Satisfaction with therapist-delivered vs. self-administered online cognitive behavioural treatments for depression symptoms in college students
Open accessAbstract
Participants with symptoms of depression received either eight sessions of therapist-delivered email cognitive behaviour therapy (eCBT; n=37), or eight sessions of computerised CBT self-administered treatment (cCBT; n=43). At post-treatment participants completed a questionnaire to determine what they found satisfying about their online treatment. Quantitative and qualitative analysis was employed to report outcomes. A sample of 25 participants(eCBT n=10; cCBT n=15) completed the satisfaction questionnaire. Both groups were satisfied with accessing and using an online treatment and that they had self-control over their treatment. Perceived anonymity was important for the eCBT group. For the cCBT group they found the treatment user-friendly, engaging and also a source of learning. Both groups disliked that the online treatment could at times be complicated and impersonal.
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- Findingown data
Perceived anonymity was important for the eCBT group.
“Perceived anonymity was important for the eCBT group.”
- Also stated in: § Results · plain
“the eCBT group identified anonymity as something most liked.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Also stated in: § Results · plain
- Findingown data
Both groups reported that the online treatment involved a lot of work.
“Both groups reported that the treatment could be complicated and impersonal and involved a lot of work.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
Both groups reported that the online treatment could be complicated and impersonal.
“Both groups disliked that the online treatment could at times be complicated and impersonal.”
- Also stated in: § Results · plain
“Both groups reported that the treatment could be complicated and impersonal and involved a lot of work.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Also stated in: § Results · plain
- Findingreasoning
Participants who provided the data were not confident about any lasting effects that the treatment could have for them.
“It seems that participants who provided the data were not confident about any lasting effects that the treatment could have for them.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
The majority of participants in both groups found the online treatment helpful (eCBT: 90%; cCBT: 87%).
“The majority of participants in both groups (eCBT: 90%; cCBT: 87%) found the online treatment helpful.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
There were no significant differences between the eCBT and cCBT groups in their responses to the satisfaction questions.
“Chi-square comparisons of responses revealed that no significant differences were found between the groups and their responses for each of the questions.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
Participants in both eCBT and cCBT groups were satisfied with accessing and using an online treatment.
“Both groups were satisfied with accessing and using an online treatment and that they had selfcontrol over their treatment.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
The cCBT group disliked that the format of delivery could be irritating.
“The cCBT group identified more items that they disliked than did the eCBT group, and these included that the treatment at times did not match the needs of the user, technical difficulties in using the program, and that the format of delivery could be irritating.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
The cCBT group identified more items they disliked than did the eCBT group.
“The cCBT group identified more items that they disliked than did the eCBT group, and these included that the treatment at times did not match the needs of the user, technical difficulties in using the program, and that the format of delivery could be irritating.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
There was a non-significant trend for the cCBT group to find the treatment easy to use more than the eCBT group.
“However, Cramer's V statistic showed a non-significant trend for the cCBT group that they found the treatment easy to use and that they felt the treatment would have lasting effects, more so than eCBT.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
There were no differences in gender between the two groups.
“Chi-Square revealed no differences in gender between the two groups x 2 (1; N 0 80) 0 .945,p .05.”
Quote in the paperNot a substantial claim - Findingown data
The cCBT group disliked that the treatment at times did not match the needs of the user.
“The cCBT group identified more items that they disliked than did the eCBT group, and these included that the treatment at times did not match the needs of the user, technical difficulties in using the program, and that the format of delivery could be irritating.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
Participants who completed the satisfaction measure completed more sessions than the remainder of the group who began treatment.
“The 25 who completed SAT forms averaged M 0 5.64 (S.D. 0 2.40) sessions compared to the 55 who did not complete SAT forms averaging M 0 3.27 (S.D. 0 2.19) sessions.”
Quote in the paperNot a substantial claim - Findingown data
The lowest-rated item in the satisfaction measure was whether participants considered the treatment would have a lasting effect.
“The lowest-rated item in the satisfaction measure was whether participants considered the treatment would have a lasting effect.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
The cCBT group found the treatment a source of learning.
“For the cCBT group they found the treatment user-friendly, engaging and also a source of learning.”
- Also stated in: § Discussion · plain
“Another cCBT user wrote how the program 'gave a sense of purpose and learning'.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Also stated in: § Discussion · plain
- Findingown data
The cCBT group disliked technical difficulties in using the program.
“The cCBT group identified more items that they disliked than did the eCBT group, and these included that the treatment at times did not match the needs of the user, technical difficulties in using the program, and that the format of delivery could be irritating.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
For the cCBT group, participants who completed the satisfaction measure were older than their counterparts in the entire cCBT treatment group.
