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Patient experience of supported computerized CBT in an inner-city IAPT service: a qualitative study

Part of: Low Intensity CBT

Published online by Cambridge University Press:  14 January 2019

Ramesh P. Perera-Delcourt  and
Gemma Sharkey
Ramesh P. Perera-Delcourt*
Affiliation:
Centre for Anxiety Disorders and Trauma, 99 Denmark Hill, London SE5 8AZ
Gemma Sharkey
Affiliation:
Department of Psychology, University of Bath, Claverton Down, Bath BA2 7AY
*
*Author for correspondence: Dr Ramesh Perera-Delcourt (email: ramesh.perera-delcourt@slam.nhs.uk)
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Abstract

Computerized cognitive behavioural therapy (cCBT) has been developed to address economic and clinical issues around limited access to evidence-based therapy. Supported cCBT (variously termed iCBT or eCBT) has been developed to address issues with the effectiveness of, and engagement with, cCBT. There has been no in-depth qualitative exploration of the patient experience of eCBT within the UK, which might aid improving its effectiveness. The aim of this study was to explore patient experience of eCBT in one inner-city National Health Service (NHS) Improving Access to Psychological Therapies (IAPT) service using a semi-structured interview and Thematic Analysis methodology. Ten patients took part. Six main themes were identified: (1) Being Offered eCBT; (2) How eCBT Compares with Self-help; (3) The Patient's State of Mind; (4) The Relationship with the Supporter; (5) Preferring to Talk; (6) eCBT's Value as a Treatment. Participants in this study indicated a preference for face-to-face talking therapy, but were clear that they could form a therapeutic relationship via asynchronous messaging. They reported clinical benefit from the eCBT programme and online relationship, and acknowledged that accessing this immediately was valuable. Issues around the process of selecting patients for eCBT, including with regard to acknowledging or mitigating any negative emotional effects of eCBT, and how to offer and support users with it, are discussed.

Keywords

eCBTiCBTinternet-based CBTguided cCBTSilverCloudpatient experience
Type
Original Research
Information
the Cognitive Behaviour Therapist , Volume 12 , 2019 , e13
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2019 

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References

Further reading

Carlbring, P, Andersson, G, Cuijpers, P, Riper, H, Hedman-Lagerlöf, E (2018). Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis, Cognitive Behaviour Therapy 47, 1–18. doi: 10.1080/16506073. 2017.1401115Google Scholar
Fairburn, CG, Patel, V (2017). The impact of digital technology on psychological treatments and their dissemination. Behaviour Research and Therapy 88, 19–25.Google Scholar
Olthuis, JV, Watt, MC, Bailey, K, Hayden, JA, Stewart, SH (2016). Therapist-supported internet cognitive behavioural therapy for anxiety disorders in adults. Cochrane Database of Systematic Reviews 3: CD011565. doi: 10.1002/14651858.CD011565.pub2Google Scholar
Richards, D, Enrique, A, Palacios, J, Duffy, D (2018). Internet-delivered cognitive behaviour therapy, cognitive behavioral therapy and clinical applications. In Şenormancı O and Şenormancı G (eds), IntechOpen. Retrieved from: https://www.intechopen.com/books/cognitive-behavioral-therapy-and-clinical-applications/internet-delivered-cognitive-behaviour-therapy. doi: 10.5772/intechopen.71412Google Scholar

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