Interest in behavioral and psychological treatments delivered face-to-face, by telephone, and by internet
Open accessAbstract
Little is known about the acceptability of internet and telephone treatments, or what factors might influence patient interest in receiving treatments via these media. This study examined the level of interest in face-to-face, telephone, and internet treatment and factors that might influence that interest. Six hundred fifty-eight primary care patients were surveyed. Among patients interested in some form of behavioral treatment, 91.9% were interested or would consider face-to-face care compared to 62.4% for telephone and 48.0% for internet care. Symptom severity was unrelated to interest in treatment delivery medium. Interest in specific treatment targeting mental health, lifestyle, or pain was more strongly predictive of interest in face-to-face treatment than telephone or internet treatments. Only interest in lifestyle intervention was predictive of interest in internet-delivered treatment. Time constraints as a barrier were more predictive of interest in telephone and internet treatments compared to face-to-face. These findings provide some support for the notion that telephone and internet treatments may overcome barriers. People who seek help with lifestyle change may be more open to internet-delivered treatments, while interest in internet intervention does not appear to be associated with the desire for help in mental health, pain, or tobacco use. © 2010 The Society of Behavioral Medicine.
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Cites
Statistics
Claims the paper makes
8 of 11 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured
- Premisecitation
Adherence to telephone treatments tends to be very good.
“Adherence to telephone treatments tends to be very good (1).”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [1] Mohr DC, Vella L, Hart S, Heckman T, Simon G. The effect of telephone-administered psychotherapy on symptoms of depression and attrition: A meta-analysis. Clinical Psychology: Science and Practice. 2008; 15: 243-253. source
- Premisecitation
Adherence to standalone internet-delivered treatments remains very low.
“Adherence to standalone internet delivered treatments (9, 10) remains very low.”
Quote in the paperSubstantial claim2 of 2 sources checked- cites [9] Eysenbach G. The law of attrition. J Med Internet Res. 2005; 7: e11. source
- cites [10] Christensen H, Griffiths KM, Farrer L. Adherence in internet interventions for anxiety and depression. J Med Internet Res. 2009; 11: e13. source
The Introduction and Discussion > Findings (page unavailable) describe poorer adherence on open-access websites than in trials, supporting concern about adherence in one setting. But the review reports relatively high treatment adherence—over 50%—in randomized trials and says Internet interventions are not inherently non-adherent. The blanket claim about standalone treatments is therefore broader than the evidence supports. (LLM, conf=0.85)
Experimental — accuracy not yet measured
- Findingown data
Interest in lifestyle intervention was more predictive of interest in internet therapy than telephone therapy (p=.01).
“Interest in lifestyle intervention was also more predictive of interest in internet therapy than telephone therapy (p=.01).”
Quote in the paperNot a substantial claim - Findingown data
Interest in specific treatment targeting mental health, lifestyle, or pain was more strongly predictive of interest in face-to-face treatment than telephone or internet treatments.
“Interest in specific treatment targeting mental health, lifestyle or pain was more strongly predictive of interest in face-to-face treatment than telephone or internet treatments.”
Quote in the paperSubstantial claim - Findingown data
Time Constraints as a barrier was more predictive of interest in telephone and internet treatments, compared to face-to-face.
“Time Constraints as a barrier was more predictive of interest in telephone and internet treatments, compared to face-to-face.”
Quote in the paperSubstantial claim
- Findingown data
There was no significant difference in the effect of interest in lifestyle intervention on face-to-face versus internet-administered treatment (p=.17).
“There was no significant difference in the effect of interest in lifestyle intervention on face-to-face versus internet administered treatment (p = .17).”
Quote in the paperNot a substantial claim - Findingown data
Among patients interested in some form of behavioral treatment, 91.9% were interested in or would consider face-to-face care.
“Among patients interested in some form of behavioral treatment, 91.9% were interested or would consider face-to-face care, compared to 62.1% for telephone and 48.3% for internet care.”
Quote in the paperSubstantial claim - Findingown data
Interest in lifestyle treatment was more strongly predictive of interest in face-to-face treatment than telephone treatment (p=.0006).
“Interest in lifestyle treatment was more strongly predictive of interest in face-to-face treatment than telephone treatment (p=.0006).”
Quote in the paperSubstantial claim - Findingnone given
Interest in internet intervention does not appear to be associated with the desire for help in mental health, pain, or tobacco use.
“People who seek help with lifestyle change may be more open to internet delivered treatments while interest in internet intervention does not appear to be associated with the desire for help in mental health, pain or tobacco use.”
Quote in the paperSubstantial claim - Findingown data
Among interested patients, 12.0% indicated interest in smoking cessation.
“Among 492 (74.8%) patients responding that they were interested in receiving some form of psychological or behavioral intervention, 297 (60.4%) indicated interest in mental health treatment, 328 (66.7%) indicated interest in lifestyle intervention, 59 (12.0%) indicated interest in smoking cessation, and 115 (23.4%) indicated interest in pain management.”
Quote in the paperNot a substantial claim - Findingown data
Only interest in lifestyle intervention was predictive of interest in internet-delivered treatment.
“Only interest in lifestyle intervention was predictive of interest in internet delivered treatment.”
Quote in the paperSubstantial claim - Findingown data
The frequency with which patients indicated interest in telephone or internet treatments overlapped considerably with interest in face-to-face treatment.
“The frequency with which patients indicated interest in telephone or internet treatments overlapped considerably with interest in face-to-face treatment.”
Quote in the paperSubstantial claim - Findingown data
Symptom severity was unrelated to interest in treatment delivery medium.
“Symptom severity was unrelated to interest in treatment delivery medium.”
Quote in the paperNot a substantial claim - Findingown data
There were no significant differential effects for PHQ-8, GAD-7, BMI, or smoking status on interest in treatment delivery medium.
“There were no significant differential effects for the PHQ-8, GAD-7, BMI or smoking status (ps > .29).”
Quote in the paperNot a substantial claim - Findingown data
Among participants not interested in face-to-face treatment, 15.9% wanted or would consider telephone-administered treatment.
“Of the 138 participants not interested in face-to-face, 22 (15.9%) wanted or would consider telephone-administered treatment.”
Quote in the paperNot a substantial claim - Findingown data
Among patients interested in some form of behavioral treatment, 62.1% were interested in or would consider telephone-administered care.
“Among patients interested in some form of behavioral treatment, 91.9% were interested or would consider face-to-face care, compared to 62.1% for telephone and 48.3% for internet care.”
Quote in the paperSubstantial claim - Findingown data
Greater Time Constraints was associated with less interest in face-to-face care relative to telephone (p=.02) and internet (p=.03) delivered care.
“While there were no main effects for Time Constraints, there was a significant differential effect (p = .04) such that greater Time Constraints was associated with less interest in face-to-face care relative to telephone (p = .02) and internet (p =.03) delivered care.”
Quote in the paperSubstantial claim - Findingown data
Interest in mental health treatment was more strongly related to interest in telephone therapy than internet therapy (p=.01).
“Interest in mental health treatment was also more strongly related to interest in telephone rather than internet therapy (p=.01).”
Quote in the paperSubstantial claim - Findingown data
There were no main effects of gender or race on interest in any treatment delivery medium.
“There were no main effects for gender or race (ps > .13).”
Quote in the paperNot a substantial claim - Findingown data
Among interested patients, 60.4% indicated interest in mental health treatment.
“Among 492 (74.8%) patients responding that they were interested in receiving some form of psychological or behavioral intervention, 297 (60.4%) indicated interest in mental health treatment, 328 (66.7%) indicated interest in lifestyle intervention, 59 (12.0%) indicated interest in smoking cessation, and 115 (23.4%) indicated interest in pain management.”
Quote in the paperNot a substantial claim - Findingown data
Among interested patients, 23.4% indicated interest in pain management.
“Among 492 (74.8%) patients responding that they were interested in receiving some form of psychological or behavioral intervention, 297 (60.4%) indicated interest in mental health treatment, 328 (66.7%) indicated interest in lifestyle intervention, 59 (12.0%) indicated interest in smoking cessation, and 115 (23.4%) indicated interest in pain management.”