“Age was significantly greater (M 0 28.64, S.D. 0 9.64) in the group that returned SAT forms compared to the others in the treatment (M 0 24.98,S.D. 0 4.49); however, further analysis of the sub-groups revealed age to be signigicant only for the cCBT group (M 0 29.07,S.D. 0 7.74) in comparison to their equivalents (M 0 25.18, S.D. 0 4.18) in the entire treatment group t(41) 0 (2.14, p 0 .038.”
Quote in the paperNot a substantial claim - Findingown data
Participants in both eCBT and cCBT groups were satisfied with having self-control over their treatment.
“Both groups were satisfied with accessing and using an online treatment and that they had selfcontrol over their treatment.”
- Also stated in: § Results · plain
“Both groups reported that they liked having self-control over the administration of the treatment program.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Also stated in: § Results · plain
- Findingown data
Unlike the eCBT condition, the cCBT group did not have the opportunity to ask for clarification.
“Unlike the eCBT condition, they did not have the opportunity to ask for clarification and this absence of support is noted.”
Quote in the paperNot a substantial claim - Findingown data
Participants in the cCBT group noted that the program was user-friendly, a variable missing from the feedback from the eCBT group.
“Participants in the cCBT group noted that the program was user-friendly, a variable missing from the feedback from the eCBT group.”
Quote in the paperNot a substantial claim - Findingown data
Content mismatching did not appear as a concern for the eCBT group.
“Content mismatching did not appear as a concern for the eCBT group, but again their focus was more on the support and feedback they received alongside the benefits of communicating with someone in relative anonymity.”
Quote in the paperNot a substantial claim - Findingown data
In the eCBT group the delivery mode of asynchronous counselling was found to be impersonal and restrictive.
“In the eCBT group the delivery mode of asynchronous counselling was found to be impersonal and restrictive, meaning users might have been less open than in a face-to-face setting: 'It is very impersonal.I don't feel as if I opened up as much as I would to a face-to-face counsellor'.”
Quote in the paperNot a substantial claim - Findingown data
In the eCBT group, users sometimes lacked understanding of what was being asked of them.
“In the eCBT group it was the case that from time to time users lacked understanding of what was being asked of them, for instance 'did not understand some of the tasks', and 'Sometimes it took me a while to get my head around what the homework was'.”
Quote in the paperNot a substantial claim - Findingreasoning
Users of the self-administered program recognised the need for some support, even if only practical support.
“The noted absence of support in helping users to make decisions at key points in the program and to understand tasks suggests that users of the self-administered program recognised the need for some support, even if only practical support.”
Quote in the paperNot a substantial claim - Findingown data
Participants experienced difficulties in finding the time to complete the weekly sessions.
“It appeared in the feedback in two ways, firstly when participants experienced difficulties in finding the time to complete the weekly sessions.”
Quote in the paperNot a substantial claim - Findingown data
Some eCBT users named support and responsive feedback as something they liked, referring to feedback received from their counsellor from week to week.
“Some eCBT users named support and responsive feedback as something they liked, essentially referring to the feedback received from their counsellor from week to week, for instance: 'receiving an empathetic response to my emails and knowing someone understood'.”
Quote in the paperNot a substantial claim - Findingown data
Only in the cCBT group was the content of the program referenced as something that was liked.
“Only in the cCBT group was the content of the program referenced as something that was liked: 'offered useful techniques on how to approach problems; the cognitive aspect is helpful'.”
Quote in the paperNot a substantial claim - Findingown data
Personal contact in the cCBT condition surfaces as a noted absence of some form of support throughout treatment.
“Personal contact in the cCBT condition surfaces as a noted absence of some form of support throughout treatment: 'I would have found it useful to have some human contact when deciding on the projects I was to work on. . . .even an email address that I could use if I was confused or needed clarity would have been useful'.”
Quote in the paperNot a substantial claim - Findingown data
cCBT users referenced general and specific CBT strategies, such as challenging automatic thoughts and inner beliefs, and the importance of pleasurable activities and rewards.
“Specifically, users referenced general and specific CBT strategies, for instance: 'looking at challenging automatic thoughts and inner beliefs, looking at the importance of pleasurable activities and rewards'.”
Quote in the paperSubstantial claim - Findingown data
Both groups identified the treatment as well structured.
“Both groups identifed how the treatment was well structured and gave them a sense of purpose and learning.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingreasoning
Engagement was more pronounced in the cCBT group than in the eCBT group.
“Engagement was more pronounced in the cCBT group; the self-administered program delivered content incrementally and perhaps was more manageable for participants.”
Quote in the paperNot a substantial claim - Findingown data
The final theme that occurs for both groups is related to the number of tasks that the online treatment asks of users.
“The final theme that occurs for both groups is related to the number of tasks that the online treatment asks of users.”
Quote in the paperNot a substantial claim - Findingown data
Some users in the cCBT group experienced frustration with having to choose between some content, for example the graded exposure and sleep management modules.
