Portuguese Psychologists' Attitudes Toward Internet Interventions: Exploratory Cross-Sectional Study
Open accessPublished version of a preprint
Abstract
Background: Despite the significant body of evidence on the efficacy and cost-effectiveness of internet interventions, the implementation of such programs in Portugal is virtually non-existent. In addition, Portuguese psychologists’ use and their attitudes towards such interventions is largely unknown. Objective: The aim of this study was to explore Portuguese psychologists’ knowledge, training, use and attitudes towards internet interventions; to investigate perceived advantages and limitations of such interventions; identify potential drivers and barriers impacting implementation; and study potential factors associated to previous use and attitudes towards internet interventions. Methods: An online cross-sectional survey was developed by the authors and disseminated by the Portuguese Psychologists Association to its members. Results: A total of 1077 members of the Portuguese Psychologists Association responded to the questionnaire between November 2018 and February 2019. Of these, 37.2% (N=363) were familiar with internet interventions and 19.2% (N=188) considered having the necessary training to work within the field. 29.6% (N=319) of participants reported to have used some form of digital technology to deliver care in the past. Telephone (23.8%; N=256), e-mail (16.2%; N=175) and SMS (16.1%; N=173) services were among the most adopted forms of digital technology, while guided (1.3%; N=14) and unguided (1.5%; N=16) internet interventions were rarely used. Accessibility (79.9%; N=860), convenience (45.7%; N=492) and cost-effectiveness (45.5%; N=490) were considered the most important advantages of internet interventions. Conversely, ethical concerns (40.7%; N=438), client’s ICT illiteracy (43.2%; N=465) and negative attitudes towards internet interventions (37%; N=398) were identified as the main limitations. An assessment of participants attitudes towards internet interventions revealed a slightly negative/neutral stance (Median=46.21; SD=15.06) and revealed greater acceptability towards blended treatment interventions (62.9%; N=615) when compared to standalone internet interventions (18.6%; N=181). Significant associations were found between knowledge (χ24=90.4; P<.001), training (χ24=94.6; P<.001), attitudes (χ23=38.4; P<.001) and previous use of internet interventions and between knowledge (χ212=109.7; P<.001), training (χ212=64.7; P<.001) and attitudes towards such interventions, with psychologists reporting to be ignorant and not having adequate training in the field, being more likely to present more negative attitudes towards these interventions and not having prior experience in its implementation. Conclusions: This study revealed that most Portuguese psychologists are not familiar with and have no training or prior experience using internet interventions and had a slightly negative/neutral attitude towards such interventions. There was greater acceptability towards blended treatment interventions compared to standalone internet interventions. Lack of knowledge and training were identified as the main barriers to overcome, underlining the need of promoting awareness and training initiatives to ensure internet interventions successful implementation.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
Additional content was developed based on peer-reviewed sources, as well as mixed methods research conducted by the research team and involving iNNOVBC's primary and secondary end users.
“Additional content was developed based on peer-reviewed sources [46-50], as well as mixed methods research conducted by the research team and involving iNNOVBC’s primary and secondary end users [51,52].”
From Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study (2022) · cites this paper as [51]
The Methods (Study Design and Procedures; page unavailable) describe research by the iNNOVBC team involving Portuguese psychologists, who could be secondary end users. But this paper reports a cross-sectional questionnaire, not a mixed-methods study. The Discussion (Limitations and Future Work; page unavailable) describes qualitative work with psychologists and mixed-methods work with breast cancer patients as separate ongoing studies; it does not say this research was used to develop the additional content. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThis discrepancy adds to technical, usability, funding, attitudinal, and training limitations identified by participants and the literature as potentially hindering successful implementation of iNNOVBC and underlines the need to further assess and refine it in clinical contexts before scaling up.
“This discrepancy adds to the technical, usability, funding, attitudinal, and training limitations identified by participants and the literature [51] as potentially hindering successful implementation of iNNOVBC and underlines the need to further assess and refine it in clinical contexts before scaling up the program.”
From Development and Evaluation of the Usefulness, Usability, and Feasibility of iNNOV Breast Cancer: Mixed Methods Study (2022) · cites this paper as [51]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
User Acceptance of Information Technology: Toward A Unified View1
Venkatesh, V., Morris, M. G., Davis, G. B., & Davis, F. D. (2003) · MIS Quarterly · doi:10.2307/30036540 · Cited by 45,035 · see citing works
Nature and Operation of Attitudes
Ajzen, I. (2001) · Annual Review of Psychology · doi:10.1146/annurev.psych.52.1.27 · Cited by 4,321 · 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
Internet-Based and Other Computerized Psychological Treatments for Adult Depression: A Meta-Analysis
Andersson, G., & Cuijpers, P. (2009) · Cognitive Behaviour Therapy · doi:10.1080/16506070903318960 · Cited by 1,368 · see citing works
Self-citationBarak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. (2008) · Journal of Technology in Human Services · doi:10.1080/15228830802094429 · Cited by 1,283 · see citing works
Carlbring, P., Andersson, G., Cuijpers, P., Riper, H., & Hedman-Lagerlöf, E. (2018) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2017.1401115 · Cited by 1,232 · see citing works
Self-citationAdvantages and limitations of Internet-based interventions for common mental disorders
Andersson, G., & Titov, N. (2014) · World Psychiatry · doi:10.1002/wps.20083 · Cited by 1,160 · see citing works
Self-citationAndersson, G., Cuijpers, P., Carlbring, P., Riper, H., & Hedman, E. (2014) · World Psychiatry · doi:10.1002/wps.20151 · Cited by 1,077 · see citing works
Self-citationDefining Internet-Supported Therapeutic Interventions
Barak, A., Klein, B., & Proudfoot, J. G. (2009) · Annals of Behavioral Medicine · doi:10.1007/s12160-009-9130-7 · Cited by 731 · cited 2× · see citing works
“4 | e16817 | p. 3https://mental.jmir.org/2020/4/e16817 (page number not for citation purposes) XSL•FO RenderX for participants to be familiar with the concept of internet interventions, an explanation of the concept based on the definition by Barak et al [42] was provided in the instructions section of the questionnai…”
BackgroundInternet-Delivered Psychological Treatments
Andersson, G. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093006 · Cited by 595 · see citing works
Self-citationWaller, R., & Gilbody, S. (2009) · Psychological Medicine · doi:10.1017/s0033291708004224 · Cited by 393 · cited 1× · see citing works
“Other important findings reported in previous research as influencing therapist attitudes relate to demographic and background factors (eg, age, gender, length of professional career, personal experience in using modern technologies) [19,21,30], practical concerns (eg, costs of setting up and maintaining the necessary…”
BackgroundKuijpers, W., Groen, W. G., Aaronson, N. K., & van Harten, W. H. (2013) · Journal of Medical Internet Research · doi:10.2196/jmir.2281 · Cited by 391 · see citing works
Therapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults
Olthuis, J. V., Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2016) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011565.pub2 · Cited by 390 · see citing works
Berger, T. (2017) · Psychotherapy Research · doi:10.1080/10503307.2015.1119908 · Cited by 364 · cited 1× · see citing works
“Although research on this topic is scarce, recent studies suggest therapeutic alliance in internet-based cognitive behavioral therapy is high [57,58] and has the potential of enhancing engagement and rapport in face-to-face psychotherapy when combined [59].”
BackgroundBower, P., Kontopantelis, E., Sutton, A., Kendrick, T., Richards, D. A., Gilbody, S., Knowles, S., Cuijpers, P., Andersson, G., Christensen, H., et al. (2013) · BMJ · doi:10.1136/bmj.f540 · Cited by 341 · see citing works
Self-citationInternet interventions: Past, present and future
Andersson, G. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.03.008 · Cited by 315 · cited 1× · see citing works
“Although these may be in fact challenges to overcome in some domains, the high number of publications attesting to the efficacy and cost effectiveness of internet interventions based on established treatment protocols and promoting the use of self-help techniques by clients [47-49] refutes these misconceptions.”