Quote in the paperNot a substantial claim - Findingown data
Pain had a significantly greater negative effect on interest in face-to-face treatment compared to telephone-delivered care.
“There was a significant differential effect between pain and interest medium (p = .046), with pain having a significantly greater negative effect on interest in face-to-face treatment compared to telephone delivered care.”
Quote in the paperSubstantial claim - Findingown data
Among patients interested in some form of behavioral treatment, 48.3% were interested in or would consider internet-delivered care.
“Among patients interested in some form of behavioral treatment, 91.9% were interested or would consider face-to-face care, compared to 62.1% for telephone and 48.3% for internet care.”
Quote in the paperSubstantial claim - Findingown data
Among drivers, only pain showed significant differential effects with interest in treatment medium.
“Among drivers (symptoms or target problems), only pain showed significant differential effects with interest in treatment medium such that greater pain was associated with less interest in face-to-face care relative to telephone administered care.”
Quote in the paperSubstantial claim - Findingown data
Among interested patients, 66.7% indicated interest in lifestyle intervention.
“Among 492 (74.8%) patients responding that they were interested in receiving some form of psychological or behavioral intervention, 297 (60.4%) indicated interest in mental health treatment, 328 (66.7%) indicated interest in lifestyle intervention, 59 (12.0%) indicated interest in smoking cessation, and 115 (23.4%) indicated interest in pain management.”
Quote in the paperNot a substantial claim - Findingown data
In the full model, there were no significant main effects of drivers on interest in a single treatment delivery medium.
“In the full model there were no significant main effects of drivers on interest in a single treatment delivery medium.”
Quote in the paperNot a substantial claim - Findingown data
Among participants not interested in face-to-face treatment, 15.4% wanted or would consider internet-administered treatment.
“Of the 136 participants not interested in face-to-face, 21 (15.4%) wanted or would consider internet-administered treatment.”
Quote in the paperNot a substantial claim - Findingown data
Interest in mental health treatment was more strongly predictive of interest in face-to-face treatment than telephone treatment (p=.045) or internet treatment (p=.0001).
“Interest in mental health treatment was more strongly predictive of interest in face-to-face treatment than either telephone treatment (p=.045) or internet treatment (p=.0001).”
Quote in the paperSubstantial claim - Findingown data
Interest in smoking cessation treatment was unrelated to interest in any treatment delivery medium (all ps > .15).
“Interest in receiving treatment for smoking cessation was unrelated to interest in receiving treatment via any of the treatment media (all ps > .15) and there was no significant differential effect (p=.20).”
Quote in the paperNot a substantial claim - Findingown data
Interest in smoking cessation is not predictive of interest in any treatment delivery medium.
“Interest in pain management services is only associated with interest in face-to-face services while interest in smoking cessation is not predictive of interest in any treatment delivery medium.”
Quote in the paperSubstantial claim - Findingown data
Relative to face-to-face treatment, greater Time Constraints was associated with greater interest in telephone and internet administered treatments.
“Relative to face-to-face treatment, greater Time Constraints was associated with greater interest in telephone and internet administered treatments.”
Quote in the paperSubstantial claim - Findingown data
Interest in mental health treatment is associated with significantly greater desire for face-to-face care compared to telephone and internet-administered care.
“Interest in mental health treatment is associated with significantly greater desire for face-to-face care, compared to telephone and internet-administered care.”
Quote in the paperSubstantial claim - Findingown data
Wanting behavioral treatment for mental health, healthy lifestyle, and pain are all strong differential predictors of interest across the three treatment delivery media.
“In contrast to symptoms, wanting behavioral treatment for mental health, healthy lifestyle and pain are all strong differential predictors of interest across the three treatment delivery media.”
Quote in the paperSubstantial claim - Findingown data
Greater interest in treatment for mental health and lifestyle change predicts greater interest in telephone-delivered services.
“Greater interest in treatment for mental health and lifestyle change also predicts greater interest in telephone delivered services, suggesting that this is an attractive treatment option for many, albeit not as attractive as face-to-face.”
Quote in the paperSubstantial claim - Findingown data
The only barrier that significantly discriminated among interest in the three treatment delivery media was Time Constraints.
“The only barrier that significantly discriminated among interest in the three treatment delivery media was Time Constraints (e.g. getting time off work or interference from other responsibilities).”
Quote in the paperSubstantial claim - Findingown data
Interest in pain management services is only associated with interest in face-to-face services.
“Interest in pain management services is only associated with interest in face-to-face services while interest in smoking cessation is not predictive of interest in any treatment delivery medium.”
Quote in the paperSubstantial claim - Interpretationown data
Pain is a barrier to receiving face-to-face care.
“This suggests that pain is a barrier to receiving face-to-face care.”
Quote in the paperSubstantial claim - Interpretationown data
These findings provide some support for the notion that telephone and internet treatments may overcome barriers.
“These findings provide some support for the notion that telephone and internet treatments may overcome barriers.”
Quote in the paperSubstantial claim- The authors state this as an assumption: The notion that telephone and internet treatments will overcome barriers is largely untested.
- Interpretationown data
This provides modest support for the notion that treatments provided via telecommunications technologies may serve people who would not otherwise receive care.
“This provides modest support for the notion that treatments provided via telecommunications technologies may serve people who would not otherwise receive care.”
Quote in the paperSubstantial claim - Interpretationown data
People who seek help with lifestyle change may be more open to internet-delivered treatments.
“People who seek help with lifestyle change may be more open to internet delivered treatments while interest in internet intervention does not appear to be associated with the desire for help in mental health, pain or tobacco use.”
Quote in the paperSubstantial claim - Interpretationreasoning
The absolute numbers and frequencies generated by this sample are not generalizable.
“Accordingly, the absolute numbers and frequencies generated by this sample are not generalizable.”
Quote in the paperSubstantial claim - Study design and conductnone given
This study is only a snapshot from a single primary care clinic at a specific moment in time.
“This study is also only a snapshot from a single primary care clinic at a specific moment in time.”
Quote in the paperNot a substantial claim - Interpretationown data
Symptoms and problems used as indicators for behavioral treatments do not necessarily generate interest in receiving behavioral treatments, regardless of treatment delivery medium.
“Regardless of the reasons, these data suggest that symptoms and problems that are used as indicators for behavioral treatments do not necessarily generate interest in receiving behavioral treatments, regardless of the treatment delivery medium.”
Quote in the paperSubstantial claim - Interpretationreasoning
With the exception of smoking cessation, interest in a specific treatment focus is strongly associated with interest in receiving treatment face-to-face.
“These findings suggest that, with the exception of smoking cessation, interest in a specific treatment focus is strongly associated with the interest in receiving treatment face-to-face.”
Quote in the paperSubstantial claim - Interpretationown data
Severity of symptoms or problems was not related to interest in any specific treatment delivery medium.
“The larger picture suggests that severity of symptoms or problems was not related to interest in any specific treatment delivery medium.”
Quote in the paperSubstantial claim - Interpretationown data
The failure to find similar differential effects across other barriers suggests that distance delivery media such as telephone and internet is limited in its ability to generate interest in receiving treatment, at least in this sample of urban primary care patients.
“However, the failure to find any similar differential effects across other barriers would suggest that distance delivery media such as the telephone and internet is limited in its ability to generate interest in receiving treatment, at least in this sample of urban primary care patients.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The high percentage of people interested in behavioral intervention suggests an oversampling of that group.
“The high percentage of people interested in behavioral intervention suggests an oversampling of that group.”
Quote in the paperNot a substantial claim - Interpretationown data
There is some evidence that distance technologies may be useful in overcoming barriers to face-to-face care related to time constraints.
“There is some evidence that distance technologies may be useful in overcoming barriers to face-to-face care related to time constraints.”
Quote in the paperSubstantial claim - Study design and conductnone given
The return rate for the surveys of 20% suggests that this sample is biased.
“The return rate for the surveys of 20% suggests that this sample is biased.”
Quote in the paperNot a substantial claim - Interpretationown data
This supports the notion that distance delivery of behavioral services may overcome barriers to traditional face-to-face treatment.
“This supports the notion that distance delivery of behavioral services may overcome barriers to traditional face-to-face treatment.”