“Some users in the cCBT group also experienced frustration with having to choose between some content, for example the graded exposure and sleep management modules.”
Quote in the paperNot a substantial claim - Findingown data
Some users in both conditions experienced the treatment program as complicated.
“Some users in both conditions experienced the treatment program as complicated.”
Quote in the paperNot a substantial claim - Findingown data
Both groups identified the treatment as giving them a sense of purpose and learning.
“Both groups identifed how the treatment was well structured and gave them a sense of purpose and learning.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Findingown data
Users struggled to make informed choices.
“There is a sense at this point that users struggled to make informed choices.”
Quote in the paperNot a substantial claim - Findingown data
There was an experience of content mismatching the needs of the user.
“At other times there was an experience of content mismatching the needs of the user.”
Quote in the paperNot a substantial claim - Findingown data
Participants in both groups identified aspects of time and pace as something they least liked about the online treatment.
“Participants in both groups identified aspects of time and pace as something they least liked about the online treatment.”
Quote in the paperNot a substantial claim - Findingreasoning
Both groups highlight the usefulness of having self-control over the administration of their treatment.
“For instance, both groups highlight the usefulness of having self-control over the administration of their treatment.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
- Findingown data
Responses did not differ greatly between the groups on the quantitative satisfaction items.
“Responses did not differ greatly between the groups on the quantitative satisfaction items, but due to low statistical power any trends that favoured one group over another in their responses were not significantly identified.”
Quote in the paperNot a substantial claim - Findingown data
The cCBT group highlight technical difficulties as a cause of frustration and irritation in the online treatment.
“Lastly they also highlight technical difficulties as a cause of frustration and irritation in the online treatment.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
- Findingnone given
Participants were clear in their agreement that both modes of delivering the CBT protocol were viable options.
“Participants were clear in their agreement that both modes of delivering the CBT protocol were viable options.”
Quote in the paperSubstantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
- Findingown data
For the eCBT group, having support from a therapist at a distance was seen as useful.
“For the eCBT group, having support from a therapist at a distance was seen as useful.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
- Premisecitation
The main trial found that participants in both treatment groups displayed significant statistical and clinical improvement in depressive symptoms on the BDI-II, maintained at six-month follow-up.
“the outcomes from the main trial reported that participants in both treatment groups displayed significant statistical and clinical improvement in depressive symptoms as reported on the Beck Depression Inventory (BDI-II) and this was maintained at six-month follow-up.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Richards et al., in press
Not checked in the free run.
- Interpretationcitation
The study established that a standard self-administered cCBT protocol program can also be successfully delivered online as a therapist-delivered asynchronous mode.
“The study established that a standard self-administered cCBT protocol program can also be successfully delivered online as a therapist-delivered asynchronous mode (Richards et al., in press).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Richards et al., in press
Not checked in the free run.
- Interpretationown data
Users in the eCBT group might have been less open than in a face-to-face setting.
“In the eCBT group the delivery mode of asynchronous counselling was found to be impersonal and restrictive, meaning users might have been less open than in a face-to-face setting: 'It is very impersonal.I don't feel as if I opened up as much as I would to a face-to-face counsellor'.”
Quote in the paperNot a substantial claim - Interpretationown data
Participants' satisfaction with the online treatment disposed them favourably to recommending the treatment to others.
“Participants' satisfaction with the online treatment disposed them favourably to recommending the treatment to others.”
Quote in the paperSubstantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Interpretationown data
Self-control over the administration of the program potentially contributed to the high rates of helpfulness and satisfaction.
“Participants in both groups identifed self-control over the administration of the program as something they liked about the program and potentially contributed to the high rates of helpfulness and satisfaction.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Interpretationown data
The satisfaction data show that both delivery modes were acceptable treatments for university students.
“The satisfaction data clearly show that both delivery modes were acceptable and could be recommended as viable treatments for university students.”
Quote in the paperSubstantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Interpretationreasoning
The delivery of an asynchronous text-based CBT protocol is perhaps not so user-friendly.
“Again, this suggests that the delivery of an asynchronous text-based CBT protocol is perhaps not so user-friendly.”
Quote in the paperNot a substantial claim - Interpretationreasoning
There are aspects of the delivery in both conditions that potentially enhance or detract from the treatment.
“It is clear that there are aspects of the delivery in both conditions that potentially enhance or detract from the treatment.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
- Study design and conductown data
The main limitation of the current study was the low response rate.
“The main limitation of the current study was the low response rate.”
Quote in the paperSubstantial claim - Study design and conductreasoning
Any potential generalisations made are consequently tentative.
“Although the group of respondents is largely representative of the entire group who begun treatment, any potential generalisations made are consequently tentative.”
Quote in the paperSubstantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
- Study design and conductown data
Due to low statistical power, any trends that favoured one group over another in their responses were not significantly identified.
“Responses did not differ greatly between the groups on the quantitative satisfaction items, but due to low statistical power any trends that favoured one group over another in their responses were not significantly identified.”
Quote in the paperNot a substantial claim - Study design and conductown data
From 80 participants who began treatment, only 25 end-of-treatment responses to the satisfaction measure (SAT) were received (eCBT: 10; cCBT: 15).
“In total, from 80 participants who began treatment we received only 25 (eCBT: 10; cCBT: 15) end-oftreatment responses to the satisfaction measure (SAT).”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 37
- May combine two claims. 28
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThere was a non-significant trend for the cCBT group to feel the treatment would have lasting effects more than the eCBT group.
“However, Cramer's V statistic showed a non-significant trend for the cCBT group that they found the treatment easy to use and that they felt the treatment would have lasting effects, more so than eCBT.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
May combine two claims.
Findingown dataThe cCBT group found the treatment user-friendly and engaging.
“For the cCBT group they found the treatment user-friendly, engaging and also a source of learning.”
- Also stated in: § Results · plain
“The cCBT group reported that the treatment was engaging and userfriendly; these were less so for the eCBT group.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
- Also stated in: § Results · plain
May combine two claims.
Findingown dataThe results from the satisfaction measure demonstrate broadly that participants in both delivery modes, who provided the data, were satisfied with the treatment and found it helpful.
“The results from the satisfaction measure are encouraging and demonstrate broadly that participants in both delivery modes, who provided the data, were satisfied with the treatment and found it to be helpful for them.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe eCBT group reported that a lack of deadlines was something they least liked.
“The eCBT group reported that something they least liked was the lack of deadlines.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
May combine two claims.
Findingown dataThe groups did not differ on baseline or post-treatment depression scores.
“The groups did not differ on baseline or post-treatment depression scores.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe form allowed a level of distance and perceived anonymity that was seen as important.
“This is perhaps related to a perceived benefit of the form, 'not having to talk face-to-face', that it allowed a level of distance and perceived anonymity that was seen as important.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe cCBT group were more critical, mentioning that explanations were at times lacking depth and that they were sometimes unsure whether they understood what was being asked of them.
“The cCBT group were more critical, mentioning that explanations were at times lacking depth and that they were sometimes unsure whether they understood what was being asked of them, for instance whether they were 'picking up the instructions correctly'.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe medium of communication for the eCBT group was noted as a benefit: writing was more real than talking.
“The medium of communication for the eCBT group was noted as a benefit: 'writing was . . .more real than talking'.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown datacCBT users reported the program introduced CBT gradually and encouraged the user to do homework.
“Users reported how the program 'introduced CBT gradually, and encourages the user to do the homework'.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataUsers disliked that deadlines were largely left up to the individual; the burden of responsibility may be too much for some.
“Secondly, users disliked that deadlines were largely left up to the individual; the burden of responsibility may be too much for some.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataeCBT users could ask for clarification and this was noted.
“However, unlike the cCBT group, they could ask for clarification and this was noted: 'it was always clarified when I asked for help'.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataAt times users experienced difficulties in accessing treatment or printouts, or their computer stalling, causing frustration.
“At times users experienced difficulties in accessing treatment or printouts, or their computer stalling, all causing understandable frustration.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataOther aspects of form that were not liked at times were the voice-over and the music.
“Other aspects of form that were not liked at times were 'the voice-over and the music'.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe cCBT group highlight that the program could at times not match what they needed, and the level of responsiveness was limited.
“The cCBT group also highlight that the program could at times not match what they needed, and the level of responsiveness was limited.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
May combine two claims.
FindingreasoningParticipants were satisfied, found the treatment helpful and would recommend the treatment to others.
“Consequently participants were satisfied, found the treatment helpful and would recommend the treatment to others.”
Quote in the paperSubstantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
May combine two claims.
Findingown dataThe format of delivering online treatments came to the fore with the difference found between the ratings for ease of use; this was rated somewhat higher for the cCBT group.
“The format of delivering online treatments came to the fore with the difference found between the ratings for ease of use.This was rated somewhat higher for the cCBT group.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
May combine two claims.
Findingown dataThe cCBT participants mention the learning they achieved in terms of CBT skills and strategies and also how the treatment was user-friendly.
“The cCBT participants further mention the learning they achieved in terms of the CBT skills and strategies and also how the treatment was user-friendly.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
May combine two claims.
Findingown dataThe eCBT group noted how the treatment could be complicated and impersonal, a point also noted for the cCBT group.
“At the same time, however, the eCBT group noted how the treatment could be complicated and impersonal, a point also noted for the cCBT group.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
Probably not a substantial claim: may not pass S3 (load-bearing).
FindingreasoningThis was experienced as somewhat overwhelming.
