ArticleBMC psychiatry2025
Barriers and facilitators to engagement with between-session work for low-intensity Cognitive Behavioural Therapy (CBT)-based interventions: a qualitative exploration of practitioner perceptions.
Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Efficacy of digital cognitive stimulation therapy for people with dementia: a systematic review and meta-analysis.BMC geriatrics · 2026Pooled it
- The sound of engagement: assessing the feasibility and acceptability of an AI-generated personalized podcast as a between-session resource for therapy.Frontiers in digital health · 2026Article
- Article
Corrections and comments
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Authors and funding
4 authors.
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Abstract
backgroundTo address the growing demand for psychological treatment, healthcare providers are increasingly utilising low-intensity interventions, characterised by reduced practitioner contact and emphasis on independent patient engagement with therapeutic materials through between-session work (BSW). While BSW is critical for maximising treatment outcomes, patients and practitioners report challenges with its completion. Research identifying factors influencing between-session engagement in Cognitive Behavioural Therapy (CBT) has largely focused on high-intensity CBT, limiting understanding within low-intensity contexts.
methodsThis study explored practitioner perspectives on the barriers and facilitators of BSW engagement within low-intensity CBT-based interventions. Using interpretive description methodology, 22 Psychological Well-being Practitioners (PWPs) from UK National Health Service (NHS) Talking Therapies services were interviewed. Inductive and deductive framework analysis was used to crossmatch data to an existing conceptual model of predictors for CBT BSW engagement.
resultsPractitioners identified patient-level barriers including passive treatment expectations, comorbid health conditions, social stressors, and reduced mental health literacy, particularly among ethnic minority populations. Practitioner-level facilitators involved clear task planning and personalised BSW tailored to patients' sociocultural environments. Organisational recommendations emphasised the need for diverse workforces and adequate training in culturally sensitive care.
conclusionsFindings underscore the importance of practitioner behaviours in optimising patient engagement between-sessions, offering clear directions to enhance treatment outcomes in globally adopted low-intensity interventions.
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Registered trials
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