Quote in the paperSubstantial claim- The authors state this as an assumption: The notion that telephone and internet treatments will overcome barriers is largely untested.
- May combine two claims. 17
- Classified as probably not a substantial claim. 5
May combine two claims.
PremisecitationTelephone-administered treatments have been shown to be effective for mental health problems, lifestyle interventions, smoking cessation, and pain management.
“Telephone administered treatments have been shown to be effective for mental health problems (1), lifestyle (weight loss and exercise) interventions (2), smoking cessation (3), and pain management (4).”
Quote in the paperSubstantial claim2 of 3 sources checked- cites [1] Mohr DC, Vella L, Hart S, Heckman T, Simon G. The effect of telephone-administered psychotherapy on symptoms of depression and attrition: A meta-analysis. Clinical Psychology: Science and Practice. 2008; 15: 243-253. source
- cites [2] Pierce JP, Newman VA, Natarajan L, et al. Telephone counseling helps maintain long-term adherence to a high-vegetable dietary pattern. Journal of Nutrition. 2007; 137: 2291-2296. source
The Discussion (page unavailable) says the telephone-counseling intervention produced sustained dietary behavior change, supporting effectiveness for a lifestyle intervention. But citation (2) is attached specifically to weight-loss and exercise interventions; this paper reports dietary change, not effectiveness for either of those outcomes. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [3] Curry SJ, McBride C, Grothaus LC, Louie D, Wagner EH. A randomized trial of self-help materials, personalized feedback, and telephone counseling with nonvolunteer smokers. Journal of Consulting and Counseling Psychology. 1995; 63: 1005-1014. source
May combine two claims.
PremisecitationInternet-based interventions have been shown to be effective for mental health, lifestyle, smoking cessation, and pain management.
“A growing body of research also supports the efficacy of internet-based interventions for these treatment targets (4–8).”
Quote in the paperSubstantial claim3 of 5 sources checked- cites [4] Hailey D, Roine R, Ohinmaa A. The effectiveness of telemental health applications: A review. Can J Psychiatry. 2008; 53: 769-778. source
The Discussion reports evidence that Internet-based programs can improve a range of mental health conditions. The Smoking section says all smoking-cessation studies it reviewed used telephone-based technology, not Internet interventions. The passages do not establish efficacy for Internet-based lifestyle or pain-management interventions. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [5] Spek V, Cuijpers P, Nyklicek I, et al. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine. 2007; 37: 319-328. source
The indexed Abstract reports that internet-based CBT improved symptoms of depression and anxiety compared with control conditions, supporting the mental-health part of the claim. It does not report efficacy for lifestyle interventions, smoking cessation, or pain management. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [6] Tate DF, Jackvony EH, Wing RR. A randomized trial comparing human e-mail counseling, computer-automated tailored counseling, and no counseling in an Internet weight loss program. Archives of Internal Medicine. 2006; 166: 1620-1625. source
- cites [7] Bee PE, Bower P, Lovell K, et al. Psychotherapy mediated by remote communication technologies: A meta-analytic review. BMC Psychiatry. 2008; 8: 60. source
The Background (page not available) describes promising results for non-face-to-face psychotherapy and discusses internet-based CBT for depression and anxiety. The Results report two internet-delivered studies among trials targeting mental health conditions. The paper does not establish efficacy for lifestyle change, smoking cessation, or pain management; its Methods explicitly exclude studies of addictions. (LLM, conf=0.87)
Experimental — accuracy not yet measured - cites [8] Schulz PJ, Rubinell S, Hartung U. An internet-based approach to enhance self-managementof chronic low back pain in the italian-speaking population of Switzerland: Results from a pilot study. Int J Public Health. 2007; 52: 286-294. source
May combine two claims.
Findingown dataThere were no effects of depression, anxiety, BMI, or smoking status on interest in a specific treatment delivery modality.
“There were no effects of depression, anxiety, BMI or smoking status on interest in a specific treatment delivery modality.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Findingnone given658 primary care patients were surveyed.
“658 primary care patients were surveyed.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataGreater interest in mental health treatment was associated with greater interest in face-to-face care (OR=7.00, p<.0001) and telephone care (OR=2.69, p=.001), but not internet care (p=.69).
“Greater interest in receiving mental health treatment was associated with greater interest in receiving care face-to-face (OR=7.00, p<.0001) and via telephone (OR=2.69, p=.001) but was not statistically related to interest in receiving care via the Internet (p=.69).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataGreater interest in pain management was associated with greater interest in face-to-face care (OR=11.66, p=.001), but not telephone (p=.58) or internet (p=.26) care.
“Greater interest in receiving pain management was associated with great interest in receiving care face-to-face (OR=11.66, p=.001), but not via telephone (p=.58) or internet (p=.26).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataGreater interest in lifestyle treatment was associated with greater interest in face-to-face (OR=13.07, p<.0001), telephone (OR=3.12, p<.0001), and internet (OR=7.08, p<.0001) care.
“Greater interest in receiving treatment focused on healthy lifestyle (diet and/or exercise) was associated with great interest in receiving care face-to-face (OR=13.07, p<.0001) via telephone (OR=3.12, p<.0001) and the internet (OR=7.08, p<.0001).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataGreater age was associated with lower interest in face-to-face treatment (OR=.97, p=.02) and internet treatment (OR=.97, p=.004), but was unrelated to interest in telephone treatment (p=.52).
“There were significant main effects for age such that greater age was associated with significantly lower interest in face-to-face (OR = .97; p = .02) and internet treatment (OR = .97; p = .004), but was unrelated to interest in telephone administered treatment (p =.52).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataInterest in pain management treatment was more strongly predictive of interest in face-to-face treatment than telephone treatment (p=.007) and internet treatment (p=.02).
“Interest in pain management treatment was more strongly predictive of interest in face-to-face treatment than telephone treatment (p=.007) and internet treatment (p=.02).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataGreater problems with cost as a barrier were associated with greater interest in telephone (OR=1.38, p=.006) and internet (OR=1.45, p=.002) treatment, but not face-to-face (p=.30).
“Greater problems with cost as a barrier were significantly associated with greater interest in receiving treatment by telephone (OR=1.38, p=.006) and by internet (OR=1.45, p=.002) but not face-to-face (p = .30).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataInterest in mental health treatment is still strongly associated with greater desire for telephone-delivered therapy, but is unrelated to internet delivery.
“However, interest in mental health treatment is still strongly associated with greater desire for telephone delivered therapy, but is unrelated to internet delivery.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataInterest in lifestyle change is more strongly related to desire for face-to-face delivery, but it is also positively related to acceptance of both telephone and internet delivered services.
“Interest in lifestyle change is more strongly related to desire for face-to-face delivery, but it is also positively related to acceptance of both telephone and internet delivered services.”
Quote in the paperSubstantial claimMay combine two claims.
FindingreasoningInterest in internet delivery is currently only associated with interest in lifestyle change, and is not associated with interest in services for mental health, pain management, or smoking cessation.
“In contrast, interest in internet delivery is currently only associated with interest in lifestyle change, and is not associated with interest in services for mental health, pain management or smoking cessation.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningThere is openness to try newer treatment delivery media but not yet substantial demand.
“This suggests that there is openness to try newer treatment delivery media but not yet substantial demand.”
Quote in the paperSubstantial claimMay combine two claims.
Study design and conductown dataPatients who returned surveys were younger, less likely to be female, and more likely to be Caucasian than non-responders.
“Patients who returned the packets were younger (53.2±16.4 for those not returning, p<.01), less likely to be female (73.0% for those not returning, p<.001), and varied by ethnicity such that Caucasians were more likely to return surveys compared to African-Americans and Hispanics (return rates 24.5%, 18.3%, 11.3%, respectively, p<.001).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataFrom 3265 mailings, 658 surveys (20.1%) were returned with signed consent documents.
“From the 3265 mailings, 658 (20.1%) surveys were returned with signed consent documents.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe clinic draws from a very urban population, and these findings may not generalize to less urban or more rural settings.
“The clinic, located in the heart of downtown Chicago, draws from a very urban population. These findings may not generalize to less urban or more rural settings.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe measurement included many non-standardized measures, particularly those evaluating level of interest in treatment and treatment delivery media.
“The measurement included many non-standardized measures, particularly those evaluating level of interest in treatment and treatment delivery media.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataAt the time of the survey, interest in treatment for mental health and lifestyle change delivered by telephone may be acceptable to many patients, while interest in internet treatment is driven principally by interest in lifestyle change.
“While these relationships will likely change with time, these findings suggest at the time of this survey, interest in treatment for mental health and lifestyle change delivered by telephone may be acceptable to many patients, while interest in internet treatment is driven principally by interest in lifestyle change.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe three treatment delivery media examined in this study are not mutually exclusive.
“The three treatment delivery media examined in this study are not mutually exclusive.”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductnone givenThe measurement of barriers focused on barriers to face-to-face care, and telephone and internet treatments likely present unique barriers that were not measured.
“The measurement of barriers focused on barriers to face-to-face care. Telephone and internet delivered treatments also likely present unique barriers that were not measured.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningThese findings will likely become less accurate as time goes on, given how quickly new telecommunications technologies are penetrating the population and being adopted as vehicles for delivering health and mental health care.
“These findings will likely become less accurate as time goes on, given how quickly new telecommunications technologies are penetrating the population and being adopted as vehicles for delivering health and mental health care.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Little is known about the acceptability of internet and telephone treatments, or what factors might influence patient interest in receiving treatments via these media.
“Little is known about the acceptability of internet and telephone treatments, or what factors might influence patient interest in receiving treatments via these media.”
“Little is known about the relative acceptability or level of interest in telephone- or internet-administered treatments, compared to traditional face-to-face delivered care.”
“There is also virtually no information on what creates, supports or diminishes interest in receiving treatments via these different delivery media.”
The authors state this as an assumption.
The notion that telephone and internet treatments will overcome barriers is largely untested.
“This is potentially an important finding, in so far as the notion that the use of telephone and internet will overcome barriers is an assumption that remains largely untested (22).”
The paper relies on this without support.
The three treatment delivery media examined in this study are not mutually exclusive.
“The three treatment delivery media examined in this study are not mutually exclusive.”
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?
A US study in a primary care setting showed that patients were less interested in taking part in ICBT than face-to-face treatment.
“Another example is a study from the US conducted in a primary care setting, which showed that patients were less interested in taking part in ICBT than facetoface treatment 103 .”
From Internet-delivered psychological treatments: from innovation to implementation (2019) · cites this paper as [103]
The Abstract (Methods and Results; page unavailable) reports a survey of 658 primary care patients and lower interest in internet-delivered care (48.3%) than face-to-face care (91.9%) among those interested in behavioral treatment. The paper compares delivery methods for behavioral and psychological treatments generally; these passages do not establish that the internet treatment was specifically ICBT. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAge and psychopathology were included as covariates in all models examining acceptability of iCBT.
“Age and psychopathology were included as covariates in all models examining acceptability of iCBT, given their association with interest in Internet-based behavioral and psychological treatment (22, 26).”
From Improving Acceptability and Uptake Behavior for Internet-Based Cognitive-Behavioral Therapy (2021) · cites this paper as [22]
In Results > Predictors of Interest in Receiving Behavioral Services by Treatment Medium (page unavailable), greater age was associated with lower interest in internet-delivered treatment. The same section found no significant effect of depression or anxiety symptoms on interest in a treatment medium, so this source supports the age-related rationale but not the claimed association with psychopathology. It does not establish what covariates the citing authors included in their own iCBT models. (LLM, conf=0.90)
Experimental — accuracy not yet measuredIn a study of 658 primary care patients in the US, 91% would consider face-to-face treatment and only 48% internet treatment.
“Mohr et al. reported a study on 658 primary care patients in the US who were asked about their interest in different treatment formats [21]. Results showed that 91% would consider face-to-face treatment and only 48% internet treatment.”
From The promise and pitfalls of the internet for cognitive behavioral therapy (2010) · cites this paper as [21]
The Abstract (Methods) reports a survey of 658 primary care patients. The Abstract (Results) reports 91.9% for face-to-face care and 48.3% for internet care, but those percentages apply only to patients interested in some form of behavioral treatment—not to all 658 patients, as the citing sentence implies. (LLM, conf=0.90)
Experimental — accuracy not yet measuredPatients are more skeptical of internet-delivered CBT and may prefer face-to-face treatment.
“while clinicians may hold positive attitudes towards internet-delivered CBT a recent study suggested that patients are more skeptical and may prefer face-to-face treatment.”
From The promise and pitfalls of the internet for cognitive behavioral therapy (2010) · cites this paper as [21]
The Abstract Results and Discussion report that primary care patients were more interested in face-to-face behavioral or psychological treatment than internet-delivered treatment. The study measured interest in delivery methods, however, not skepticism about internet-delivered CBT specifically. (LLM, conf=0.85)
Experimental — accuracy not yet measuredMany people prefer face-to-face therapy over E-MH programs, despite viewing online programs as having advantages such as convenience.
“Previous studies have reported that many people prefer face-to-face therapy over E-MH programs [8-10], despite viewing online programs as having advantages such as convenience [8].”
From A brief intervention to increase uptake and adherence of an online program for depression and anxiety: Protocol for the Enhancing Engagement with Psychosocial Interventions (EEPI) Randomized Controlled Trial (2019) · cites this paper as [9]
The Results report greater interest in face-to-face care (91.9%) than internet care (48.3%) among surveyed patients interested in behavioral treatment. The Results and Discussion also link time constraints to greater relative interest in internet treatment, but they do not report that patients viewed online programs as convenient or identified convenience as an advantage. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measured
In a primary care sample, 94.3% of patients indicated interest in receiving face-to-face care in the clinic, and only 47.1% expressed interest in internet intervention.
“In a primary care sample, 94.3% of patients indicated interest in receiving face-to-face care in the clinic, and only 47.1% expressed interest in internet intervention.42”
From Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments (2017) · cites this paper as [42]
The Discussion reports both percentages, and the Methods identifies the sample as primary care patients. But the Discussion limits those percentages to people wanting psychological or behavioral care; the claim presents them as percentages of patients in the sample generally. (LLM, conf=0.88)
Experimental — accuracy not yet measuredPeople prefer other forms of treatment over Internet-based therapy.
“and that people prefer other forms of treatment over Internet-based therapy (22).”
From Improving Acceptability and Uptake Behavior for Internet-Based Cognitive-Behavioral Therapy (2021) · cites this paper as [22]
Acceptability of technology-based interventions may facilitate implementation in low- and middle-income countries, in contrast to high-income settings where providers and patients may be more wary.
“Acceptability of technology-based interventions may facilitate implementation in LMICs in contrast to high-income settings where providers and patients may be more wary (Mohr et al., 2010).”
From Mobile technology and task shifting to improve access to alcohol treatment services in Mozambique (2022) · cites this paper as Mohr et al., 2010
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Abstract omits a reported pain-by-medium association
MinorThe abstract says symptom severity was unrelated to delivery medium, but the results report a significant differential effect for pain severity across media.
“Symptom severity was unrelated to interest in treatment delivery medium.”
“There was a significant differential effect between pain and interest medium (p = .046), with pain having a significantly greater negative effect on interest in face-to-face treatment compared to telephone delivered care.”
Definite-interest rates change between results and discussion
MinorThe discussion gives 17.4% for telephone and 9.7% for internet, whereas the results give 18.7% and 11.6%, respectively, for the same definite-interest categories.
“however only small numbers (17.4% and 9.7% respectively) were definitely interested.”
“For telephone-administered care, 92 (18.7%) were definitely interested, 215 (43.7%) would consider it, and 180 (36.6%) were definitely not interested. For internet treatment, 57 (11.6%) were definitely interested”
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Advantages and limitations of Internet-based interventions for common mental disorders
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“Among the disadvantages, the first and foremost is probably the common negative clinician and patient attitudes towards Internet interventions (77,78).”
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“There are studies on treatment acceptability of ICBT showing that patient tend to appreciate the ICBT format (42-44), but also one study reporting the opposite (45).”