“There is a sense that this was experienced as somewhat overwhelming.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataExcept for the greater number of sessions completed by both groups and the significant difference in age for the cCBT group, the group that completed the satisfaction measure is largely representative of the group that began treatment.
“It can be concluded that except for the greater number of sessions completed by both groups and the significant difference in age for the cCBT group, the group that completed SAT are largely representative of the group that began treatment.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThere was a non-significant trend for better outcomes in the eCBT group in the main trial.
“Additionally, there existed a non-significant trend for better outcomes in the eCBT group (Richards et al., in press).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Richards et al., in press
Not checked in the free run.
May combine two claims.
InterpretationcitationThe population were self-referred and this seems to increase the likelihood of users reporting satisfaction with online delivery of psychological interventions.
“The population were self-referred and this seems to increase the likelihood of users reporting satisfaction with online delivery of psychological interventions (Mataix-Cols, Cameron, Gega, Kenwright, & Marks, 2006).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Mataix-Cols, Cameron, Gega, Kenwright, & Marks, 2006
Not checked in the free run.
- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationContact purely via email is perhaps not powerful enough to stimulate the maintenance of treatment.
“Carlbring (2004) suggests that contact purely via email is perhaps not powerful enough to stimulate the maintenance of treatment.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Carlbring, 2004
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataParticipants' comments highlight areas of potential weakness in delivering online treatments.
“Participants' comments highlight areas of potential weakness in delivering online treatments.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataThe program is demanding.
“The program is demanding and perhaps a more flexible schedule than weekly would be more appropriate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationRecent ethical guidelines for online counselling advocate that online counsellors should have a verifiable identity.
“Indeed, recent ethical guidelines for online counselling advocate that online counsellors should have a verifiable identity (Anthony & Goss, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Anthony & Goss, 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
InterpretationreasoningEven at a practical level support may be required.
“Even at a practical level support may be required.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationCarlbring (2004) reports a similar concern that having no deadlines at all seems to have disadvantages.
“Carlbring (2004) reports a similar concern that having no deadlines at all seems to have disadvantages.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Carlbring (2004)
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningSuch design elements can cause frustration and potentially limit the usefulness of the program for some users.
“Such design elements can cause frustration and potentially limit the usefulness of the program for some users.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationAdherence to the responsive use of generic counselling skills in the therapist's responses was assessed by independent raters and considered adequate.
“The responsive use of generic counselling skills in the therapist's responses was a part of the therapist-delivered condition and adherence to it was assessed by independent raters and considered to be adequate (see the main study Richards et al., in press).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Richards et al., in press
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAnonymity and distance have been noted as benefits in online delivery.
“Anonymity and distance have been noted as benefits in online delivery (Efstathiou, 2009;Richards, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Efstathiou, 2009;Richards, 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.
InterpretationreasoningThis references the benefits and need for supported implementation of online treatments.
“It was therefore the case that at all times the eCBT group could consult their clinician and perhaps this again references the benefits and need for supported implementation of online treatments.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe BDI for the study sample demonstrated high reliability (Cronbach's alpha 0.88).
“The BDI for the study sample demonstrated high reliability (Cronbach's a 0.88).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDesign of delivery has been noted by other studies as potentially a significant element in the success of any treatment.
“Design of delivery has been noted by other studies as potentially a significant element in the success of any treatment (Meyer et al., 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Meyer et al., 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationComputer-based supported treatments yield greater effects than unsupported treatments.
“However, in general it is the case that computer-based supported treatments yield greater effects than unsupported treatments (Richards & Richardson, 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Richards & Richardson, 2012
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningThe self-administered program delivered content incrementally and was perhaps more manageable for participants.
“Engagement was more pronounced in the cCBT group; the self-administered program delivered content incrementally and perhaps was more manageable for participants.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing). May combine two claims.
InterpretationreasoningIt seemed pertinent for the eCBT group to be able to communicate with a professional and receive feedback while at the same time being at some distance and therefore providing some level of perceived anonymity.
“It seemed pertinent for the eCBT group to be able to communicate with a professional and receive feedback while at the same time being at some distance and therefore providing some level of perceived anonymity.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningThere seems to be a need for personal contact throughout the program.
“There seems to be a need for personal contact throughout the program.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningThe treatment program was focused and promoted engagement for the users.
“It seems that the treatment program was focused and promoted engagement for the users.”
Quote in the paperNot a substantial claim- Rests on an assumption: The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
Classified as probably not a substantial claim. May combine two claims.
Study design and conductown dataParticipants were randomised to treatment conditions and randomisation was carried out independent of the researchers.
“Participants were randomised to one or other of the available treatment conditions and randomisation was carried out independent of the researchers.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
InterpretationreasoningThe format of asynchronous delivery may be cumbersome and lessen engagement.
