Therapist characteristics and acceptance of internet-delivered cognitive behavioral therapy: A national cross-sectional survey using the technology acceptance model after ten years of iCBT in Norway

IF 4.1 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2025-10-03 DOI:10.1016/j.invent.2025.100881

Reidar Nævdal , Christiaan Vis , Robin Maria Francisca Kenter

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引用次数: 0

Abstract

Background

Internet-delivered cognitive behavioral therapy (iCBT) has been available in Norwegian specialist mental health care for a decade. Despite strong evidence and national support, uptake remains limited, with little known about therapists delivering iCBT or factors influencing engagement.

Objective

Using an extended Technology Acceptance Model (TAM), this study aimed to provide a national overview of therapists delivering iCBT, their work environment, and acceptance, as well as explore group differences between clinics established through different implementation approaches.

Methods

The study identified all therapists using iCBT in routine care. Using a cross-sectional survey, data regarding therapists' characteristics, their context, and TAM constructs was collected. Therapists were grouped by whether their clinics used bottom-up or top-down implementation approaches and compared on all TAM constructs.

Results

Sixty-seven therapists were identified as actively delivering iCBT nationally. Of these, 45 therapists from 18 clinics responded (67 % response rate). Therapists were experienced clinicians with varying backgrounds and work environments. High acceptance was found across all TAM dimensions except for Image. Therapists in clinics with structured top-down implementation and ongoing supervision reported highest acceptance.

Conclusion

Despite high therapist acceptance of iCBT, experienced loss in professional regard presents a cultural barrier hindering widespread adoption. Despite a decade of use, iCBT remains a small part of routine care. However, successful implementation across diverse therapist backgrounds is achievable, and mandated top-down implementation appears useful when supported by experienced supervision.

Trial registration

Haukeland University Hospital e-procotol, project ID: 4696–4696.

查看原文本刊更多论文

网络认知行为治疗的治疗师特征和接受度：挪威iCBT十年后使用技术接受模型进行的全国横断面调查

互联网提供的认知行为疗法（iCBT）在挪威的专业精神卫生保健部门已经使用了十年。尽管有强有力的证据和国家支持，但人们对iCBT的了解仍然有限，对治疗师提供iCBT或影响参与的因素知之甚少。本研究采用扩展的技术接受模型（TAM），旨在提供提供iCBT治疗师的全国概况，他们的工作环境和接受程度，并探索通过不同实施方法建立的诊所之间的群体差异。方法本研究确定所有在常规护理中使用iCBT的治疗师。采用横断面调查，收集了有关治疗师特征、背景和TAM结构的数据。治疗师根据他们的诊所是否使用自下而上或自上而下的实施方法进行分组，并比较所有TAM结构。结果67名治疗师在全国范围内积极提供iCBT。其中，来自18家诊所的45名治疗师做出了回应（67%的回应率）。治疗师是经验丰富的临床医生，有着不同的背景和工作环境。除了图像之外，所有TAM维度的接受度都很高。在有组织的自上而下的实施和持续监督的诊所里，治疗师的接受度最高。结论：尽管治疗师对iCBT的接受度很高，但在专业方面经历的损失存在文化障碍，阻碍了iCBT的广泛采用。尽管使用了十年，iCBT仍然是常规护理的一小部分。然而，在不同的治疗师背景下，成功的实施是可以实现的，在有经验的监督的支持下，强制性的自上而下的实施似乎是有用的。试验注册：新西兰大学医院电子协议，项目ID: 4696-4696。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions