Who seeks ICBT for depression and how do they get there? Effects of recruitment source on patient demographics and clinical characteristics
Open accessAbstract
Studies on internet-administered cognitive behavior therapy (ICBT) frequently use several different sources of recruitment, yet no study has investigated whether different recruitment sources produce different clinical and demographic profiles among participants. Using data from a large sample (n = 982) seeking ICBT for depression, we compared these characteristics on the basis of self-reported recruitment source. Recruitment sources that imply more active treatment-seeking behaviors (Google searches, viewing postings on mental health websites) presented more severe depression and anxiety than those recruited through more passive sources of information (newspaper advertisements , referrals by friends and family). In addition, a number of demographic differences between groups were found. These findings have important implications for ICBT research projects and clinical programs who employ open recruitment procedures and multi-modal recruitment strategies, and who wish to recruit representative samples or target specific subgroups. Replications in other countries will however be required to establish cross-cultural patterns.
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The level of education was somewhat lower compared with other iCBT studies (40% university level vs 50-60%), a factor further associated with low adherence to psychological treatment.
“Furthermore, the level of education was somewhat lower compared with other iCBT studies (40% university level vs 50-60%) [35,43,44], a factor further associated with low adherence to psychological treatment [46].”
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BackgroundSelf-citationAre physical activity and sedentary behavior related to depression?
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- Authors
- Lindner, P., Nyström, M. B. T., Hassmén, P., Andersson, G., & Carlbring, P.
- Affiliations
- Stockholm University (SE)
- Umeå University (SE)
- University of Canberra (AU)
- Linköping University (SE)
- Corresponding author
- Lindner, Philip
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 2
- Issue
- 2
- Pages
- 221-225
- ISSN
- 2214-7829 (ISSN-L)
- OpenAlex
- W2078572373
- Cited by
- 51
- References
- 28
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 8 · 2016: 5 · 2015: 3
- FWCI
- 12.36
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- Cross Connect (Southern Cross University) (submittedVersion)
- University of Canberra Research Portal (submittedVersion, other-oa)
- DiVA at Umeå University (Umeå University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Swedish Council for Working Life and Social Research (FORTE 2011-0477)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- depression, recruitment sources, treatment-seeking behavior, patient demographics, clinical features, anxiety, online search, mental health websites, referral, newspaper advertising, sample representativeness
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