“On the other hand, the format of asynchronous delivery may be cumbersome and in fact lessen engagement, a noted drawback for delivering an asynchronous text-based CBT protocol.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe qualitative analysis was first performed by the first author and then audited by the second author who was not aware from which condition the data came.
“The analysis was first performed by the first author and then audited by the second author who was not aware from which condition (eCBT or cCBT) the data came.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S2 (checkable), S3 (load-bearing).
PremisecitationSuch a form may be necessary for some clients who might feel too ashamed to present face-to-face, at least initially.
“It has been suggested that such a form may be necessary for some clients who might feel too ashamed to present face-to-face, at least initially (Leibert, Archer, Munson, & York, 2006;Simpson, 2009).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Leibert, Archer, Munson, & York, 2006;Simpson, 2009
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationWriting instead of talking, and from a distance, has other noted benefits including the therapeutic benefit of writing and the potential for disinhibition.
“Writing instead of talking, and from a distance, has other noted benefits including the therapeutic benefit of writing and the potential for disinhibition (Suler, 2004;Wright, 2002;Wright & Chung, 2001).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Suler, 2004;Wright, 2002;Wright & Chung, 2001
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable).
InterpretationreasoningConsiderations of time and pace have implications for optimal delivery of online treatments.
“Considerations of time and pace have implications for optimal delivery of online treatments.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Interpretationown dataThis low response rate could be due to high dropout from treatment affecting the research response rate.
“This could be due to the fact that dropout from treatment was high and consequently affected the research response rate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe second author evaluated the data without prior knowledge of which group the data came from.
“While the second author evaluated the data without prior knowledge of which group the data came from, a noted limitation is the subjective nature of using a qualitative approach.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationEthical guidelines have been developed for the practice of online counselling, professional organisations have been established to support its development, and training courses for professionals to work ethically online have evolved.
“In particular, ethical guidelines have been developed for the practice of online counselling, professional organisations have been established to support its development, and training courses for professionals to work ethically online have evolved (Richards & Vigano `, 2012).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Richards & Vigano `, 2012
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenThe subjective nature of using a qualitative approach is a noted limitation.
“While the second author evaluated the data without prior knowledge of which group the data came from, a noted limitation is the subjective nature of using a qualitative approach.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationMany ethical issues have now been addressed adequately for the professional practice of online counselling.
“It is, however, the case that many of these issues have now been addressed adequately for the professional practice of online counselling.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Richards & Vigano `, 2012
Not checked in the free run.
Probably not a substantial claim: may not pass S2 (checkable). May combine two claims.
Interpretationnone givenAspects of the delivery of online treatments that are identified in the satisfaction measure data need to be considered carefully and can contribute to the successful design, delivery and implementation of online treatments.
“Aspects of the delivery of online treatments that are identified in the satisfaction measure data need to be considered carefully and can contribute to the successful design, delivery and implementation of online treatments.”
Quote in the paperNot a substantial claim- Rests on an assumption: The group of respondents is largely representative of the entire group who begun treatment.
The paper relies on this without support.
The Satisfaction with Online Treatment (SAT) measure is a valid and reliable instrument for assessing satisfaction with online treatment.
“The measure was developed with the primary aim of determining participants' attitudes towards their online delivered treatment.”
The paper relies on this without support.
The group of respondents is largely representative of the entire group who begun treatment.
“Although the group of respondents is largely representative of the entire group who begun treatment, any potential generalisations made are consequently tentative.”
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?
The Satisfaction with Treatment (SAT) questionnaire establishes a net promoter score that serves as a tool to gauge customer satisfaction.
“The Satisfaction with Treatment (SAT) questionnaire [82] establishes a net promoter score that serves as a tool to gauge customer satisfaction.”
From Low-intensity internet-delivered treatment for generalized anxiety symptoms in routine care: protocol for a randomized controlled trial (2014) · cites this paper as [82]
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.
Two standard deviations reported for the same respondents' session count
MinorBoth passages describe the 25 participants who completed the satisfaction measure and give the same mean of 5.64 sessions, but one reports an SD of 2.2 and the other 2.40.
“For the participants who completed the satisfaction measure, the mean number of sessions completed was 5.64 (SD02.2),and for each group was 5.10 (SD 02.2) for eCBT and 6.00 (SD02.2) for cCBT.”
“The 25 who completed SAT forms averaged M 0 5.64 (S.D. 0 2.40) sessions compared to the 55 who did not complete SAT forms averaging M 0 3.27 (S.D. 0 2.19) sessions.”
