Becoming an eCoach: Training therapists in online cognitive-behavioral therapy for chronic pain
Open accessAbstract
Objective Online cognitive-behavioral therapy (iCBT) is effective in supporting patients' self-management. Since iCBT differs from face-to-face CBT on several levels, proper training of therapists is essential. This paper describes the development and evaluation of a therapist training based on theoretical domains that are known to influence implementation behavior, for an iCBT for chronic pain.Methods The training consists of 1.5 days and covers the implementation domains "knowledge", "skills", "motivation", and "organization", by focusing on the therapy's rationale, iCBT skills, and implementation strategies. Using an evaluation questionnaire, implementation determinants (therapist characteristics, e-health attitude, and implementation domains) and iCBT acceptance were assessed among participants after training.Results Twenty-two therapists participated, who generally showed positive e-health attitudes, positive implementation expectations, and high iCBT acceptance. Organizational aspects (e.g., policy regarding iCBT implementation) were rated neutrally.Conclusions An iCBT therapist training was developed and initial evaluations among participants showed favorable implementation intentions.Practice implications Therapists' positive training evaluations are promising regarding the dissemination of iCBT in daily practice. Organizational support is vital and needs to be attended to when selecting organizations for iCBT implementation.
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Current evidence supports the feasible and efficacious delivery of web-based CBT using nontraditional health professionals such as PTs and OTs, with reduced time commitment and treatment costs, and positive self-reported changes in PTs' attitudes, confidence, and practice.
“Current evidence supports the feasible and efficacious delivery of web-based CBT using nontraditional health professionals such as physiotherapists (PTs) and occupational therapists (OTs) [45], with reduced time commitment and treatment costs, and positive self-reported changes in the PTs’ attitudes, confidence, and practice [46-48].”
From Development and usability testing of a web-based and therapist-assisted coping skills program for managing psychosocial problems in individuals with hand and upper limb injuries: Mixed methods study (2020) · cites this paper as [45]
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“In line with this, Terpstra et al. (2018) found that therapists with no former iCBT training scored perceived usefulness and ease of use highly after a structured training session.”
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- Authors
- Terpstra, J. A., van der Vaart, R., Spillekom-van Koulil, S., van Dam, A., Rosmalen, J. G. M., Knoop, H., van Middendorp, H., & Evers, A. W. M.
- Affiliations
- Leiden University (NL)
- University Medical Center Groningen (NL)
- Amsterdam UMC Location University of Amsterdam (NL)
- Corresponding author
- Terpstra, Jessy A.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 101
- Issue
- 9
- Pages
- 1702-1707
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2795641583
- Cited by
- 17
- References
- 17
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 5
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Patient Education and Counseling (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- Leiden Repository (Leiden University) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- Innovatiefonds Zorgverzekeraars (2619)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- internet-based cognitive behavioral therapy, chronic pain, therapist training, implementation intentions, organizational support, pain self-management
- MeSH terms
- Adult, Attitude of Health Personnel, Female, Humans, Male, Middle Aged, Netherlands, Cognitive Behavioral Therapy, Telemedicine, Internet, Chronic Pain
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