Evidence map›Paper›PMID 30135779›Full record

ArticleInternet interventions2018

Barriers and facilitators for the implementation of blended psychotherapy for depression: A qualitative pilot study of therapists' perspective.

Ingrid Titzler, Karina Saruhanjan, Matthias Berking, Heleen Riper, David Daniel Ebert

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Article in Internet interventions, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ingrid TitzlerFriedrich-Alexander University Erlangen-Nürnberg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Erlangen, Germany.
Karina SaruhanjanFriedrich-Alexander University Erlangen-Nürnberg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Erlangen, Germany.
Matthias BerkingFriedrich-Alexander University Erlangen-Nürnberg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Erlangen, Germany.
Heleen RiperVU University Amsterdam, Faculty of Behavioral and Movement Sciences, Section of Clinical Psychology, Amsterdam, Netherlands.
David Daniel EbertFriedrich-Alexander University Erlangen-Nürnberg, Institute of Psychology, Department of Clinical Psychology and Psychotherapy, Erlangen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBlended therapies (BT) combine face-to-face (f2f) sessions with internet- and mobile-based interventions (IMIs). However, the use of blended interventions in routine care is still rare and depends on the acceptance of key health care professionals such as the therapists. Little is yet known about the therapists' perspective on and experiences with blended approaches. The aim of this pilot study was to identify barriers and facilitators, as perceived by psychotherapists, for implementing a blended therapy for depression.

methodsSemi-structured expert interviews were conducted with five therapists, who were part of the German study arm of the FP7-project E-Compared (www.e-compared.eu). All patients (

resultsThe results revealed 29 barriers and 33 facilitators, which are hindering or enabling factors on the levels of 'implementation in the health care system', 'therapy', 'therapists' and 'patients'. Key barriers stated by all therapists were 'Limited customizability and autonomy of decisions concerning blending the therapy' (number of statements, DISCUSSION: Therapists supported the implementation of BT for depression. Results indicated the consideration of a wide range of determinants: among others, the possibility of individualizing the treatment; the autonomy of decision making in respect to the ratio and number of online and f2f sessions; the necessity of providing training; the need to develop a concept of embedding BT in the health care system and funding the additional effort; and the use of sophisticated technical solutions.

Indexed as

BarriersBlended therapyDepressionFacilitatorsQualitative studyTherapists' view

Identifiers

PMID30135779
PMCPMC6096333

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.