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Cited by
Sorted by citations
Hollis, C., Falconer, C. J., Martin, J. L., Whittington, C., Stockton, S., Glazebrook, C., & Davies, E. B. (2017) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12663 · Cited by 846 · see citing works
Lattie, E. G., Adkins, E. C., Winquist, N., Stiles-Shields, C., Wafford, Q. E., & Graham, A. K. (2019) · Journal of Medical Internet Research · doi:10.2196/12869 · Cited by 843 · see citing works
Beatty, L., & Binnion, C. (2016) · International Journal of Behavioral Medicine · doi:10.1007/s12529-016-9556-9 · Cited by 347 · see citing works
User Acceptance of Computerized Cognitive Behavioral Therapy for Depression: Systematic Review
Rost, T., Stein, J., Löbner, M., Kersting, A., Luck-Sikorski, C., & Riedel-Heller, S. G. (2017) · Journal of Medical Internet Research · doi:10.2196/jmir.7662 · Cited by 91 · see citing works
“%) indicated a high level of acceptance [12,24,25,29-35, No study showed a low level of user acceptance.”
BackgroundResultInfluentialSalamanca-Sanabria, A., Richards, D., Timulak, L., Connell, S., Mojica Perilla, M., Parra-Villa, Y., & Castro-Camacho, L. (2020) · JMIR Mental Health · doi:10.2196/13392 · Cited by 83 · see citing works
Self-citationBantjes, J. R., Kazdin, A. E., Cuijpers, P. J., Breet, E., Dunn‐Coetzee, M., Davids, C., Stein, D. J., & Kessler, R. C. (2021) · JMIR Mental Health · doi:10.2196/27400 · Cited by 76 · see citing works
The Implementation of Internet Interventions for Depression: A Scoping Review
Drozd, F., Vaskinn, L., Bergsund, H. B., Haga, S. M., Slinning, K., & Bjørkli, C. A. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5670 · Cited by 60 · see citing works
Richards, D., Murphy, T., Viganó, N., Timulak, L., Doherty, G., Sharry, J., & Hayes, C. (2016) · Internet Interventions · doi:10.1016/j.invent.2016.06.007 · Cited by 59 · see citing works
Self-citationEustis, E. H., Hayes-Skelton, S. A., Orsillo, S. M., & Roemer, L. (2018) · Behavior Therapy · doi:10.1016/j.beth.2018.05.009 · Cited by 56 · see citing works
Palacios, J. E., Richards, D., Palmer, R., Coudray, C., Hofmann, S. G., Palmieri, P. A., & Frazier, P. (2018) · JMIR Mental Health · doi:10.2196/11467 · Cited by 52 · see citing works
Self-citationRichards, D., Timulak, L., Doherty, G., Sharry, J., Colla, A., Joyce, C., & Hayes, C. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-147 · Cited by 35 · see citing works
Self-citationEnrique, Á., Mooney, O., Salamanca-Sanabria, A., Lee, C. T., Farrell, S., & Richards, D. (2020) · JMIR Formative Research · doi:10.2196/20167 · Cited by 29 · see citing works
Self-citationSalamanca-Sanabria, A., Richards, D., Timulák, L., Castro-Camacho, L., Mojica-Perilla, M., & Parra-Villa, Y. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1634-x · Cited by 26 · see citing works
Self-citationDorow, M., Stein, J., Förster, F., Löbner, M., Franz, M., Günther, R., Schröder, R., Sommer, D., Möller, D., Dekoj, M. C., et al. (2018) · Psychiatrische Praxis · doi:10.1055/s-0043-117049 · Cited by 18 · see citing works
Enrique, Á., Duffy, D. J., Lawler, K., Richards, D., & Jones, S. H. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2480 · Cited by 24 · see citing works
Self-citationEnrique, Á., Mooney, O., Salamanca-Sanabria, A., Lee, C. T., Farrell, S., & Richards, D. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.100254 · Cited by 23 · see citing works
Self-citationBowman, S. J., Easpaig, B. N. G., & Fox, R. (2020) · Rural and Remote Health · doi:10.22605/rrh5448 · Cited by 22 · see citing works
Nadal, C., Earley, C., Enrique, Á., Sas, C., Richards, D., & Doherty, G. J. (2023) · ACM Transactions on Computer-Human Interaction · doi:10.1145/3617361 · Cited by 18 · see citing works
Self-citationNadal, C., Earley, C., Enrique, Á., Viganò, N., Sas, C., Richards, D., & Doherty, G. J. (2021) · Contemporary Clinical Trials · doi:10.1016/j.cct.2021.106323 · Cited by 17 · see citing works
Self-citationRichards, D., Timulak, L., Doherty, G., Sharry, J., McLoughlin, O., Rashleigh, C., Colla, A., & Joyce, C. (2014) · Trials · doi:10.1186/1745-6215-15-145 · Cited by 16 · see citing works
Self-citationBurke, J., Richards, D., & Timulak, L. (2019) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465818000504 · Cited by 14 · see citing works
Self-citationPatient experience of supported computerized CBT in an inner-city IAPT service: a qualitative study
