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Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions

BACKGROUND: Quantitative research on Internet-based cognitive behavioral therapy (ICBT) has collected substantial evidence for the effectiveness of this treatment approach on health outcomes. Less is known about how patients find ICBT to be generally meaningful and helpful for treating depression. O...

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Autores principales: Lillevoll, Kjersti R, Wilhelmsen, Maja, Kolstrup, Nils, Høifødt, Ragnhild Sørensen, Waterloo, Knut, Eisemann, Martin, Risør, Mette Bech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: JMIR Publications Inc. 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713917/
https://www.ncbi.nlm.nih.gov/pubmed/23786763
http://dx.doi.org/10.2196/jmir.2531
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author Lillevoll, Kjersti R
Wilhelmsen, Maja
Kolstrup, Nils
Høifødt, Ragnhild Sørensen
Waterloo, Knut
Eisemann, Martin
Risør, Mette Bech
author_facet Lillevoll, Kjersti R
Wilhelmsen, Maja
Kolstrup, Nils
Høifødt, Ragnhild Sørensen
Waterloo, Knut
Eisemann, Martin
Risør, Mette Bech
author_sort Lillevoll, Kjersti R
collection PubMed
description BACKGROUND: Quantitative research on Internet-based cognitive behavioral therapy (ICBT) has collected substantial evidence for the effectiveness of this treatment approach on health outcomes. Less is known about how patients find ICBT to be generally meaningful and helpful for treating depression. OBJECTIVE: To explore patients’ experiences of being in ICBT treatment with a focus on the treatment dimensions that they considered helpful. METHODS: Choosing a phenomenological-hermeneutical approach, 14 patients were interviewed with semistructured qualitative interviews to elicit their understanding of using ICBT. The patients took part in a clinical trial using ICBT with MoodGYM, which also featured brief consultations with a clinical psychologist. The interviews were transcribed and analyzed according to the chosen methodology and organized into significant themes. RESULTS: The phenomenological-hermeneutical analysis identified 5 themes relating overall to the meaning of this mode of treatment in terms of helpfulness. Two related to treatment in general: (1) taking action to address one’s problems and (2) the value of talking to a professional. The next two themes specifically addressed guided self-help using the MoodGYM program: (3) acquiring relevant knowledge, and (4) restructuring the new knowledge acquired through ICBT. A fifth theme concerned (5) actual changes in patients’ perceptions and interactions, related to either the self-help material or the face-to-face consultations with the therapist. CONCLUSIONS: Three important dimensions were made explicit: the active engagement of the patient, the guidance of the therapist, and the content of the treatment program. The findings pointed to (1) the role of MoodGYM as a source of new knowledge providing patients with a structured approach to work with their depression, (2) the patient’s role as the primary agent of change through adapting relevant knowledge from MoodGYM to their situation, and (3) the dialogue with the therapist as a trusting relationship in which to share thoughts and feelings, receive feedback and advice, and to assist the patient in making use of the MoodGYM content.
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spelling pubmed-37139172013-07-18 Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions Lillevoll, Kjersti R Wilhelmsen, Maja Kolstrup, Nils Høifødt, Ragnhild Sørensen Waterloo, Knut Eisemann, Martin Risør, Mette Bech J Med Internet Res Original Paper BACKGROUND: Quantitative research on Internet-based cognitive behavioral therapy (ICBT) has collected substantial evidence for the effectiveness of this treatment approach on health outcomes. Less is known about how patients find ICBT to be generally meaningful and helpful for treating depression. OBJECTIVE: To explore patients’ experiences of being in ICBT treatment with a focus on the treatment dimensions that they considered helpful. METHODS: Choosing a phenomenological-hermeneutical approach, 14 patients were interviewed with semistructured qualitative interviews to elicit their understanding of using ICBT. The patients took part in a clinical trial using ICBT with MoodGYM, which also featured brief consultations with a clinical psychologist. The interviews were transcribed and analyzed according to the chosen methodology and organized into significant themes. RESULTS: The phenomenological-hermeneutical analysis identified 5 themes relating overall to the meaning of this mode of treatment in terms of helpfulness. Two related to treatment in general: (1) taking action to address one’s problems and (2) the value of talking to a professional. The next two themes specifically addressed guided self-help using the MoodGYM program: (3) acquiring relevant knowledge, and (4) restructuring the new knowledge acquired through ICBT. A fifth theme concerned (5) actual changes in patients’ perceptions and interactions, related to either the self-help material or the face-to-face consultations with the therapist. CONCLUSIONS: Three important dimensions were made explicit: the active engagement of the patient, the guidance of the therapist, and the content of the treatment program. The findings pointed to (1) the role of MoodGYM as a source of new knowledge providing patients with a structured approach to work with their depression, (2) the patient’s role as the primary agent of change through adapting relevant knowledge from MoodGYM to their situation, and (3) the dialogue with the therapist as a trusting relationship in which to share thoughts and feelings, receive feedback and advice, and to assist the patient in making use of the MoodGYM content. JMIR Publications Inc. 2013-06-20 /pmc/articles/PMC3713917/ /pubmed/23786763 http://dx.doi.org/10.2196/jmir.2531 Text en ©Kjersti R Lillevoll, Maja Wilhelmsen, Nils Kolstrup, Ragnhild Sørensen Høifødt, Knut Waterloo, Martin Eisemann, Mette Bech Risør. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 20.06.2013. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.
spellingShingle Original Paper
Lillevoll, Kjersti R
Wilhelmsen, Maja
Kolstrup, Nils
Høifødt, Ragnhild Sørensen
Waterloo, Knut
Eisemann, Martin
Risør, Mette Bech
Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions
title Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions
title_full Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions
title_fullStr Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions
title_full_unstemmed Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions
title_short Patients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensions
title_sort patients’ experiences of helpfulness in guided internet-based treatment for depression: qualitative study of integrated therapeutic dimensions
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713917/
https://www.ncbi.nlm.nih.gov/pubmed/23786763
http://dx.doi.org/10.2196/jmir.2531
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