Evidence map›Paper›PMID 40979695›Full record

ArticleDigital health

Patients' perspectives on implementing fixed and flexible variants of blended therapy in routine care: A qualitative study of the project PSYCHOnlineTHERAPY.

Theresa Sextl-Plötz, Ingrid Titzler, Juliane Schmidt-Hantke, Mira Denninger, Lena Sophia Steubl, Harald Baumeister, David Daniel Ebert, Anna-Carlotta Zarski

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

8 authors.

Theresa Sextl-PlötzDepartment of Sports and Health Sciences, Professorship Psychology and Digital Mental Health Care, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0009-0007-9690-8492
Ingrid TitzlerDepartment of Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.ORCID https://orcid.org/0000-0002-8963-2324
Juliane Schmidt-HantkeDepartment of Clinical Psychology, Division of eHealth in Clinical Psychology, Philipps-University Marburg, Marburg, Germany.ORCID https://orcid.org/0000-0002-2292-1973
Mira DenningerDepartment of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany.
Lena Sophia SteublDepartment of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany.ORCID https://orcid.org/0000-0002-8508-5271
Harald BaumeisterDepartment of Clinical Psychology and Psychotherapy, Ulm University, Ulm, Germany.ORCID https://orcid.org/0000-0002-2040-661X
David Daniel EbertDepartment of Sports and Health Sciences, Professorship Psychology and Digital Mental Health Care, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0001-6820-0146
Anna-Carlotta ZarskiDepartment of Sports and Health Sciences, Professorship Psychology and Digital Mental Health Care, Technical University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-0517-6668

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Research on effective implementation options and key factors in blending face-to-face (FTF) psychotherapy with online treatment elements (i.e., blended therapy, BT) remains limited. This study aimed to explore patients' experiences and to identify relevant factors in implementing BT in routine care. Methods: Qualitative semi-structured interviews were conducted with 40 patients (10.7% of Results: The analysis revealed 163 theme codes, categorized into 30 subcategories. The main categories were "motivation and expectations," "active components, mechanisms of change, and effects," "blending scenarios," "therapeutic alliance," "negative effects," "fit," "facilitators and barriers for engagement and daily life transfer," "usability," and "optimization possibilities." Key findings highlight positive outcomes of BT, the important role of the therapist, the transformative interaction of FTF and online sessions, and the distinctive functions and benefits of each element, suggesting BT's added value over stand-alone treatments. Various patient, therapeutic, and treatment characteristics emerged as relevant facilitators and barriers across different domains. Heterogeneity in patient preferences emphasized the importance of personalization. Conclusion: Overall, these results provide valuable insights for the practical implementation and further research on BT. Trial registration: German clinical trial register (DRKS00023973, date of registration: December 28, 2020), https://www.drks.de/search/de/trial/DRKS00023973.

Indexed as

anxietyBlended therapydepressionpatients’ perspectivesroutine care

Identifiers

PMID40979695
PMCPMC12446828

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.