Evidence map›Paper›PMID 33318951›Full record

ArticleInternet interventions2020

Transitioning from face-to-face treatment to iCBT for youths in primary care - therapists' attitudes and experiences.

Sandra Weineland, Rasmus Ribbegårdh, Marie Kivi, Andreas Bygdell, Anna Larsson, Kristofer Vernmark, Josefine L Lilja

Abstract read
In one paragraph

Article in Internet interventions, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
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  9. Review
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  15. Implementing Cognitive-Behavioral Therapy in Children and Adolescents with Anxiety Disorders.Klinicheskaia i spetsial'naia psikhologiia = Clinical psychology and special education · 2022
    Article
  16. Review
  17. Article
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

7 authors.

Sandra WeinelandDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
Rasmus RibbegårdhDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
Marie KiviDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
Andreas BygdellDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
Anna LarssonDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.
Kristofer VernmarkDepartment of Behavioral Sciences and Learning (IBL), Linköping University, Linköping, Sweden.
Josefine L LiljaDepartment of Psychology, University of Gothenburg, Gothenburg, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo address the increasing mental health problems among young people, health care needs to broaden the spectrum of interventions and increase access to care. One particularly promising first-line intervention is cognitive behavioral therapy (CBT) delivered via the Internet (iCBT). The outbreak of the Coronavirus disease -2019 (COVID -19) has made the need for solid digital mental health care systems clear. This is the first published study exploring the transition among therapists of working with face-to-face treatment to using iCBT for youths suffering from anxiety treated in primary care.

methodsFourteen primary care therapists were included in the study. Semi-structured interviews (n = 26) were conducted on two occasions: before starting to use iCBT for youths, and at a subsequent follow-up after gaining treatment experience. Data was summarized into thematic categories.

resultsThe overarching themes that were identified were: Attitudes to iCBT before and after implementation; Experiences of treatment delivery; Characteristics of "the right patient;" and The role of the digital therapist.

conclusionThe participants generally had positive attitudes to iCBT for youths and saw it as a valuable alternative to face-to-face treatments. However, they identified challenges related to patient selection, and to motivating patients and maintaining a therapeutic relationship through mainly written communication. The participants appreciated the increase in variety that iCBT brought to their schedules, and also experienced iCBT as a relief from common challenges of therapeutic work, such as emotional stress and high cognitive demands. The participating therapists' positive experiences support the introduction of iCBT for youths in routine primary care.

Indexed as

AdolescentsChildrenExperiencesiCBTImplementationQualitativeTherapists

Identifiers

PMID33318951
PMCPMC7724368

What OpenQuestion holds

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Registered trials

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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.