BackgroundSelf-citationAttitudes towards digital treatment for depression: A European stakeholder survey
Topooco, N., Riper, H., Araya, R., Berking, M., Brunn, M., Chevreul, K., Cieslak, R., Ebert, D. D., Etchmendy, E., Herrero, R., et al. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.01.001 · Cited by 262 · see citing works
Self-citationApplied Multivariate Statistics for the Social Sciences
Carlson, J. E., & Stevens, J. L. (1988) · Journal of Educational Statistics · doi:10.2307/1164712 · Cited by 202 · see citing works
Jansen, F., van Uden-Kraan, C. F., van Zwieten, V., Witte, B. I., & Verdonck-de Leeuw, I. M. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-014-2514-7 · Cited by 195 · see citing works
Meyer, B., Bierbrodt, J., Schröder, J., Berger, T., Beevers, C. G., Weiss, M., Jacob, G., Späth, C., Andersson, G., Lutz, W., et al. (2015) · Internet Interventions · doi:10.1016/j.invent.2014.12.003 · Cited by 188 · see citing works
Self-citationE-therapy in the treatment and prevention of eating disorders: A systematic review and meta-analysis
Loucas, C. E., Fairburn, C. G., Whittington, C., Pennant, M. E., Stockton, S., & Kendall, T. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.09.011 · Cited by 169 · see citing works
Glueckauf, R. L., Maheu, M. M., Drude, K. P., Wells, B. A., Wang, Y., Gustafson, D. J., & Nelson, E. (2018) · Professional Psychology Research and Practice · doi:10.1037/pro0000188 · Cited by 155 · see citing works
Internet and psychological treatment. How well can they be combined?
Carlbring, P., & Andersson, G. (2006) · Computers in Human Behavior · doi:10.1016/j.chb.2004.10.009 · Cited by 151 · see citing works
Self-citationTherapist-supported Internet cognitive behavioural therapy for anxiety disorders in adults
Olthuis, J. V., Watt, M. C., Bailey, K., Hayden, J. A., & Stewart, S. H. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011565 · Cited by 150 · see citing works
Schröder, J., Sautier, L., Kriston, L., Berger, T., Meyer, B., Späth, C., Köther, U., Nestoriuc, Y., Klein, J. P., & Moritz, S. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.08.044 · Cited by 149 · see citing works
Pihlaja, S., Stenberg, J.-H., Joutsenniemi, K., Mehik, H., Ritola, V., & Joffe, G. (2018) · Internet Interventions · doi:10.1016/j.invent.2017.11.005 · Cited by 134 · see citing works
Feijt, M. A., de Kort, Y. A., Bongers, I. M., & IJsselsteijn, W. A. (2018) · Journal of Medical Internet Research · doi:10.2196/jmir.9485 · Cited by 134 · cited 6× · see citing works
“Other important findings reported in previous research as influencing therapist attitudes relate to demographic and background factors (eg, age, gender, length of professional career, personal experience in using modern technologies) [19,21,30], practical concerns (eg, costs of setting up and maintaining the necessary…”
BackgroundResultInfluentialAgboola, S. O., Ju, W., Elfiky, A., Kvedar, J. C., & Jethwani, K. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.4009 · Cited by 132 · see citing works
Cipolletta, S., & Mocellin, D. (2018) · Psychotherapy Research · doi:10.1080/10503307.2016.1259533 · Cited by 122 · see citing works
Schuster, R., Pokorny, R., Berger, T., Topooco, N., & Laireiter, A.-R. (2018) · Journal of Medical Internet Research · doi:10.2196/11007 · Cited by 121 · see citing works
Perle, J. G., Langsam, L. C., Randel, A. B., Lutchman, S., Levine, A. B., Odland, A. P., Nierenberg, B. P., & Marker, C. D. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.21912 · Cited by 118 · see citing works
Schröder, J., Berger, T., Meyer, B., Lutz, W., Hautzinger, M., Späth, C., Eichenberg, C., Klein, J. P., & Moritz, S. (2017) · Cognitive Therapy and Research · doi:10.1007/s10608-017-9850-0 · Cited by 113 · cited 3× · see citing works
“Dynamic and existential oriented therapists were less likely to endorse internet interventions and more likely to have negative attitudes toward them than therapists from other theoretical stances such as cognitive behavioral, cognitive, behavioral, and systems therapists, a finding that has been corroborated in other…”
BackgroundResultInternet interventions for depression: new developments
Schröder, J., Berger, T., Westermann, S., Klein, J. P., & Moritz, S. (2016) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2016.18.2/jschroeder · Cited by 105 · see citing works
Wangberg, S. C., Gammon, D., & Spitznogle, K. (2007) · CyberPsychology & Behavior · doi:10.1089/cpb.2006.9937 · Cited by 99 · see citing works
To use or not to use: Clinicians' perceptions of telemental health.
