemedicine and e-Health · doi:10.1089/tmj.2018.0225 · Cited by 48 · see citing works
User engagement in clinical trials of digital mental health interventions: a systematic review
Elkes, J., Cro, S., Batchelor, R., O’Connor, S., Yu, L., Bell, L., Harris, V., Sin, J., & Cornelius, V. R. (2024) · BMC Medical Research Methodology · doi:10.1186/s12874-024-02308-0 · Cited by 36 · see citing works
Cost‐effectiveness of an Internet‐based treatment program for stress urinary incontinence
Sjöström, M., Umefjord, G., Lindholm, L. H., & Samuelsson, E. C. (2013) · Neurourology and Urodynamics · doi:10.1002/nau.22540 · Cited by 35 · see citing works
Wikman, A., Kukkola, L., Börjesson, H., Cernvall, M., Woodford, J., Grönqvist, H., & von Essen, L. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9457 · Cited by 32 · see citing works
Woodford, J., Wikman, A., Cernvall, M., Ljungman, G., Romppala, A., Grönqvist, H., & von Essen, L. (2018) · BMJ Open · doi:10.1136/bmjopen-2018-023708 · Cited by 31 · see citing works
Salmon, V. E., HEWLETT, S. E., Walsh, N. E., Kirwan, J., Morris, M., Urban, M., & Cramp, F. L. (2019) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-019-2558-4 · Cited by 24 · see citing works
Tutelman, P. R., Chambers, C. T., Stinson, J., Parker, J. A., Barwick, M. A., Witteman, H. O., Jibb, L., Stinson, H. C., Fernandez, C. V., Nathan, P. C., et al. (2018) · JMIR Cancer · doi:10.2196/10280 · Cited by 25 · see citing works
Engagement in Digital Mental Health Interventions: Can Monetary Incentives Help?
Boucher, E. M., Ward, H. E., Mounts, A. C., & Parks, A. C. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.746324 · Cited by 23 · see citing works
Terpstra, J. A., van der Vaart, R., Ding, H. J., Kloppenburg, M., & Evers, A. W. M. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100444 · Cited by 19 · see citing works
“Besides, this type of treatment is positively reviewed by patients (Ferwerda et al., 2013).”
BackgroundSelf-citationRecruitment Strategies for Nurse Enrollment in an Online Study
Surdam, J., Daly, B. J., Fulton, S. E., Margevicius, S. P., SCHLUCHTER, M. D., Flocke, S. A., Manne, S. L., & Meropol, N. J. (2019) · Nursing Research · doi:10.1097/nnr.0000000000000393 · Cited by 18 · see citing works
Digital cognitive behaviour therapy (CBT) in Canada: Ethical considerations.
Lawlor‐Savage, L., & Prentice, J. L. (2014) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0037861 · Cited by 18 · see citing works
Woodford, J., Wikman, A., Einhorn, K., Cernvall, M., Grönqvist, H., Romppala, A., & von Essén, L. (2018) · JMIR Mental Health · doi:10.2196/10085 · Cited by 16 · see citing works
Teledermatology for Common Inflammatory Skin Conditions: The Medicine of the Future?
Martora, F., Fabbrocini, G., Megna, M., Scalvenzi, M., Battista, T., Villani, A., & Potestio, L. (2023) · Life · doi:10.3390/life13041037 · Cited by 15 · see citing works
Internetbasierte Gesundheitsinterventionen
Gieselmann, A., Böckermann, M., & Pietrowsky, R. (2015) · Psychotherapeut · doi:10.1007/s00278-015-0038-3 · Cited by 15 · see citing works
Prevention and adherence in Rheumatic and Musculoskeletal disease
Esbensen, B. A., Kennedy, N., & Brodin, N. (2020) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2020.101525 · Cited by 15 · see citing works
Wirken, L., van Middendorp, H., Hooghof, C. W., Bremer, T. E., Hopman, S. P. F., der Pant, K. A. M. I. V. D., Hoitsma, A. J., Hilbrands, L. B., & Evers, A. W. M. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-020906 · Cited by 15 · see citing works
Self-citationCardol, C. K., Tommel, J., van Middendorp, H., Ciere, Y., Sont, J. K., Evers, A. W. M., & van Dijk, S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18063292 · Cited by 14 · see citing works
Self-citationKoulil, S., Ferwerda, M., Beugen, S., Middendorp, H., Kerkhof, P., Riel, P., & Evers, A. (2018) · Acta Dermato Venereologica · doi:10.2340/00015555-2803 · Cited by 12 · see citing works
Self-citationWoodford, J., Månberg, J., Cajander, Å., Enebrink, P., Harila‐Saari, A. H., Hagström, J., Karlsson, M., Solimena, H. P., & von Essén, L. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-041350 · Cited by 10 · see citing works
Guaracha-Basáñez, G. A., Contreras-Yáñez, I., González, V. A. E., Pacheco-Santiago, L. D., Valverde-Hernández, S. S., & Pascual‐Ramos, V. (2022) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x221122098 · Cited by 10 · see citing works