Perera-Delcourt, R. P., & Sharkey, G. (2019) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x18000284 · Cited by 14 · see citing works
Omylinska‐Thurston, J., Aithal, S., Liverpool, S., Clark, R. D., Moula, Z., Wood, J., Viliardos, L., Rodríguez-Dorans, E., Farish-Edwards, F., Parsons, A. S., et al. (2024) · JMIR Mental Health · doi:10.2196/55500 · Cited by 14 · see citing works
Frazier, P. A., Richards, D., Mooney, J., Hofmann, S. G., Beidel, D. C., Palmieri, P. A., & Bonner, C. (2016) · Pilot and Feasibility Studies · doi:10.1186/s40814-016-0068-9 · Cited by 12 · see citing works
Self-citationMacKean, M., Lecchi, T., Mortimer, R., & Midgley, N. (2023) · Journal of Child Psychotherapy · doi:10.1080/0075417x.2023.2173271 · Cited by 10 · see citing works
Akkol-Solakoglu, S., Hevey, D., & Richards, D. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100367 · Cited by 8 · see citing works
Self-citationScior, K., Evans, J., Hildebrand, A., Mills, H., Raeder, S. M., Smith, V., Corrigan, P. W., & Clements, H. (2021) · Clinical Psychology Forum · doi:10.53841/bpscpf.2021.1.344.65 · Cited by 5 · see citing works
Özer, Ö., & Köksal, B. (2023) · OSMANGAZİ JOURNAL OF MEDICINE · doi:10.20515/otd.1309551 · Cited by 5 · see citing works
Liossi, C., Georgallis, T., Zhang, J., Hamilton, F., White, P., & Schoth, D. E. (2020) · BMJ Open · doi:10.1136/bmjopen-2019-030607 · Cited by 4 · see citing works
Darker, C. D., Moore, E., Flynn, E., O’Neill, M., Doherty, L., McMahon, J., McLoughlin, O., Rouine, E., Ivers, J., Allwright, S., et al. (2021) · Health Promotion International · doi:10.1093/heapro/daab071 · Cited by 4 · see citing works
Sánchez, O. A., Trejos-Gil, C. A., Castro-Escobar, H. Y., & Angulo, E. J. (2021) · doi:10.31876/rcs.v27i.36993 · Cited by 3 · see citing works
Lebeaut, A., Pedersen, E. R., Francis, D. J., Zvolensky, M. J., & Vujanovic, A. A. (2023) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2023.101088 · Cited by 3 · see citing works
Binet, É., Ouellet, M., Lebel, J., Békés, V., Morin, C. M., & Belleville, G. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11226649 · Cited by 2 · see citing works
University student experiences of digital mental health packages
Barnwell, A. M., & Patton, R. (2025) · Journal of Further and Higher Education · doi:10.1080/0309877x.2025.2451693 · Cited by 2 · see citing works
Williamson, J. R. (2014) · Digital Commons - East Tennessee State University (East Tennessee State University) · Cited by 2 · see citing works
Introducing unguided computerized solution-focused self-help into university counseling services
Čepukienė, V., & Pakrosnis, R. (2018) · International Journal of Psychology a Biopsychosocial Approach · doi:10.7220/2345-024x.22.1 · Cited by 1 · see citing works
Reynolds, K. R. (2016) · ScholarWorks - WMU (Western Michigan University)
Mills, H. (2018) · UCL Discovery (University College London)
Ramos-Álvarez, R., Sánchez-Martín, M., Rodríguez-Ruiz, M.-M., & Fausor, R. (2023) · Anales de Psicología · doi:10.6018/analesps.441181
Lebeaut, A., Pedersen, E. R., Francis, D. J., Zvolensky, M. J., & Vujanovic, A. A. (2025) · Behaviour Research and Therapy · doi:10.1016/j.brat.2025.104935
- Authors
- Richards, D., & Timulak, L.
- Affiliations
- Trinity College Dublin (IE)
- University of Dublin, Trinity College Dublin
- Corresponding author
- Richards, Derek
- ORCID
- Richards, Derek
- Venue
- British Journal of Guidance & Counselling
- Publisher
- Informa UK Limited
- Published
- 2012-10
- Volume
- 41
- Issue
- 2
- Pages
- 193-207
- ISSN
- 0306-9885 (ISSN-L)
- 1469-3534
- OpenAlex
- W2085386357
- Cited by
- 40
- References
- 33
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 5 · 2022: 1 · 2021: 6 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 6 · 2014: 3
- FWCI
- 1.34
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- British Journal of Guidance and Counselling (publishedVersion)
- Trinity's Access to Research Output (TARA) (Trinity College Dublin) (submittedVersion)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion, cc-by-nc-sa)
- Funders
- Health Service Executive
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- depression, cognitive behavioral therapy, online therapy, self-administered therapy, treatment satisfaction, university students, perceived anonymity, self-control
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-10.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-10.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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