Simms, D. C., Gibson, K. L., & O’Donnell, S. (2011) · Canadian Psychology/Psychologie canadienne · doi:10.1037/a0022275 · Cited by 95 · see citing works
Whitfield, G., & Williams, C. (2004) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465804001031 · Cited by 83 · cited 2× · see citing works
“Conversely, psychologists reporting moderate to high knowledge, adequate training, and prior experience in the implementation of these interventions were more prone to present favorable attitudes toward internet interventions, which confirms the findings of Whitfield and Williams [46] and Glueckauf et al [27] and iden…”
ResultDonovan, C., Poole, C., Boyes, N., Redgate, J., & March, S. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.09.001 · Cited by 83 · see citing works
Löbner, M., Pabst, A., Stein, J., Dorow, M., Matschinger, H., Luppa, M., Maroß, A., Kersting, A., König, H.-H., & Riedel-Heller, S. G. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.06.008 · Cited by 72 · cited 1× · see citing works
“As reported by Vigerland et al [22] and Perle et al [21], internet intervention adoption by psychologists may depend on disorder type and tend to be rejected for more serious conditions, despite the growing evidence attesting its efficacy in severe disorders [54-56].”
ResultPsychologist treatment recommendations for Internet-based therapeutic interventions
Mora, L., Nevid, J. S., & Chaplin, W. F. (2008) · Computers in Human Behavior · doi:10.1016/j.chb.2008.05.011 · Cited by 71 · 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
Self-citationHadjiconstantinou, M., Byrne, J. L., Bodicoat, D. H., Robertson, N., Eborall, H., Khunti, K. K., & Davies, M. J. (2016) · Journal of Medical Internet Research · doi:10.2196/jmir.5991 · Cited by 63 · see citing works
Mental health professionals' acceptance of online counseling
Lazuras, L., & Dokou, A. (2015) · Technology in Society · doi:10.1016/j.techsoc.2015.11.002 · Cited by 61 · see citing works
Clinicians’ Attitudes Toward Therapeutic Alliance in E-Therapy
Sucala, M. L., Schnur, J. B., Brackman, E. H., Constantino, M. J., & Montgomery, G. H. (2013) · The Journal of General Psychology · doi:10.1080/00221309.2013.830590 · Cited by 60 · see citing works
Richards, P., Simpson, S., Bastiampillai, T., Pietrabissa, G., & Castelnuovo, G. (2018) · Clinical Psychologist · doi:10.1111/cp.12102 · Cited by 50 · cited 1× · see citing works
“Although research on this topic is scarce, recent studies suggest therapeutic alliance in internet-based cognitive behavioral therapy is high [57,58] and has the potential of enhancing engagement and rapport in face-to-face psychotherapy when combined [59].”