BackgroundInternet-delivered psychological treatments: from innovation to implementation
Andersson, G., Titov, N., Dear, B. F., Rozental, A., & Carlbring, P. (2019) · World Psychiatry · doi:10.1002/wps.20610 · Cited by 747 · see citing works
Internet-Delivered Psychological Treatments
Andersson, G. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093006 · Cited by 595 · see citing works
“For example, clinicians and clients in the United States may be less positive than Australians and Swedes (Mohr et al. 2010).”
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“A survey of primary care patients found that nearly 19% of patients who desired behavioral and psychological care wanted telephone treatment, and an additional 44% would consider it.(38) The data from this trial suggest that preferences for delivery medium do not affect adherence or outcome.”
BackgroundSelf-citationInternet interventions: Past, present and future
Andersson, G. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.03.008 · Cited by 315 · see citing works
Ebert, D. D., Berking, M., Cuijpers, P., Lehr, D., Pörtner, M., & Baumeister, H. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.01.056 · Cited by 268 · see citing works
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“Considering the rapid technical progress, digital literacy will likely advance gradually (Mohr et al., 2010) and the influence of effort expectancy has been shown to decline in sustained technology use (Davis, 1989).”
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Establishing Guidelines for Executing and Reporting Internet Intervention Research
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“These advantages have created growing interest in the use of online interventions (Andersson, 2009, Andrews et al., 2010; Mohr et al., 2010).”
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“For some individuals, direct contact with a health care provider, such as a general practitioner or a clinical psychologist, may still be favored (Mohr et al., 2010).”
BackgroundAttitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey
March, S., Day, J., Ritchie, G., Rowe, A., Gough, J., Hall, T., Yuen, C. Y. J., Donovan, C. L., & Ireland, M. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9109 · Cited by 158 · see citing works
Effectiveness of Guided Internet-Based Cognitive Behavior Therapy in Regular Clinical Settings
Andersson, G., & Hedman, E. (2013) · Verhaltenstherapie · doi:10.1159/000354779 · Cited by 165 · see citing works
“, 2011] than others [Mohr et al., 2010].”
Schröder, J., Sautier, L., Kriston, L., Berger, T., Meyer, B., Späth, C., Köther, U., Nestoriuc, Y., Klein, J. P., & Moritz, S. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.08.044 · Cited by 149 · see citing works
“Frequent reasons for this reluctance include fear of stigmatization, negative attitudes towards psychotherapy (Moritz et al., 2012b), and structural treatment barriers, such as financial or time constraints (Mohr et al., 2010a).”
BackgroundWallin, E. E. K., Mattsson, S., & Olsson, E. M. G. (2016) · JMIR Mental Health · doi:10.2196/mental.5324 · Cited by 136 · see citing works
“In line with previous studies, we found that the preference for Internet-based interventions was low [18,28].”
BackgroundResultBatterham, P. J., & Calear, A. L. (2017) · JMIR Mental Health · doi:10.2196/mental.7722 · Cited by 161 · see citing works
“Face-to-face treatment was slightly preferred, in line with previous research [17,19-21], with 71% reporting they would use face-to-face treatment if experiencing emotional or personal problems.”
BackgroundMethodHedman, E., Ljótsson, B., Rück, C., Bergström, J., Andersson, G., Kaldo, V., Jansson, L., Andersson, E., Andersson, E., Blom, K., et al. (2013) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12079 · Cited by 144 · see citing works
“complement to conventional psychological treatment and that all patients might not be suitable for or interested in receiving ICBT (35).”
BackgroundBaumeister, H., Nowoczin, L., Lin, J., Seifferth, H., Seufert, J., Laubner, K., & Ebert, D. D. (2014) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2014.04.031 · Cited by 125 · see citing works
Baumeister, H., Seifferth, H., Lin, J., Nowoczin, L., Lüking, M., & Ebert, D. (2015) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000118 · Cited by 124 · see citing works
“low (4-9) moderate (10-15) high (16-20) CG (n=52)”
Web-Based Intervention Programs for Depression: A Scoping Review and Evaluation
Renton, T., Tang, H., Ennis, N., Cusimano, M. D., Bhalerao, S., Schweizer, T. A., & Topolovec-Vranic, J. (2014) · Journal of Medical Internet Research · doi:10.2196/jmir.3147 · Cited by 116 · see citing works
“With respect to Web-based interventions for depression, potential barriers have been cited such as negative clinician and patient attitudes [60,61], legal and ethical regulations related to online clinician-patient interactions [62], a lack of practitioner willingness to refer patients to such…”
The promise and pitfalls of the internet for cognitive behavioral therapy
Andersson, G. (2010) · BMC Medicine · doi:10.1186/1741-7015-8-82 · Cited by 114 · see citing works
“Mohr et al. reported a study on 658 primary care patients in the US who were asked about their interest in different treatment formats [21].”
BackgroundPublic attitudes toward guided internet-based therapies: web-based survey study
Apolinário-Hagen, J., Harrer, M., Kählke, F., Fritsche, L., Salewski, C., & Ebert, D. D. (2018) · JMIR Mental Health · doi:10.2196/10735 · Cited by 123 · see citing works
“Some studies identified a preference for traditional (face-to-face) over internet-based treatment (eg, [28,29,31,44-47]) and for therapist-guided over unguided eMHSs (eg, [28,29,33]).”
BackgroundKillikelly, C., He, Z., Reeder, C., & Wykes, T. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.7088 · Cited by 105 · see citing works
“Several studies have identified that contact and support from clinicians or peers in the form of telephone, email, Web-based forums, or e-chats can help improve adherence to mobile and Internet-based interventions; people with psychosis may particularly benefit from this support [17,18].”
BackgroundHennemann, S., Beutel, M. E., & Zwerenz, R. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.6003 · Cited by 122 · see citing works
“However, the disparity between low performance expectancy and actual efficacy of eHealth interventions [2] supports the need for further, transparent eHealth education, targeting common misconceptions, for example, about inferior efficacy in contrast to traditional therapies [26,27,72].”
Uptake and usage of IntelliCare: A publicly available suite of mental health and well-being apps
Lattie, E. G., Schueller, S. M., Sargent, E., Stiles-Shields, C., Tomasino, K. N., Corden, M. E., Begale, M., Karr, C. J., & Mohr, D. C. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.06.003 · Cited by 113 · see citing works
“Unfortunately, only a third of those in need actually receive services (Kessler et al., 2005), a problem that is in part due to substantial barriers to receiving traditionally delivered face-to-face mental health services (Mohr et al., 2010).”
BackgroundSelf-citationBenefits and challenges of conducting psychotherapy by telephone
Brenes, G. A., Ingram, C. W., & Danhauer, S. C. (2011) · Professional Psychology: Research and Practice · doi:10.1037/a0026135 · Cited by 103 · see citing works
“In essence, psychotherapy by telephone makes treatment available to people who may not otherwise receive mental health care (Mohr et al., 2010; Simon et al., 2004).”
BackgroundMikolasek, M., Berg, J., Witt, C. M., & Barth, J. (2018) · International Journal of Behavioral Medicine · doi:10.1007/s12529-017-9679-7 · Cited by 105 · see citing works
Apolinário-Hagen, J., Vehreschild, V., & Alkoudmani, R. M. (2017) · JMIR Mental Health · doi:10.2196/mental.6375 · Cited by 90 · see citing works
“This XSL • FO RenderX was in line with previous studies [10,26,59,60] that also identified negative view acceptability and low likelihood of using Internet-based therapies in case of mental health problems.”
The Impact of Information on Attitudes Toward E-Mental Health Services
Casey, L. M., Joy, A., & Clough, B. A. (2013) · Cyberpsychology, Behavior, and Social Networking · doi:10.1089/cyber.2012.0515 · Cited by 76 · see citing works
“11,13,19,20 The findings of the current study partially support these assertions, as text information was associated with more positive attitudes for e-mental health services.”
Tonkin-Crine, S. K., Bishop, F. L., Ellis, M., Moss-Morris, R. E., & Everitt, H. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2672 · Cited by 83 · see citing works
“This has been found in previous research that indicates that face-to-face delivery of psychological treatments is accepted by the majority but phone and Internet delivery is seen as less acceptable in comparison [26].”
