Exploring perceptions of a computerized cognitive behavior therapy program in a U.S. rural western state.
Open accessAbstract
Computerized mental health interventions have the potential to address existing mental health care disparities in rural communities. The aim of this study was to conduct an exploratory examination on the acceptability of an interactive computerized cognitive behavior therapy program to reduce depressive symptoms for adults in a rural Western state. Partnering with the land-grant university Extension system and a state non-profit organization, we identified and interviewed 18 key informants and conducted 19 focus groups in 15 rural communities to ascertain attitudes and perspectives about the program. Key informants were provided access to the Thrive program prior to the interviews. Focus group participants were provided a brief demonstration of the program and asked to provide feedback. Content analyses of interview and focus group transcripts yielded four general themes of program acceptability: privacy, accessibility, user-friendliness, and cultural inappropriateness. Overall, participants indicated that the Thrive program would be useful for many in their communities. They also reported that the program could be improved by making videos that better represent rural community members' lifestyles and experiences. The study team members acted on these findings to improve the Thrive program for rural Western populations.
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CBT-based interventions are often well accepted in rural settings.
“and are often well accepted in rural settings [13, 14].”
From Improving the mental health of farmers: what types of remote support are acceptable, feasible, and improve outcomes? A feasibility RCT (2024) · cites this paper as [13]
The Discussion’s Conclusions say computerized CBT may be acceptable in rural Western communities, and the Abstract reports favorable acceptability findings from rural communities in other countries. But the study concerns computerized CBT specifically, and its Discussion cautions against generalizing its findings to other U.S. regions; it does not establish that CBT-based interventions broadly are often well accepted across rural settings. (LLM, conf=0.85)
Experimental — accuracy not yet measuredInteractive computerised cognitive behaviour therapy has been found acceptable in U.S. rural communities in relation to privacy, accessibility, user-friendliness and cultural appropriateness.
“Interactive computerised cognitive behaviour therapy has been found to be acceptable in U.S. rural communities in relation to privacy, accessibility, user-friendliness and cultural appropriateness [13].”
From Improving the mental health of farmers: what types of remote support are acceptable, feasible, and improve outcomes? A feasibility RCT (2024) · cites this paper as [13]
The Results identify privacy, accessibility, and user-friendliness as themes of acceptability for the Thrive program in rural communities. But the fourth theme is cultural inappropriateness: participants said parts of the program did not reflect rural lifestyles, so the claim overstates its cultural acceptability. (LLM, conf=0.90)
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Cites
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398 · see citing works
Content Analysis: An Introduction to its Methodology.
Shelley, M., & Krippendorff, K. (1984) · Journal of the American Statistical Association · doi:10.2307/2288384 · Cited by 24,305 · see citing works
Focus Groups: A Practical Guide for Applied Research
McQuarrie, E. F., & Krueger, R. A. (1989) · Journal of Marketing Research · doi:10.2307/3172912 · Cited by 15,489 · see citing works
The empirical status of cognitive-behavioral therapy: A review of meta-analyses
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.07.003 · Cited by 3,215 · see citing works
Computer-based psychological treatments for depression: A systematic review and meta-analysis
Richards, D., & Richardson, T. (2012) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.02.004 · Cited by 1,442 · see citing works
Andrews, G., Cuijpers, P., Craske, M. G., McEvoy, P., & Titov, N. (2010) · PLoS ONE · doi:10.1371/journal.pone.0013196 · Cited by 1,311 · see citing works
Cultural adaptations of behavioral health interventions: A progress report.
Barrera, M., Castro, F. G., Strycker, L. A., & Toobert, D. J. (2013) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0027085 · Cited by 783 · see citing works
Vittengl, J. R., Clark, L. A., Dunn, T. W., & Jarrett, R. B. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.3.475 · Cited by 551 · see citing works
Stigma and discrimination limit access to mental health care
Thornicroft, G. (2008) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00002621 · Cited by 432 · cited 1× · see citing works
“…Americans include shortages of professional services, long distance to services, financial cost, and stigma regarding mental illness (Larson & Corrigan, 2010; Reed, Messler, Coombs, & Quevillon, 2014; Schopp, Demiris, & Glueckauf, 2006; Thornicroft, 2008; Yellowlees, Marks, Hilty, & Shore, 2008).”