BackgroundSchulze, N., Reuter, S. C., Kuchler, I., Reinke, B., Hinkelmann, L., Stöckigt, S., Siemoneit, H., & Tonn, P. (2019) · Telemedicine and e-Health · doi:10.1089/tmj.2018.0225 · Cited by 48 · see citing works
Kivi, M., Eriksson, M. C. M., Hange, D., Petersson, E., Björkelund, C., & Johansson, B. (2015) · Internet Interventions · doi:10.1016/j.invent.2015.06.001 · Cited by 47 · see citing works
van der Vaart, R., Atema, V., & Evers, A. W. M. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0424-0 · Cited by 47 · see citing works
Tonn, P., Reuter, S. C., Kuchler, I., Reinke, B., Hinkelmann, L., Stöckigt, S., Siemoneit, H., & Schulze, N. (2017) · JMIR Mental Health · doi:10.2196/mental.6802 · Cited by 47 · see citing works
Women’s use of online resources and acceptance of e-mental health tools during the perinatal period
Fonseca, A., Gorayeb, R., & Canavarro, M. C. (2016) · International Journal of Medical Informatics · doi:10.1016/j.ijmedinf.2016.07.016 · Cited by 36 · see citing works
Wolvers, M. D. J., Bruggeman-Everts, F. Z., van der Lee, M. L., van de Schoot, R., & Vollenbroek-Hutten, M. M. R. (2015) · JMIR Research Protocols · doi:10.2196/resprot.4363 · Cited by 32 · see citing works
Mendes-Santos, C., Weiderpass, E., Santana, R., & Andersson, G. (2019) · Internet Interventions · doi:10.1016/j.invent.2019.01.004 · Cited by 24 · see citing works
Self-citationReforming the Portuguese mental health system: an incentive-based approach
Perelman, J., Chaves, P., Caldas‐de‐Almeida, J. M., & Matias, M. A. (2018) · International Journal of Mental Health Systems · doi:10.1186/s13033-018-0204-4 · Cited by 24 · see citing works
Bruno, R., & Abbott, J.-A. M. (2015) · International Journal of Mental Health · doi:10.1080/00207411.2015.1009784 · Cited by 20 · see citing works
South African psychologists’ use of the Internet in their practices
Evans, D. J. (2014) · South African Journal of Psychology · doi:10.1177/0081246314527874 · Cited by 8 · see citing works
Gestational Diabetes and Microbiota: Role of Probiotic Intervention
Morais, J., Cardoso, M., da Costa, U. D. N. E. D. D. M. D. A., Branco, J., Marques, C., Teixeira, D., Faria, A., & Calhau, C. (2018) · Acta Portuguesa de Nutrição · doi:10.21011/apn.2017.1304 · Cited by 8 · see citing works
Yao, X., Li, Z., Arthur, D. G., Hu, L., & Cheng, G. (2014) · International Journal of Nursing Sciences · doi:10.1016/j.ijnss.2014.02.008 · Cited by 6 · see citing works
Portais corporativos como ferramentas de comunicação e gestão do conhecimento
Torres, A. B., & Costa, S. M. D. S. (2018) · doi:10.18225/9788570131485.cap15 · Cited by 3 · see citing works
Neves, F. R. P. (2017) · Lusophone University Repository · Cited by 2 · see citing works
Flagged first, then by citations
1 of the 60 references couldn’t be matched to a known paper.
Research works printed but not linked: 2
- [1]World Health Organization 2020-02-11 WHO guideline: recommendations on digital interventions for health system strengthening: research considerations http://www.who.int/iris/handle/10665/311978 31162915
- [61]World Health Organization 2011 2 16 2020-02-11 WHO Mission to assess the progress of the mental health reforms in Portugal https://tinyurl.com/tqcb6uc 32091684
Cited by
Sorted by citations