ResultMaheu, M. M., Pulier, M. L., McMenamin, J. P., & Posen, L. (2012) · Professional Psychology Research and Practice · doi:10.1037/a0029458 · Cited by 82 · see citing works
Rini, C. K., Williams, D. A., Broderick, J. E., & Keefe, F. J. (2012) · Translational Behavioral Medicine · doi:10.1007/s13142-011-0107-2 · Cited by 76 · see citing works
“A recent study of primary care patients [36] found widespread interest in Internetbased treatments: 49% of patients said they would consider using them.”
BackgroundHeckendorf, H., Lehr, D., Ebert, D. D., & Freund, H. (2019) · Behaviour Research and Therapy · doi:10.1016/j.brat.2019.103415 · Cited by 74 · see citing works
Vigerland, S., Ljótsson, B., Bergdahl Gustafsson, F., Hagert, S., Thulin, U., Andersson, G., & Serlachius, E. (2014) · Internet Interventions · doi:10.1016/j.invent.2014.06.002 · Cited by 70 · see citing works
“This is an open access article under views (Mohr et al., 2010; Wootton et al., 2011) and found cCBT to be an acceptable treatment method that could overcome barriers like time constraints.”
BackgroundChoi, I., Sharpe, L., Li, S., & Hunt, C. (2015) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-0921-1 · Cited by 64 · see citing works
“This response is relatively positive compared to findings in previous studies of primary care participants [15] and comparative to that reported in online surveys [13, 48].”
BackgroundResultInfluentialMewton, L., Smith, J., Rossouw, P., & Andrews, G. (2014) · Psychology Research and Behavior Management · doi:10.2147/prbm.s40879 · Cited by 57 · see citing works
Woodford, J., Farrand, P. A., Bessant, M., & Williams, C. M. (2011) · Contemporary Clinical Trials · doi:10.1016/j.cct.2011.04.013 · Cited by 48 · see citing works
“Additionally, examination of patient interest in different methods of delivering psychological treatment found that 91% would consider face-to-face compared with only 48% being interested in treatment delivered over the internet [46].”
BackgroundHanson, K., Webb, T. L., Sheeran, P., & Turpin, G. (2016) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465815000041 · Cited by 41 · see citing works
“The preference for guided over unguided forms of self-help is consistent with the findings of Mohr et al. (2010) who found that greater interest in receiving mental health treatment was associated with greater interest in receiving face-to-face contact.”
ResultCarmody, T. P., Duncan, C. L., Huggins, J., Solkowitz, S. N., Lee, S. K., Reyes, N., Mozgai, S., & Simon, J. A. (2012) · Psychological Services · doi:10.1037/a0030944 · Cited by 45 · see citing works
“…such as CBT is limited for military veterans, who must often travel long distances to see health-care providers, making it difficult or even impossible for them to access medical, rehabilitation, and mental-health services (Fortney, Rost, Zhang, & Warren, 1999; Lew et al., 2009; Mohr et al., 2010).”
BackgroundWomen’s expectations and experiences regarding e-health treatment: A systematic review
Verhoeks, C. M., Teunissen, D. A. M., van der Stelt-Steenbergen, A., & Lagro-Janssen, A. L. M. (2017) · Health Informatics Journal · doi:10.1177/1460458217720394 · Cited by 43 · see citing works
Cuperus, N., Hoogeboom, T. J., Kersten, C. C., den Broeder, A. A., Vlieland, T. P. M. V., & van den Ende, C. H. M. (2015) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2015.04.007 · Cited by 44 · see citing works
Botella, C., Mira, A., Moragrega, I., García-Palacios, A., Bretón-López, J., Castilla, D., Riera López del Amo, A., Soler, C., Molinari, G., Quero, S., et al. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s93315 · Cited by 42 · see citing works
“5 correspondence: cristina Botella Universitat Jaume I, Labpsitec, Av. Sos Baynat s/n, 12071 Castellón, Spain Tel + 34 964 387 639 Fax + 34 964 729 267 email botella@uji.es 14–16 These variables can inform us about the feasibility of the intervention, which can help to optimize CCBT effectiveness.”
Do Patients Prefer Face-to-Face or Internet-Based Therapy?
Berle, D., Starčević, V., Milicevic, D., Hannan, A., Dale, E., Brakoulias, V., & Viswasam, K. (2014) · Psychotherapy and Psychosomatics · doi:10.1159/000367944 · Cited by 41 · see citing works
Azar, K. M., Koliwad, S. K., Poon, T. K. C., Xiao, L., Lv, N., Griggs, R., & Ma, J. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5143 · Cited by 39 · see citing works
“Several recent studies have demonstrated the potential effectiveness of using digital health tools to promote behavior change and reduce cardiometabolic risk in adults [7,39-50].”
Nordin, C. A., Michaelson, P., Gard, G., & Eriksson, M. K. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5634 · Cited by 38 · see citing works
Kayler, L. K., Dolph, B. A., Seibert, R., Keller, M. M., Cadzow, R. B., & Feeley, T. H. (2020) · Clinical Transplantation · doi:10.1111/ctr.13830 · Cited by 38 · see citing works
Kloos, N., Austin, J., van ‘t Klooster, J.-W., Drossaert, C., & Bohlmeijer, E. (2022) · Journal of Happiness Studies · doi:10.1007/s10902-022-00586-3 · Cited by 36 · see citing works
“…such as availability, accessibility, flexibility, adaptability, easy scalability, cost-effectiveness, integration in daily life, and the opportunity to include persuasive elements to improve motivation and adherence (e.g., Bidargaddi et al., 2018; Mohr et al., 2010; Olff, 2015; Wei et al., 2020).”
BackgroundMethodZhang, M., Fan, C. G., Ma, L., Wang, H., Zu, Z., Lin-xi, Y., Chen, F., Wei, W., & Li, X. (2024) · General Psychiatry · doi:10.1136/gpsych-2023-101355 · Cited by 37 · see citing works
Batterham, P. J., Calear, A. L., Sunderland, M., KAY‐LAMBKIN, F. J., Farrer, L. M., Christensen, H. M., & Gulliver, A. (2021) · Journal of Medical Internet Research · doi:10.2196/23029 · Cited by 34 · see citing works
“…therapy over E–MH programs [12,17,18]; the common perception that internet-based therapies are not as effective as face-to-face therapy [17]; and concerns about issues such as data security, limited familiarity with E–MH programs, negative attitudes toward seeking help in general, or…”
Young, C., Trapani, K., Dawson, S. L., O'Neil, A. E., KAY‐LAMBKIN, F. J., Berk, M., & Jacka, F. N. (2018) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867418788659 · Cited by 32 · see citing works
Telephone delivered interventions for reducing morbidity and mortality in people with HIV infection
Gentry, S. V., van-Velthoven, M. H., Car, L. T., & Car, J. (2013) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009189.pub2 · Cited by 33 · see citing works
Law, E. F., Fales, J. L., Beals-Erickson, S. E., Failo, A., Logan, D., Randall, E., Weiss, K., Durkin, L., & Palermo, T. M. (2016) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsw087 · Cited by 33 · see citing works
Improving Acceptability and Uptake Behavior for Internet-Based Cognitive-Behavioral Therapy
Molloy, A., Ellis, D. M., Su, L., & Anderson, P. L. (2021) · Frontiers in Digital Health · doi:10.3389/fdgth.2021.653686 · Cited by 29 · see citing works
“Statistical Analyses Acceptability of iCBT Age and psychopathology were included as covariates in all models examining acceptability of iCBT, given their association with interest in Internet-based behavioral and psychological treatment (22, 26).”
BackgroundMethodPregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments
Hantsoo, L., Podcasy, J., Sammel, M., Epperson, C. N., & Kim, D. R. (2017) · Journal of Women's Health · doi:10.1089/jwh.2016.6255 · Cited by 27 · see citing works
“42 Given documented limitations in access to therapists trained in evidenced-based treatments in many areas of the United States, 43,44 further research should be done to explore what might make computer-based treatment more appealing to patients.”
BackgroundDomhardt, M., Nowak, H., Engler, S., Baumel, A., Grund, S., Mayer, A., Terhorst, Y., & Baumeister, H. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102084 · Cited by 32 · see citing works
Computer-based versus in-person interventions for preventing and reducing stress in workers
Kuster, A. T., Dalsbø, T. K., Luong Thanh, B. Y., Agarwal, A., Durand-Moreau, Q. V., & Kirkehei, I. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011899.pub2 · Cited by 28 · see citing works
Slepian, P. M., Peng, M., Janmohamed, T., Kotteeswaran, Y., Manoo, V., McLaren-Blades, A., Fiorellino, J., Katznelson, R., Tamir, D., McRae, K. M., et al. (2020) · Digital Health · doi:10.1177/2055207620962297 · Cited by 28 · see citing works
“Recent reviews have highlighted the need to align mobile health applications with formal theories of motivation and health behavior change.(4,15,17) For instance, the addition of motivational enhancement components to a mobile health application has recently been linked to improved engagement.”
BackgroundReilly-Spong, M., Reibel, D. K., Pearson, T., Koppa, P., & Gross, C. R. (2015) · Contemporary Clinical Trials · doi:10.1016/j.cct.2015.03.013 · Cited by 28 · see citing works
“prefer the ubiquitous telephone to less familiar or more complex videoconference formats or online alternatives [31, 32].”
BackgroundPontén, M., Jonsjö, M. A., Vadenmark, V., Moberg, E., Grannas, D., Andersson, G., Boersma, K., Hedman‐Lagerlöf, E., Kleinstäuber, M., Weise, C., et al. (2023) · Psychological Medicine · doi:10.1017/s0033291723003033 · Cited by 31 · see citing works
“This is in contrast with previous surveys showing low acceptability for online interventions in the general population (Handley et al., 2015; Mohr et al., 2010) and that Internet-based cognitive behavioral therapy is heavily underutilized (Carper, McHugh, & Barlow, 2013; Hennemann, Beutel, &…”
BackgroundResultBatterham, P. J., Calear, A. L., Sunderland, M., Kay-Lambkin, F., Farrer, L. M., & Gulliver, A. (2019) · Contemporary Clinical Trials · doi:10.1016/j.cct.2019.01.015 · Cited by 21 · see citing works
“Previous studies have reported that many people prefer face-to-face therapy over E-MH programs [8-10], despite viewing online programs as having advantages such as convenience [8].”
BackgroundSoucy, I., Provencher, M. D., Fortier, M., & McFadden, T. (2017) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1337806 · Cited by 26 · see citing works
“Time investment is an important consideration for many people when it comes to treatment adherence and maintenance (Mohr et al., 2010).”
BackgroundMobile technology and task shifting to improve access to alcohol treatment services in Mozambique
O'Grady, M. A., Mootz, J., Suleman, A., Sweetland, A., Teodoro, E., Anube, A., Feliciano, P., Bezuidenhout, C., Dos Santos, P. F., Fumo, W., et al. (2022) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108549 · Cited by 24 · see citing works
Berman, M. I., Buckey, J. C., Hull, J. G., Linardatos, E., Song, S. L., McLellan, R. K., & Hegel, M. T. (2014) · Behavior Therapy · doi:10.1016/j.beth.2014.02.001 · Cited by 23 · see citing works
Lincke, L., Ulbrich, L., Reis, O., Wandinger, E., Brähler, E., Dück, A., & Kölch, M. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.889555 · Cited by 24 · see citing works
Kayler, L. K., Dolph, B. A., Cleveland, C. N., et al. (2020) · Transplantation Direct · doi:10.1097/txd.0000000000001026 · Cited by 24 · see citing works
Mindfulness for female outpatients with chronic primary headaches: an internet-based bibliotherapy
Tavallaei, V., Rezapour-Mirsaleh, Y., Rezaiemaram, P., & Saadat, S. H. (2018) · European Journal of Translational Myology · doi:10.4081/ejtm.2018.7380 · Cited by 23 · see citing works
Nordmo, M., Sinding, A. I., Carlbring, P., Andersson, G., Havik, O. E., & Nordgreen, T. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.10.003 · Cited by 23 · see citing works
“Patients also consider guided ICBT to be a credible and suitable alternative to face-to-face treatment (Gun et al., 2011; Mohr et al., 2010; Spence et al., 2011; Wootton et al., 2011).”
BackgroundCzepczor‐Bernat, K., Brytek‐Matera, A., & Staniszewska, A. (2020) · Archives of Women s Mental Health · doi:10.1007/s00737-020-01077-1 · Cited by 23 · see citing works
Peynenburg, V. A., Mehta, S., & Hadjistavropoulos, H. D. (2019) · Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement · doi:10.1037/cbs0000165 · Cited by 21 · see citing works
Nezu, A. M., Nezu, C. M., Felgoise, S. H., & Greenberg, L. M. (2012) · Handbook of Psychology, Second Edition · doi:10.1002/9781118133880.hop209012 · Cited by 21 · see citing works
Technological Advances in the Treatment of Trauma
Paul, L. A., Hassija, C. M., & Clapp, J. D. (2012) · Behavior Modification · doi:10.1177/0145445512450733 · Cited by 20 · see citing works
“, cost, time) preferred e-Health, underscoring the importance of this technology in circumventing roadblocks to care (Mohr et al., 2010).”
BackgroundLi, L., Wang, L., Duan, Y., Xiao, P., Zhou, Y., Luo, X., Liu, X., Xie, J., & Cheng, A. S. K. (2022) · Cancer Medicine · doi:10.1002/cam4.5030 · Cited by 18 · see citing works
Fasciano, K. M., Souza, P. M., Braun, I. M., & Trevino, K. M. (2015) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2014.0035 · Cited by 19 · see citing works
“23,24 While internet interventions cannot replace the benefits of face-to-face mental health services, interventions that utilize the internet for psycho-education and online social networking may serve as important population-based emotional support services.”
Shepardson, R. L., & Funderburk, J. S. (2016) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-016-9462-y · Cited by 19 · see citing works
“, 2004); and preference for face-to-face treatment over telephone and Internet formats (Mohr et al., 2010).”
BackgroundGulliver, A., Calear, A., Sunderland, M., Kay-Lambkin, F. J., Farrer, L., Banfield, M., & Batterham, P. (2020) · JMIR Formative Research · doi:10.2196/22528 · Cited by 17 · see citing works
“The acceptability of these programs is thought to be impacted by a wide range of attitudes, including concerns about data security, anxiety about the internet in general, belief that the programs will not work, poor attitudes to help-seeking in general, a general lack of knowledge about web-based programs, or concern…”
BackgroundSchneider, L. H., & Hadjistavropoulos, H. D. (2014) · Pain Research and Management · doi:10.1155/2014/451373 · Cited by 19 · see citing works
“Despite some neutral ratings, the generally favourable perceptions among individuals with chronic pain were surprising given that past researchers have found that patients prefer face-to-face therapy in comparison with Internet-delivered treatment (11-13).”
BackgroundResultVincent, N., Walsh, K., & Lewycky, S. (2013) · Behavioral Sleep Medicine · doi:10.1080/15402002.2012.700662 · Cited by 18 · see citing works
“…younger individuals have better outcomes in self-administered treatments for anxiety disorders (Newman, Erickson, Przeworski, & Dzus, 2003) and in a study of primary care patients with various problems, increasing age was associated with less interest in computerized treatments (Mohr et al., 2010).”
BackgroundMartorella, G., Gélinas, C., & Purden, M. (2014) · JMIR Research Protocols · doi:10.2196/resprot.3175 · Cited by 18 · see citing works
“Indeed, Web-based, tailored interventions seem to offer both more control to patients in terms of content and timing [14,24], and more outreach when access to care is limited [42,43].”