van Zoonen, K., Buntrock, C., Ebert, D. D., Smit, F., Reynolds, C. F., Beekman, A. T., & Cuijpers, P. (2014) · International Journal of Epidemiology · doi:10.1093/ije/dyt175 · Cited by 425 · see citing works
Farming and Mental Health Problems and Mental Illness
Fraser, C. E., Smith, K. B., Judd, F. K., Humphreys, J. S., Fragar, L., & Henderson, A. J. (2005) · International Journal of Social Psychiatry · doi:10.1177/0020764005060844 · Cited by 356 · see citing works
Interactive Multimedia-Based E-Learning: A Study of Effectiveness
Zhang, D. (2005) · American Journal of Distance Education · doi:10.1207/s15389286ajde1903_3 · Cited by 282 · see citing works
Musiat, P., Goldstone, P., & Tarrier, N. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-109 · Cited by 273 · see citing works
Biesheuvel-Leliefeld, K. E. M., Kok, G. D., Bockting, C. L. H., Cuijpers, P., Hollon, S. D., van Marwijk, H. W. J., & Smit, F. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.12.016 · Cited by 175 · see citing works
The Effectiveness of Online Cognitive Behavioral Treatment in Routine Clinical Practice
Ruwaard, J., Lange, A., Schrieken, B., Dolan, C. V., & Emmelkamp, P. (2012) · PLoS ONE · doi:10.1371/journal.pone.0040089 · Cited by 173 · see citing works
Improving the Efficiency of Psychotherapy for Depression: Computer-Assisted Versus Standard CBT
Thase, M. E., Wright, J. H., Eells, T. D., Barrett, M. S., Wisniewski, S. R., Balasubramani, G. K., McCrone, P., & Brown, G. K. (2018) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2017.17010089 · Cited by 131 · see citing works
Jackson, H., Judd, F., Komiti, A., Fraser, C., Murray, G., Robins, G., Pattison, P., & Wearing, A. (2007) · Australian Psychologist · doi:10.1080/00050060701299532 · Cited by 125 · see citing works
Internet-supported versus face-to-face cognitive behavior therapy for depression
Andersson, G., Topooco, N., Havik, O., & Nordgreen, T. (2016) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.2015.1125783 · Cited by 117 · see citing works
Folker, A. P., Mathiasen, K., Lauridsen, S. M., Stenderup, E., Dozeman, E., & Folker, M. P. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.02.001 · Cited by 116 · cited 1× · see citing works
“For example, studies have demonstrated mental health professionals’ criticism toward cCBT programs on their ability to be a truly effective in improving patients’ symptoms (Folker et al., 2018; Vigerland et al., 2014).”
Osgood-Hynes, D. J., Greist, J. H., Marks, I. M., Baer, L., Heneman, S. W., Wenzel, K. W., Manzo, P. A., Parkin, J. R., Spierings, C. J., Dottl, S. L., et al. (1998) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v59n0704 · Cited by 115 · see citing works
Self-citationVallury, K. D., Jones, M., & Oosterbroek, C. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4145 · Cited by 105 · cited 2× · see citing works
“Our findings suggest that cCBT programs may be a suitable form of care for rural residents and support the feasibility of introducing cCBT programs in these communities, which is comparable to what has been reported among rural communities in other countries (Hayward et al., 2007; Kay-Lambkin et al., 2012; Vallury et…”
Hadjistavropoulos, H. D., Nugent, M. M., Alberts, N. M., Staples, L., Dear, B. F., & Titov, N. (2016) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.05.006 · Cited by 103 · see citing works
Using e-Health to Enable Culturally Appropriate Mental Healthcare in Rural Areas
Yellowlees, P., Marks, S., Hilty, D., & Shore, J. H. (2008) · Telemedicine and e-Health · doi:10.1089/tmj.2007.0070 · Cited by 96 · 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
Rural backwaters or front-runners? Rural telehealth in the vanguard of psychology practice.
Schopp, L. H., Demiris, G., & Glueckauf, R. L. (2006) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.37.2.165 · Cited by 61 · see citing works
Psychotherapy for self-stigma among rural clients.