Van Daele, T., Karekla, M., Kassianos, A. P., Compare, A., Haddouk, L., Salgado, J., Ebert, D. D., Trebbi, G., Bernaerts, S., Van Assche, E., et al. (2020) · Journal of Psychotherapy Integration · doi:10.1037/int0000218 · Cited by 122 · see citing works
Dores, A. R., Geraldo, A., Carvalho, I. P., & Barbosa, F. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17207663 · Cited by 106 · see citing works
Mendes-Santos, C., Nunes, F., Weiderpass, E., Santana, R., & Andersson, G. (2021) · doi:10.2196/preprints.32558 · Cited by 52 · see citing works
Self-citationLeuchtenberg, S., Gromer, D., & Käthner, I. (2022) · Counselling and Psychotherapy Research · doi:10.1002/capr.12538 · Cited by 40 · see citing works
Dweik, R. A., Ajaj, R., Kotb, R. E., Halabi, D. E., Sadier, N. S., Sarsour, H. H. H., & Elhadi, Y. A. M. (2024) · BMC Public Health · doi:10.1186/s12889-024-19980-y · Cited by 39 · see citing works
Mendes-Santos, C., Andersson, G., Weiderpass, E., & Santana, R. M. (2020) · Frontiers in Public Health · doi:10.3389/fpubh.2020.553345 · Cited by 32 · see citing works
Self-citationKorecka, N., Rabenstein, R., Pieh, C., Stippl, P., Barke, A., Doering, B. K., Gössmann, K., Humer, E. C., & Probst, T. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17217756 · Cited by 30 · see citing works
Gori, A., Topino, E., Brugnera, A., & Compare, A. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23391 · Cited by 26 · see citing works
Nogueira-Leite, D., Diniz, J. M., & Cruz-Correia, R. J. (2023) · JMIR Human Factors · doi:10.2196/45949 · Cited by 21 · see citing works
Mendes-Santos, C., Nunes, F., Weiderpass, E., Santana, R., & Andersson, G. (2022) · JMIR Cancer · doi:10.2196/33550 · Cited by 19 · see citing works
“This discrepancy adds to the technical, usability, funding, attitudinal, and training limitations identified by participants and the literature [51] as potentially hindering successful implementation of iNNOVBC and underlines the need to further assess and refine it in clinical contexts before scaling up the program.”
BackgroundMethodSelf-citationZhang, X., Lewis, S. W., Xu, C., Berry, N., & Bucci, S. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100576 · Cited by 19 · see citing works
Μουδάτσου, Μ., Stavropoulou, A., Rovithis, M., & Koukouli, S. (2024) · Healthcare · doi:10.3390/healthcare12040495 · Cited by 18 · see citing works
Lukka, L., Karhulahti, V., & Palva, J. M. (2023) · JMIR Human Factors · doi:10.2196/44681 · Cited by 19 · see citing works
Aldaweesh, S., AlAteeq, D. A., Kleek, M. G. V., & Shadbolt, N. (2024) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3613904.3642642 · Cited by 15 · see citing works
Therapists’ practical implementation and preparation of online counseling in the post-pandemic era
Chen, W., Chan, H., Sung, Y., Chen, P., Hung, Y.-F., Huang, K., & Hsu, S. (2023) · Current Psychology · doi:10.1007/s12144-023-04614-0 · Cited by 16 · see citing works
Tomaino, S. C. M., Viganó, G., & Cipolletta, S. (2022) · International Journal of Human-Computer Interaction · doi:10.1080/10447318.2022.2111047 · Cited by 13 · see citing works
A Blended Cognitive–Behavioral Intervention for the Treatment of Postpartum Depression: A Case Study
Branquinho, M., Canavarro, M. C., & Fonseca, A. (2022) · Clinical Case Studies · doi:10.1177/15346501221082616 · Cited by 11 · see citing works
“, 2020) and a higher acceptability toward blended interventions when compared to only online or web-based interventions (Mendes-Santos et al., 2020).”
