Expectations, experiences and attitudes of patients and primary care health professionals regarding online psychotherapeutic interventions for depression: protocol for a qualitative study
Open accessAbstract
BACKGROUND: In the year 2020, depression will cause the second highest amount of disability worldwide. One quarter of the population will suffer from depression symptoms at some point in their lives. Mental health services in Western countries are overburdened. Therefore, cost-effective interventions that do not involve mental health services, such as online psychotherapy programs, have been proposed. These programs demonstrate satisfactory outcomes, but the completion rate for patients is low. Health professionals' attitudes towards this type of psychotherapy are more negative than the attitudes of depressed patients themselves. The aim of this study is to describe the profile of depressed patients who would benefit most from online psychotherapy and to identify expectations, experiences, and attitudes about online psychotherapy among both patients and health professionals that can facilitate or hinder its effects. METHODS: A parallel qualitative design will be used in a randomised controlled trial on the efficiency of online psychotherapeutic treatment for depression. Through interviews and focus groups, the experiences of treated patients, their reasons for abandoning the program, the expectations of untreated patients, and the attitudes of health professionals will be examined. Questions will be asked about training in new technologies, opinions of online psychotherapy, adjustment to therapy within the daily routine, the virtual and anonymous relationship with the therapist, the process of online communication, information necessary to make progress in therapy, process of working with the program, motivations and attitudes about treatment, expected consequences, normalisation of this type of therapy in primary care, changes in the physician-patient relationship, and resources and risks. A thematic content analysis from the grounded theory for interviews and an analysis of the discursive positions of participants based on the sociological model for focus groups will be performed. DISCUSSION: Knowledge of the expectations, experiences, and attitudes of both patients and medical personnel regarding online interventions for depression can facilitate the implementation of this new psychotherapeutic tool. This qualitative investigation will provide thorough knowledge of the perceptions, beliefs, and values of patients and clinicians, which will be very useful for understanding how to implement this intervention method for depression.
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The results of that qualitative study showed good general acceptance of the IBI, detecting possible advantages and suggested improvements, such as the need for individualized and personalized interaction.
“The results showed good general acceptance of the IBI, detecting possible advantages and suggested improvements, such as the need for individualized and personalized interaction (32).”
From Exploring the relationship between the acceptability of an internet-based intervention for depression in primary care and clinical outcomes: Secondary analysis of a randomized controlled trial (2019) · cites this paper as [32]
The Methods > Design section describes a qualitative study that is proposed, not one with reported results. The Background discusses positive expectations and satisfaction from earlier studies, but this paper does not report findings of general acceptance or a need for individualized interaction from its own study. No page numbers are available in our copy. (LLM, conf=0.88)
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Experimental — accuracy not yet measuredOnly one study in Spain explores patients' expectations about an IBI for depression in primary care through a qualitative research design.
“Only one study in Spain explores patients’ expectations about an IBI for depression in primary care (32) through a qualitative research design.”
From Exploring the relationship between the acceptability of an internet-based intervention for depression in primary care and clinical outcomes: Secondary analysis of a randomized controlled trial (2019) · cites this paper as [32]
Methods > Design describes a proposed qualitative study of patients’ expectations about online psychotherapy for depression; Methods > Participants places recruitment in Spanish primary care. The paper is a protocol, not a report of completed research, and these passages do not establish that it is the only such study in Spain. No page numbers are available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe finding is consistent with a previous qualitative study where participants showed a favorable opinion about using an online program.
“In addition, this finding is consistent with the results obtained in the previous qualitative study, where participants showed a favorable opinion in the case where they had to use an online program (32).”
From Exploring the relationship between the acceptability of an internet-based intervention for depression in primary care and clinical outcomes: Secondary analysis of a randomized controlled trial (2019) · cites this paper as [32]
The Background reports that patients have positive expectations and high satisfaction with computer-assisted psychotherapy. But this paper is a protocol: its Methods describe interviews and focus groups that will be conducted, not results showing that its participants favored using an online program. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe results coincide with literature indicating that people treated with Internet-based programs report high levels of acceptability and high satisfaction.
“Our results coincide with the literature indicating that people treated with Internet-based programs report high levels of acceptability and high satisfaction (58, 73–78).”
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- Authors
- Montero-Marín, J., Carrasco, J. M., Roca, M., Serrano-Blanco, A., Gili, M., Mayoral, F., Luciano, J. V., Lopez-del-Hoyo, Y., Olivan, B., Collazo, F., Araya, R., Baños, R., Botella, C., & García-Campayo, J.
- Affiliations
- Sociedad Española de Reumatología (ES)
- Research Institute of Health Sciences (ES)
- Parc Sanitari Sant Joan de Déu (ES)
- Vall d'Hebron Hospital Universitari (ES)
- University of Bristol (GB)
- Universitat de València (ES)
- Universitat Jaume I (ES)
- ORCID
- Venue
- BMC Psychiatry
- Published
- 2013-02-20
- Volume
- 13
- Issue
- 1
- Pages
- 64-64
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC3599900
- OpenAlex
- W2101933101
- Cited by
- 26
- References
- 58
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 1 · 2019: 3 · 2017: 2 · 2016: 6 · 2015: 8
- FWCI
- 7.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Zaguan (Universidad de Zaragoza) (acceptedVersion, cc-by)
- Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by-nc-sa)
- Deposito Adademico Digital Universidad De Navarra (University of Navarra) (submittedVersion, cc-by)
- Research Portal (King's College London) (submittedVersion)
- Repository of Digital Objects for Teaching Research and Culture (University of Valencia) (submittedVersion, cc-by-nc)
- RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
- Funders
- Ministerio de Ciencia e Innovación
- Instituto de Salud Carlos III
- 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 › Social Psychology › Mental Health Treatment and Access
- Keywords
- depression, online therapy, digital mental health interventions, patient expectations, patient experience, clinician attitudes, primary care, treatment discontinuation, physician-patient relationship
- MeSH terms
- Attitude of Health Personnel, Attitude to Computers, Attitude to Health, Depression, Humans, Interviews as Topic, Psychotherapy, Focus Groups, Telemedicine, Qualitative Research, Physicians, Primary Care
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