Larson, J. E., & Corrigan, P. W. (2010) · Journal of clinical psychology · doi:10.1002/jclp.20679 · Cited by 60 · cited 3× · see citing works
“…care for rural Americans include shortages of professional services, long distance to services, financial cost, and stigma regarding mental illness (Larson & Corrigan, 2010; Reed, Messler, Coombs, & Quevillon, 2014; Schopp, Demiris, & Glueckauf, 2006; Thornicroft, 2008; Yellowlees, Marks, Hilty, &…”
InfluentialNordgreen, T., Gjestad, R., Andersson, G., Carlbring, P., & Havik, O. E. (2017) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1348389 · Cited by 46 · see citing works
MacGregor, A. D., Hayward, L., Peck, D. F., & Wilkes, P. (2009) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s135246580800492x · Cited by 43 · see citing works
Kay-Lambkin, F. J., Baker, A. L., Kelly, B. J., & Lewin, T. J. (2012) · Journal of Dual Diagnosis · doi:10.1080/15504263.2012.723315 · Cited by 31 · see citing works
El Alaoui, S., Hedman, E., Ljótsson, B., & Lindefors, N. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-007902 · Cited by 30 · see citing works
The Feasibility and Effectiveness of Computer-Guided CBT (FearFighter) in a Rural Area
Hayward, L., MacGregor, A. D., Peck, D. F., & Wilkes, P. (2007) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465807003670 · Cited by 26 · see citing works
Social media use and the acceptability of telepsychological services in rural populations.
Reed, R. N., Messler, E. C., Coombs, T. E., & Quevillon, R. P. (2013) · Rural Mental Health · doi:10.1037/rmh0000007 · Cited by 23 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Patton MQ (2005). Qualitative research In Everitt B & Howell D (Eds.), Encyclopedia of Statistics in Behavioral Science (pp. 1633– 1636). Hoboken, NJ: John Wiley & Sons, Ltd.
Cited by
Sorted by citations
Schure, M. B., Lindow, J. C., Greist, J. H., Nakonezny, P. A., Bailey, S. J., Bryan, W. L., & Byerly, M. (2019) · Journal of Medical Internet Research · doi:10.2196/14754 · Cited by 50 · see citing works
Self-citationKing, E., Stephen, K., Wendelboe‐Nelson, C., Williams, C., Stark, C. R., van Woerden, H. C., & Maxwell, M. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04806-9 · Cited by 39 · see citing works
Gregory, V. L., & Ellis, R. J. B. (2020) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990.2020.1780602 · Cited by 26 · see citing works
Schure, M. B., McCrory, B., Franklin, K. T., Greist, J. H., & Weissman, R. S. (2020) · Journal of Medical Internet Research · doi:10.2196/21336 · Cited by 21 · see citing works
Self-citationPurc‐Stephenson, R. J., Dedrick, S., & Hood, D. (2024) · BMC Psychology · doi:10.1186/s40359-024-01929-w · Cited by 6 · see citing works
Lamont, K., van Woerden, H. C., King, E., Wendelboe-Nelson, C., Humphry, R. W., Stark, C., Williams, C., & Maxwell, M. (2024) · Discover Mental Health · doi:10.1007/s44192-023-00054-1 · Cited by 5 · see citing works
“Interactive computerised cognitive behaviour therapy has been found to be acceptable in U.S. rural communities in relation to privacy, accessibility, user-friendliness and cultural appropriateness [13].”
BackgroundSchure, M. B., McCrory, B., Greist, J. H., & Weissman, R. S. (2022) · Discover Psychology · doi:10.1007/s44202-022-00030-w · Cited by 2 · see citing works
Self-citationSchure, M. B., McCrory, B., Greist, J. H., & Weissman, R. S. (2021) · Research Square · doi:10.21203/rs.3.rs-965880/v1
Self-citationSalt, E. G., Wiggins, A. T., Toupin, D. N., Parks, E., Okoli, C. T. C., & Rayens, M. K. (2024) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000001321
King, E., Lamont, K., Wendelboe‐Nelson, C., Williams, C., Stark, C., van Woerden, H. C., & Maxwell, M. (2023) · Figshare · doi:10.6084/m9.figshare.23298929
- Authors
- Schure, M. B., Howard, M., Bailey, S. J., Bryan, B., & Greist, J.
- Affiliations
- Montana State University (US)
- Corresponding author
- Schure, Mark B.
- Venue
- Journal of Rural Mental Health
- Published
- 2018-07
- Volume
- 42
- Issue
- 3-4
- Pages
- 174-183
- ISSN
- 1935-942X (ISSN-L)
- 2163-8969
- PMC
- PMC6366631
- OpenAlex
- W2896604224
- Cited by
- 10
- References
- 32
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 1
- FWCI
- 1.26
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Rural Mental Health (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Montana State University ScholarWorks (Montana State University) (submittedVersion, other-oa)
- Funders
- National Institutes of Health (P20GM103474; U54GM115371; 5P20GM104417)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- program acceptability, depressive symptoms, mental health care disparities, privacy, accessibility, ease of use, cultural appropriateness, rural communities, program development
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