BackgroundCosta, I. B., Manão, A. A., & Pascoal, P. M. (2023) · Behavioral Sciences · doi:10.3390/bs13050376 · Cited by 8 · see citing works
Cooney, O., Doherty, K., Barry, M., Coyle, D., Doherty, G. J., & Cowan, B. R. (2024) · ACM Conference on Conversational User Interfaces (CUI) · doi:10.1145/3640794.3665540 · Cited by 8 · see citing works
Adem, J. B., Zeleke, T., Walle, A. D., Atinafu, W. T., Tilahun, K. N., Melaku, M. S., & Kebede, S. D. (2023) · BMJ Open · doi:10.1136/bmjopen-2022-069671 · Cited by 7 · see citing works
Attitudes of Mental Health Professionals towards Telepsychology during the Pandemic: A Pilot Study
Cavallo, M., Pedroli, E., Cantoia, M. E. A., McGrath, B., & Cecchetti, S. (2023) · Healthcare · doi:10.3390/healthcare11111542 · Cited by 6 · see citing works
Branquinho, M., Canavarro, M. C., & Fonseca, A. (2024) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.70007 · Cited by 5 · see citing works
Geraldo, A., Dores, A. R., Carvalho, I. P., Guerreiro, S., Castro‐Caldas, A., & Barbosa, F. (2022) · Applied Neuropsychology Adult · doi:10.1080/23279095.2022.2100993 · Cited by 5 · see citing works
Notermans, J., & Philippot, P. (2022) · Clinical Psychology in Europe · doi:10.32872/cpe.6821 · Cited by 5 · see citing works
Furmańska, J., Rutkowska, E., Lane, H., Meixner, J. M., Marques, C., & Martins, M. J. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1679186 · Cited by 4 · see citing works
Self-efficacy as a mediator between psychologists’ technology affinity and telehealth satisfaction
Mason, J., & Woodward, M. (2024) · Australian Psychologist · doi:10.1080/00050067.2024.2419596 · Cited by 4 · see citing works
Branquinho, M., Canavarro, M. C., & Fonseca, A. (2023) · International Journal of Cognitive Therapy · doi:10.1007/s41811-023-00182-0 · Cited by 4 · see citing works
Mendes-Santos, C. (2021) · Linköping studies in arts and science · doi:10.3384/9789179291143 · Cited by 3 · see citing works
Self-citationGanapathy, A., Casey, L. M., Rowland, D. P., Grady, A. B., Sotheren, K. V., & Clough, B. A. (2023) · Advances in Mental Health · doi:10.1080/18387357.2023.2254864 · Cited by 4 · see citing works
UTILIZING TELEPSYCHOLOGY AT SCHOOL: NEW CHALLENGES AND CONCERNS
Giaouri, S. (2021) · European Journal of Social Sciences Studies · doi:10.46827/ejsss.v6i3.1026 · Cited by 2 · see citing works
Riaz, M. M. A., Abrar, T., Hammad, M., Tariq, H., Fatima, R., Siddique, I., & Nawaz, F. A. (2026) · Exploration of Digital Health Technologies · doi:10.37349/edht.2026.101179 · Cited by 2 · see citing works
Vernmark, K., Geranmayeh, A., Topooco, N., Andersson, G., & Shahnavaz, S. (2026) · JMIR Human Factors · doi:10.2196/75263 · Cited by 3 · see citing works
Self-citationBreast Cancer Survivors’ Attitudes toward eMental Health: A Cross-Sectional Study
Mendes-Santos, C., Campos, T., Ferreira, D., Weiderpass, E., Santana, R. M., & Andersson, G. (2023) · Healthcare · doi:10.3390/healthcare11131920 · Cited by 2 · see citing works
Self-citationSalgado, J., Gomes, M., Csabai, M., Daele, T. V., Doyle, F., Eimontas, J., Elster, R. N., Gosar, D., Haddouk, L., Karekla, M., et al. (2026) · European Psychologist · doi:10.1027/1016-9040/a000588 · Cited by 1 · see citing works
Martins, H., & Dores, A. R. (2022) · IGI Global eBooks · doi:10.4018/978-1-6684-7589-8.ch005 · Cited by 1 · see citing works
Kamarsu, S., & Anderson, P. L. (2024) · Procedia Computer Science · doi:10.1016/j.procs.2024.10.365 · Cited by 1 · see citing works
Martins, H., & Dores, A. R. (2020) · Advances in medical technologies and clinical practice book series · doi:10.4018/978-1-7998-7472-0.ch014 · Cited by 1 · see citing works
Internet-based psychotherapies
Andersson, G. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822201-0.00008-3 · Cited by 1 · see citing works