Effect of Two Interventions on Sleep Quality for Adolescent and Young Adult Cancer Survivors
Li, L., Wang, L., Sun, Q., Xiao, P., Duan, Y., Liu, X., Zhou, J., Xie, J., & Cheng, A. S. K. (2021) · Cancer Nursing · doi:10.1097/ncc.0000000000000932 · Cited by 16 · see citing works
“Physical activity therapy reduced the time required of AYA cancer patients.(61) The results of this study indicate that the intervention effect was maintained for at least 3 months, which provided a realistic basis for the long-term maintenance of the intervention effect of PA therapy.”
BackgroundHeinrich, S., Rozental, A., Carlbring, P., Andersson, G., Cotter, K., & Weise, C. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.04.001 · Cited by 16 · see citing works
“However, many patients still prefer face-to-face therapy to ICBT (Mohr et al., 2010), and several studies on ICBT with no guidance have shown considerable dropout rates (Andersson et al., 2002; cf. Donkin and Glozier, 2012), which indicates that there is still room for improvement.”
BackgroundWho’s Logging on? Differing Attitudes about Online Therapy
Knechtel, L. M., & Erickson, C. A. (2020) · Journal of Technology in Human Services · doi:10.1080/15228835.2020.1833810 · Cited by 17 · see citing works
Providing Mental Health Care to Veterans in Rural Areas: Using Telehealth in Mobile Clinics
Wynn, S. D., & Sherrod, R. A. (2012) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20120508-01 · Cited by 16 · see citing works
Sanchez, S., Jindani, F., Shi, J. C., van der Maas, M., Hagopian, S., Murray, R., & Turner, N. E. (2019) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-019-1011-9 · Cited by 14 · see citing works
Batterham, P., Gulliver, A., Sunderland, M., Farrer, L., Kay-Lambkin, F. J., Trias, A., & Calear, A. (2023) · Journal of Medical Internet Research · doi:10.2196/41663 · Cited by 13 · see citing works
Hamid, N. (2023) · PsyCh Journal · doi:10.1002/pchj.715 · Cited by 15 · see citing works
“A survey examining interest in behavioural and psychological interventions revealed that 92% of patients in primary care would opt for face-to-face treatment compared to 48% choosing Internet-based treatment (Mohr et al., 2010).”
BackgroundConfiguring Health Care for Systematic Behavioral Screening and Intervention
Brown, R. L. (2011) · Population Health Management · doi:10.1089/pop.2010.0075 · Cited by 14 · see citing works
“57 Another study showed strong acceptability of an Internet-based intervention by most rural, albeit well-educated, women who are problem drinkers.”
Andersson, G., Wagner, B., & Cuijpers, P. J. (2016) · Springer eBooks · doi:10.1007/978-3-319-06083-5_2 · Cited by 15 · see citing works
Fuller, C., Marin-Dragu, S., Iyer, R. S., & Meier, S. M. (2025) · JMIR mhealth and uhealth · doi:10.2196/53850 · Cited by 14 · see citing works
“…smartphone, or other electronic devices, and are advantageous in that they are accessible, readily available, flexible in their use, and cost-effective; furthermore, they can be implemented into daily life, allow for monitoring engagement, and can encourage and improve consistent use [14-16].”
Deng, H., Vu, K. Q., Franco, J. R., Shepler, L. J., Abouzeid, C. A., Hamner, J. W., Mercier, H. W., Taylor, J. A., Kazis, L. E., Slavin, M. D., et al. (2023) · Journal of Medical Systems · doi:10.1007/s10916-023-01914-7 · Cited by 13 · see citing works
“Common barriers of access to these interventions include living in rural areas without local resources, conditions limiting ability to travel, transportation difficulties and time constraints [22].”
A telehealth intervention for veterans on antiviral treatment for the hepatitis C virus.
Silberbogen, A. K., Ulloa, E. W., Mori, D. L., & Brown, K. (2012) · Psychological Services · doi:10.1037/a0026821 · Cited by 13 · see citing works
Bernstein, E. E., Weingarden, H. M., Greenberg, J. L., Williams, J., Hoeppner, S. S., Snorrason, Í., Phillips, K. A., Harrison, O., & Wilhelm, S. (2023) · Journal of Obsessive-Compulsive and Related Disorders · doi:10.1016/j.jocrd.2023.100781 · Cited by 13 · see citing works
Morrison, C. P., Walker, G., Ruggeri, K., & Hughes, J. H. (2014) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x14000221 · Cited by 11 · see citing works
“It is also higher than the results of a survey of those seeking behavioural treatments in which 48% would agree to use of a web-based intervention, with desires lowest for those seeking mental health treatment (Mohr et al. 2010).”
ResultInternetbasierte Therapie in der Versorgung von Patienten mit depressiven Störungen: Ein Überblick
Backenstrass, M., & Wolf, M. (2018) · Zeitschrift für Psychiatrie Psychologie und Psychotherapie · doi:10.1024/1661-4747/a000339 · Cited by 8 · see citing works
Månsson, K. N. T., Klintmalm, H., Nordqvist, R., & Andersson, G. (2017) · JMIR Research Protocols · doi:10.2196/resprot.6035 · Cited by 11 · see citing works
“A second aspect to discuss relates to attitudes towards technology use and preferences (eg, [21,22]).”
Häfner, J., Schönfeld, S., Tokgöz, P., Hrynyschyn, R., Schlubach, A., & Dockweiler, C. (2021) · Psychiatrische Praxis · doi:10.1055/a-1472-5388 · Cited by 10 · see citing works
Steinmann, M., Heddaeus, D., Liebherz, S., Weymann, N., Härter, M. C., & Watzke, B. (2016) · Verhaltenstherapie · doi:10.1159/000452435 · Cited by 10 · see citing works
“…und Gestik nicht beobachtbar größerer Stellenwert von Worten, Tonfall und verbalen Signalen vonseiten des Therapeuten und des Patienten (z.B. «Mhm») [Mohr et al., 2012] Notwendigkeit, nicht eindeutige Situationen expliziter verbal zu klären [Mohr et al., 2012] Notwendigkeit, diagnostische…”
BackgroundInfluentialUsing Animation to Address Disparities in Kidney Transplantation
Feeley, T. H., & Kayler, L. K. (2024) · Health Communication · doi:10.1080/10410236.2024.2421616 · Cited by 9 · see citing works
“…approach can lack the flexibility necessary for patients and social network members with limited time or accessibility and can be challenging in terms of financial constraints, comorbidities of patients, and the inability to get to the clinic for scheduled appointments (Mohr et al., 2010).”
Understanding parent perspectives on engagement with online youth-focused mental health programs
Muller, J. L., Tomlin, L., March, S., Jackson, B., Budden, T., Law, K. H., & Dimmock, J. A. (2022) · Psychology and Health · doi:10.1080/08870446.2022.2090561 · Cited by 9 · see citing works
“Online mental health programs are often convenient, user-friendly, low cost, and effective in treating a variety of emotional and behavioural problems (Clarke et al., 2015; Mohr et al., 2010; Titov et al., 2009).”
Background
- Authors
- Mohr, D. C., Siddique, J., Ho, J., Duffecy, J., Jin, L., & Fokuo, J. K.
- Affiliations
- Northwestern University (US)
- Corresponding author
- Mohr, David C.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-07-21
- Volume
- 40
- Issue
- 1
- Pages
- 89-98
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- PMC
- PMC2914835
- OpenAlex
- W1973720661
- Cited by
- 154
- References
- 26
- Citations by year
- 2025: 5 · 2024: 6 · 2023: 9 · 2022: 11 · 2021: 13 · 2020: 9 · 2019: 9 · 2018: 6 · 2017: 15 · 2016: 14 · 2015: 11 · 2014: 18 · 2013: 12 · 2012: 8
- FWCI
- 13.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R34MH078922, R01MH059708)
- National Center for Research Resources (UL1RR025741)
- 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 › Social Psychology › Mental Health Treatment and Access
- Keywords
- internet-delivered treatment, face-to-face treatment, treatment acceptability, primary care patients, lifestyle intervention, psychotherapy, pain management, tobacco use, time constraints, barriers to treatment access
- MeSH terms
- Anxiety, Behavior Therapy, Depression, Female, Humans, Male, Middle Aged, Motivation, Patient Acceptance of Health Care, Psychotherapy, Severity of Illness Index, Telephone, Therapy, Computer-Assisted, Internet
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