ReviewScientifica2025
Barriers and Facilitators of Implementing Cognitive Behavioral Therapy: A Systematic Review Based on the Consolidated Framework for Implementation.
Review in Scientifica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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.
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.
Who cites it
5 citing papers in PubMed.
- Efficacy of a Prescription-Based Mobile Digital Therapeutic as an Adjunct to Pharmacotherapy for the Acute Phase of Panic Disorder: Multicenter Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- Global practices in adapting cognitive behavioral therapy for ethnoracial populations with substance use disorders: a scoping review of adaptation strategies, treatment outcomes, and geographic gaps.International journal of mental health systems · 2026Article
- A randomized controlled trial of an app-based cognitive behavioral therapy for international students.Internet interventions · 2026Article
- Effectiveness of multi-family group therapy for school refusal in adolescents with depressive disorders: study protocol for a randomized controlled trial.BMC psychology · 2026Article
- Perspectives on digital therapeutic prescribing: a qualitative study among German psychological psychotherapists.Frontiers in digital health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cognitive behavioral therapy (CBT) is currently considered the gold standard of treatment, with its evidence-based framework widely used in healthcare. However, its implementation in real-world settings faces numerous challenges. Understanding the barriers and facilitators of CBT implementation is essential to improving its accessibility and effectiveness. A systematic search was conducted across multiple databases from 20/9/2024 to 10/10/2024, including PubMed, CINAHL, ProQuest, and Web of Science. Studies published in English from 1994 to 2024 were included. This systematic review was reported using the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and registered at the International Prospective Register of Systematic Reviews (Registered No. CRD42024570477). Qualitative, quantitative, and mixed-method studies were analyzed to identify key implementation challenges and enablers. Data extraction and quality assessments were performed using the Mixed Methods Appraisal Tool (MMAT) and the JBI critical appraisal tools. A total of 32 studies with 2082 participants were included in this review. Common barriers to CBT implementation included limited training opportunities for clinicians, high caseloads, organizational constraints, resistance to change, and inadequate funding. Digital literacy challenges and technical issues further hindered the adoption of internet-based CBT (iCBT). Facilitators included strong leadership support, structured training programs, stakeholder engagement, and the integration of digital and step-care approaches to enhance accessibility. The findings highlight the importance of addressing systemic, organizational, and individual-level barriers to improve the implementation of CBT. Strengthening clinician training, increasing institutional support, and leveraging digital solutions can enhance the accessibility and sustainability of CBT interventions. This review provides practical insights for policymakers, mental health professionals, and researchers working toward optimizing CBT implementation in diverse settings.
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Registered trials
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.