Patient Perspectives on Strengths and Challenges of Therapist-Assisted Internet-Delivered Cognitive Behaviour Therapy: Using the Patient Voice to Improve Care
Open accessAbstract
Therapist-assisted internet-delivered cognitive behaviour therapy (T-ICBT) involves patients reading online treatment materials, completing relevant exercises, and receiving therapist support. This study aimed to understand the preferences and recommendations of 225 patients enrolled in a T-ICBT course for depression and anxiety via an online therapy unit in collaboration with community mental health clinics dispersed across one Canadian province. An open-ended survey asked participants their opinions of the course and responses were analyzed using a content analysis approach. Patient comments addressed many strengths of the course (64%), with some opportunities for improvement (36%). Most-appreciated features included ability to download content for future use, reading other patients' experiences, and content of lessons. Patients made suggestions for improving the breadth of patient stories, timeline of the course, and matching availability of the therapist to patient need. Patient feedback regarding preferences provides valuable information for improving the patient-centered nature of T-ICBT.
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It is an adequate sample size to provide deeper understanding of patients' experiences.
“It is an adequate sample size to provide deeper understanding of patients ' experiences (Hadjistavropoulos et al ., 2018)”
From A qualitative study of patients’ experiences and acceptance of computerised cognitive behavioural therapy in primary care, Scotland (2021) · cites this paper as Hadjistavropoulos et al., 2018
The Results (Overview; page unavailable) report 135 respondents, and the Discussion calls the feedback valuable for understanding patient preferences. But the Discussion also says the brief questionnaire comments limited depth and that interviews would likely provide a deeper understanding. The paper does not establish that its sample size was adequate for that deeper understanding. (LLM, conf=0.86)
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- Authors
- Hadjistavropoulos, H. D., Faller, Y. N., Klatt, A., Nugent, M. N., Dear, B. F., & Titov, N.
- Affiliations
- University of Regina (CA)
- Macquarie University (AU)
- Corresponding author
- Hadjistavropoulos, H. D.
- Venue
- Community Mental Health Journal
- Published
- 2018-05-26
- Volume
- 54
- Issue
- 7
- Pages
- 944-950
- ISSN
- 0010-3853 (ISSN-L)
- 1573-2789
- PMC
- PMC6153558
- OpenAlex
- W2803216717
- Cited by
- 37
- References
- 29
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 5 · 2019: 2
- FWCI
- 4.10
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Community Mental Health Journal (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (293379)
- Saskatchewan Health Research Foundation
- Rx&D Health Research Foundation
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- patient perspectives, depression, anxiety, online therapy, patient-centered care, patient feedback, community mental health centers, therapist availability, course design
- MeSH terms
- Adult, Anxiety, Depression, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Patient Satisfaction, Internet, Patient Preference, Quality Improvement
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