Self-citationLe psychologue face au Covid-19 : enquête exploratoire sur les pratiques en distanciel
Schneider, B., Truong-Minh, E., & Jover, M. (2022) · Pratiques Psychologiques · doi:10.1016/j.prps.2022.10.001 · Cited by 1 · see citing works
Mental Health Care and Online Consultation during the COVID-19 Pandemic: A Literature Review
Μουδάτσου, Μ., Stavropoulou, A., Rovithis, M., & Koukouli, S. (2022) · doi:10.3390/iech2022-12336 · Cited by 1 · see citing works
Lukka, L., Karhulahti, V., & Palva, J. M. (2024) · Research Square · doi:10.21203/rs.3.rs-4489082/v1 · Cited by 1 · see citing works
The Personality of a Psychologist Who Prefers Remote Counseling
Александровна, С. Е., Krenevа, J., Korzhova, O., & Ozerova, T. (2021) · Lecture notes in networks and systems · doi:10.1007/978-3-030-80946-1_60
Arjadi, R., Kusumawardhani, S. J., Purnomo, N., & Bockting, C. (2023) · Jurnal Psikologi Ulayat · doi:10.24854/jpu726
Charvát, M., Jochmannová, L., Sluková, P. Z., & Viktorová, L. (2025) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.70010
Рафиковна, Х. З., Plotnikov, A., Kelareva, I., & Gani, S. V. (2025) · Communications in computer and information science · doi:10.1007/978-3-032-04958-2_21
Martins, E. M., Pascoal, P. M., Pereira, M., & Andersson, G. (2025) · Trials · doi:10.1186/s13063-025-09103-2
Self-citationHung, Y.-F. (2026) · Current Psychology · doi:10.1007/s12144-026-09065-x
Internet Interventions for Social Anxiety Among College Students
Oliveira, C. P. L., Pacheco, M., Meira, L., & Santos, A. (2026) · Springer eBooks · doi:10.1007/978-3-032-08980-9_13
Implementation of the evidence-based practice in psychology in Ukraine: Prediction model development
Velykodna, M., Лазос, Г., Karamushka, L., Клименко, І. С., Deputatov, V., & Pysarenko, T. V. (2026) · Europe’s Journal of Psychology · doi:10.5964/ejop.14559
Fadhel, F. H. (2026) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2026.100585
Health Discrimination Against LGBT+ Individuals and Arts-Based Approaches: A Systematic Review
Dullius, W. R., Londero, C. A., da Silva, L. B. L., de Oliveira, T. S., & Rocha, C. M. F. (2026) · International Journal of Sexual Science · doi:10.33719/sexscij.2604.27
van Lotringen, C. M., Dekkers, T., Kelders, S. M., Westerhof, G. J., & Noordzij, M. L. (2026) · JMIR Formative Research · doi:10.2196/92279
Vernmark, K., Carlbring, P., & Andersson, G. (2026) · doi:10.2196/preprints.107511
Self-citationKoch, A., Graczykowska, A., Szumiał, S., & Marszał‐Wiśniewska, M. (2026) · Journal of Clinical Psychology · doi:10.1002/jclp.70208
- Authors
- Mendes-Santos, C., Weiderpass, E., Santana, R., & Andersson, G.
- Affiliations
- Linköping University (SE)
- Centre international de recherche sur le cancer (FR)
- Universidade Nova de Lisboa (PT)
- Corresponding author
- Mendes-Santos, Cristina
- Venue
- JMIR Mental Health
- Publisher
- JMIR Publications Inc.
- Published
- 2020-04-06
- Volume
- 7
- Issue
- 4
- Pages
- e16817
- ISSN
- 2368-7959 (ISSN-L)
- PMC
- PMC7171568
- OpenAlex
- W3003162347
- Cited by
- 54
- References
- 60
- Citations by year
- 2026: 11 · 2025: 4 · 2024: 8 · 2023: 10 · 2022: 12 · 2021: 4 · 2020: 5
- FWCI
- 7.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Mental Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- DiVA (Linkoping University) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- World Health Organization
- European Commission
- Erasmus+
- 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
- online intervention, psychologists' attitudes, digital mental health, implementation barriers, blended treatment, cost-effectiveness, ethical considerations, ICT literacy, Portugal, SMS services
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.
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 ›
Are you an author, or do you see a problem with this page? Request a review