Bashi, N. G. G., Hassanzadeh, H., Varnfield, M., Wee, Y. S., Walters, D., & Karunanithi, M. (2018) · JMIR Cardio · doi:10.2196/10183 · Cited by 10 · see citing works
Schougaard, L. M. V., Knudsen, L. R., Grove, B. E., Vestergaard, J. M., Hjøllund, N. H., Hauge, E., & de Thurah, A. L. (2023) · Arthritis Care & Research · doi:10.1002/acr.25105 · Cited by 8 · see citing works
Boucher, E., Moskowitz, J. T., Kackloudis, G. M., Stafford, J. L., Kwok, I., & Parks, A. C. (2020) · JMIR Research Protocols · doi:10.2196/18578 · Cited by 6 · see citing works
van Deursen, L., Aardoom, J. J., Alblas, E. E., Struijs, J. N., Chavannes, N. H., & van der Vaart, R. (2023) · Supportive Care in Cancer · doi:10.1007/s00520-023-08007-8 · Cited by 5 · see citing works
Digitalisering i helsevesenet skaper nye roller for sykepleier og pasient
Lie, S. S. (2019) · Sykepleien · doi:10.4220/sykepleiens.2019.78902 · Cited by 4 · see citing works
Klingenberg, M., Elsner, A., Pooth, J., Hans, F. P., & Benning, L. (2023) · Healthcare · doi:10.3390/healthcare11192614 · Cited by 4 · see citing works
The Psychology of Itch: Current Evidence and Future Directions
van Beugen, S., van Laarhoven, A. I. M., Koulil, S. S., & Evers, A. W. M. (2021) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00144-8 · Cited by 3 · see citing works
Self-citationModern view on the possibilities of patients with rheumatoid arthritis remote treatment monitoring
Prokofeva, Y. A., Вадимовна, М. И., & Анатольевна, Ж. Е. (2024) · Russian Journal of Preventive Medicine · doi:10.17116/profmed20242711140 · Cited by 3 · see citing works
Internet-Delivered Cognitive Behavior Therapy (ICBT) for Obsessive-Compulsive Disorder
Wootton, B. M., Andersson, E., & Rück, C. (2016) · Springer eBooks · doi:10.1007/978-3-319-06083-5_6 · Cited by 3 · see citing works
Mobile health applications in rheumatology: Could they improve our care and research?
Maurits, M. P., Yuminaga, H., Huizinga, T. W. J., & Knevel, R. (2019) · International Journal of Clinical Rheumatology · doi:10.4172/1758-4272.1000223 · Cited by 2 · see citing works
Exploring teledermatology in managing common inflammatory skin conditions: a systematic review
Gençoğlu, Ş. (2024) · Journal of Health Sciences and Medicine · doi:10.32322/jhsm.1469966 · Cited by 1 · see citing works
Öberg, S., Johansson, L., Georgsson, M., Sandberg, J., & Broström, A. (2023) · Nursing Open · doi:10.1002/nop2.1717 · Cited by 1 · see citing works
Miniszewska, J. (2019) · Wydawnictwo Uniwersytetu Łódzkiego eBooks · doi:10.18778/8142-277-2
Rimmer, S. N., Pixley, J. N., & Feldman, S. R. (2025) · Elsevier eBooks · doi:10.1016/b978-0-443-15728-8.00029-x
Sjöström, M. (2014) · KTH Publication Database DiVA (KTH Royal Institute of Technology)
The role of remote outpatient monitoring in the rheumatoid arthritis activity control
Prokofeva, Y. A., Menshikova, I. V., Kozhevnikova, M. V., Анатольевна, Ж. Е., & Belenkov, Y. N. (2026) · Meditsinskiy sovet = Medical Council · doi:10.21518/ms2025-531
- Authors
- Ferwerda, M., van Beugen, S., van Burik, A., van Middendorp, H., de Jong, E. M. G. J., van de Kerkhof, P. C. M., van Riel, P. L. C. M., & Evers, A. W. M.
- Affiliations
- Radboud University Medical Center (NL)
- Corresponding author
- Ferwerda, Maaike
- Venue
- Clinical Rheumatology
- Published
- 2013-01-26
- Volume
- 32
- Issue
- 6
- Pages
- 869-873
- ISSN
- 0770-3198 (ISSN-L)
- 1434-9949
- OpenAlex
- W2130565398
- Cited by
- 51
- References
- 21
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 5 · 2018: 8 · 2017: 3 · 2016: 4 · 2015: 5 · 2014: 3 · 2013: 1
- FWCI
- 6.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- ZonMw
- Radboud Universiteit
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Keywords
- internet-based cognitive behavioral therapy, e-health, patient perspectives, rheumatoid arthritis, psoriasis, treatment discontinuation, computer literacy, patient readiness, healthcare innovation
- MeSH terms
- Adult, Aged, Aged, 80 and over, Arthritis, Rheumatoid, Female, Humans, Male, Middle Aged, Psoriasis, Surveys and Questionnaires, Cognitive Behavioral Therapy, Treatment Outcome, Patient Satisfaction, Telemedicine, Internet
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
