Antoine Urech1, Tobias Krieger1, Laura Möseneder1, Adriana Biaggi1, Alessia Vincent1, Christine Poppe2, Björn Meyer3,4, Heleen Riper5, Thomas Berger1. 1. Department of Psychology, University of Bern , Bern , Switzerland. 2. Psychiatric Clinic Zugersee , Oberwil - Zug , Switzerland. 3. Department of Psychology, City University , London , UK. 4. Research Department , Hamburg , Germany. 5. Department of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit (VU) , Amsterdam , Netherlands.
Abstract
Background: Blended cognitive behavioural therapy (bCBT), which combines face-to-face (FtF), and internet-based cognitive behavioural therapy (iCBT), may be a particularly promising approach, but little is known about the effectiveness and patients' subjective evaluations of the bCBT format. The aim of this qualitative study is to explore perceived advantages and disadvantages of bCBT from the patients' perspective in specialized mental health care. Methods: Semi-structured interviews were conducted with 15 patients suffering from major depression who underwent treatment in a bCBT format. The interview data were processed by means of a qualitative content analysis. Results: The content analysis generated 18 advantages and 15 disadvantages which were grouped into 6 main topics. In general, bCBT was perceived as purposive and effective for treating depression. The patients perceived the combined treatment as complementary and emphasized the advantage of the constant availability of the online programme. Furthermore, a segment analysis revealed that patients reported different advantages and disadvantages of bCBT as a function of the severity of their depressive episode. Conclusion: The findings of the present study reveal advantages and disadvantages of bCBT, which should be taken into account in the further implementation of this new treatment format. Clinical or methodological significance of this article: Blended treatment seems to balance missing aspects of stand-alone internet-based and face-to-face treatment for depression. Patients suffering from major depression perceived the blended format as purposive and effective after 18 weeks. Patients with different levels of depression severity may perceive different advantages and disadvantages of blended treatment for depression.
Background: Blended cognitive behavioural therapy (bCBT), which combines face-to-face (FtF), and internet-based cognitive behavioural therapy (iCBT), may be a particularly promising approach, but little is known about the effectiveness and patients' subjective evaluations of the bCBT format. The aim of this qualitative study is to explore perceived advantages and disadvantages of bCBT from the patients' perspective in specialized mental health care. Methods: Semi-structured interviews were conducted with 15 patients suffering from major depression who underwent treatment in a bCBT format. The interview data were processed by means of a qualitative content analysis. Results: The content analysis generated 18 advantages and 15 disadvantages which were grouped into 6 main topics. In general, bCBT was perceived as purposive and effective for treating depression. The patients perceived the combined treatment as complementary and emphasized the advantage of the constant availability of the online programme. Furthermore, a segment analysis revealed that patients reported different advantages and disadvantages of bCBT as a function of the severity of their depressive episode. Conclusion: The findings of the present study reveal advantages and disadvantages of bCBT, which should be taken into account in the further implementation of this new treatment format. Clinical or methodological significance of this article: Blended treatment seems to balance missing aspects of stand-alone internet-based and face-to-face treatment for depression. Patients suffering from major depression perceived the blended format as purposive and effective after 18 weeks. Patients with different levels of depression severity may perceive different advantages and disadvantages of blended treatment for depression.
Entities:
Keywords:
Internet; blended treatment; cognitive-behaviour therapy; depression; specialized mental care
Authors: Raphael Schuster; Inanna Kalthoff; Alexandra Walther; Lena Köhldorfer; Edith Partinger; Thomas Berger; Anton-Rupert Laireiter Journal: J Med Internet Res Date: 2019-04-28 Impact factor: 5.428
Authors: Nickolai Titov; Heather D Hadjistavropoulos; Olav Nielssen; David C Mohr; Gerhard Andersson; Blake F Dear Journal: J Clin Med Date: 2019-08-17 Impact factor: 4.241
Authors: Judith Borghouts; Elizabeth Eikey; Gloria Mark; Cinthia De Leon; Stephen M Schueller; Margaret Schneider; Nicole Stadnick; Kai Zheng; Dana Mukamel; Dara H Sorkin Journal: J Med Internet Res Date: 2021-03-24 Impact factor: 5.428
Authors: Mayke Mol; Claire van Genugten; Els Dozeman; Digna J F van Schaik; Stasja Draisma; Heleen Riper; Jan H Smit Journal: J Clin Med Date: 2019-12-30 Impact factor: 4.241