ArticleInternet interventions2025
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.
Article in Internet interventions, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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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
4 citing papers in PubMed.
- The impact of a national transition of treatment platform on the acceptance of internet-delivered cognitive behavioral therapy: A longitudinal study among Norwegian therapists.Internet interventions · 2026Article
- Prediction of Treatment Benefit With Internet-Based Cognitive Behavioral Therapy for Depression.JAMA network open · 2026Article
- Therapists' Professional Roles in Guided Internet-Delivered Cognitive Behavioral Therapy in Specialized Mental Health Care: Interview and Observational Study With Health Care Professionals.Journal of medical Internet research · 2026Observational
- Advancing Undergraduate Student Mental Healthcare of Social Anxiety Disorder: Evaluating the Acceptance of AR-Assisted Cognitive Behavioral Therapy Through TAM-Based Constructs.Healthcare (Basel, Switzerland) · 2026Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
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.
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