IF THE EVIDENCE IS SO GOOD – WHY DOESN'T ANYONE USE THEM? A NATIONAL SURVEY OF THE USE OF COMPUTERIZED COGNITIVE BEHAVIOUR THERAPY
Abstract
Computerized Self-help (CSH) has recently been the subject of a NICE (National Institute of Clinical Excellence) review. This increase in interest is also reflected in the increase in advertising for CSH programmes. We report a national survey of a random sample of 500 therapists accredited with the British Association for Behavioural and Cognitive Psychotherapies, which is the lead organization for CBT in the UK. A total of 329 therapists responded (65.8%). A surprisingly small number of CBT therapists were using CSH (12 or 2.4%) and only 5 or 1% were using it as an alternative to patient-therapist contact. Despite this, over 90% of the responding therapists had not ruled out using CSH in the future, but the majority of these would use it to supplement rather than as an alternative to individual face-to-face therapy. The need to know more about computerized self-help and the need for training in therapy using this modality were seen as the main factors that would have to change to allow the therapists to use CSH. Knowledge of and ability to use computers did not appear to be an important factor as most therapists in this sample used computers on a regular basis. Most therapists were not aware of evidence of the effectiveness of CSH but the minority who did feel able to express views stated that CSH would be less effective than individual face-to-face therapy and result in less client satisfaction.
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Clinician attitudes towards Internet or computer-based treatments are still largely neutral or unfavorable.
“Clinician attitudes towards Internet or computer-based treatments are still largely neutral [20], [21], [22] or unfavorable [23].”
From The acceptability of internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: An internet survey (2011) · cites this paper as [21]
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“Whitfield & Williams (2004) and Richards et al. (2003) have also suggested that a lack of appropriate training is a significant barrier to routine use of self-help materials in clinical practice.”
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“Stallard et al. (2010), Whitfield and Williams (2004) and Vigerland et al. (2014) found clinicians’ positive attitude towards Internet-delivered psychological interventions in the United Kingdom and Sweden even though only a few clinicians used such interventions in their routine clinical practice.”
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Kelly, C. (2014) · eSource (Dublin Business School) · Cited by 2 · see citing works
Integrative Approach to Child and Adolescent Mental Health
Jung, S.-P. (2017) · InTech eBooks · doi:10.5772/67556 · Cited by 1 · see citing works
“Electronic and mobile devices for mental health are available for various conditions, but implementation into clinical practice is low [74].”
BackgroundCognitive Behavioral Therapy for Anxiety Disorders
Wieman, S. T., Kind, S., & Baker, A. W. (2019) · Current clinical psychiatry · doi:10.1007/978-3-030-30687-8_12 · Cited by 1 · see citing works
Indigenous Mental Health in Remote Communities
Mehl‐Madrona, L., & Mainguy, B. (2020) · Springer eBooks · doi:10.1007/978-981-10-5012-1_4-1 · Cited by 1 · see citing works
Internet-delivered treatments for generalized anxiety disorder
Paxling, B. (2011) · Pure Amsterdam UMC · Cited by 1 · see citing works
Ibanga, A. (2011) · University of Birmingham Institutional Research Archive (University of Birmingham)
Innovative Psychological Treatments for Depression
Hollon, S. D., & Williams, C. J. (2016) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.20150044
Yamakura, M. U. F. (2012)
Daynes, L. (2012) · Wolverhampton Intellectual Repository and E-Theses (University of Wolverhampton)
Palmili, L. (2013) · UPT. Syiah Kuala University Library (Syiah Kuala University)
Clinicians' views of computer-guided CBT in adult mental health and factors related to referrals
Varley, M. C. (2011) · ERA
- Authors
- Whitfield, G., & Williams, C.
- Affiliations
- University of Glasgow (GB)
- ORCID
- Williams, Chris
- Venue
- Behavioural and Cognitive Psychotherapy
- Publisher
- Cambridge University Press (CUP)
- Published
- 2004-01
- Volume
- 32
- Issue
- 1
- Pages
- 57-65
- ISSN
- 1352-4658 (ISSN-L)
- 1469-1833
- OpenAlex
- W2088317969
- Cited by
- 83
- References
- 7
- Citations by year
- 2024: 1 · 2022: 1 · 2021: 4 · 2020: 7 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 8 · 2015: 2 · 2014: 7 · 2013: 3 · 2012: 5
- FWCI
- 3.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavioural and Cognitive Psychotherapy (publishedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (submittedVersion)
- Funders
- British Association for Behavioural and Cognitive Psychotherapies
- 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 › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy, therapist attitudes, technology adoption, face-to-face therapy, therapist training, evidence-based practice, client satisfaction, NICE guidelines
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