Barriers and facilitators for the implementation of blended psychotherapy for depression: A qualitative pilot study of therapists' perspective

11 important questions on Barriers and facilitators for the implementation of blended psychotherapy for depression: A qualitative pilot study of therapists' perspective

What are important differences with the article Feyt et al? (3)

1. German context (more hesitant)
2. Better qualitative methodology (TDF)
3. No differentiation in therapists (less generalizable)

What is the difference between IMIs and a blended approach?

IMIs are seen as stand-alone online interventions, whereas a blended approach is combined with F2F-sessions

What is the readiness for adoption of therapists dependent on?

90% have signaled readiness for adoption, but this decreases with the severity of the mental health problems.
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What uses does the Theoretical Domains Framework (TDF) have?

It aims to identify the domains that influence the implementation of interventions. It enables researchers to explain barriers and facilitators of behavior change and thus supports the implementation of evidence-based practice

What are the first five domains of the Theoretical Domains Framework (TDF)? (5)

1. Knowledge
2. Skills
3. Social/professional role and identity
4. Beliefs about capabilities
5. Optimisms

In what way is blended therapy used nowadays in the German therapeutic context?

Currently, only F2F-treatment is used. The study is therefore exploratory and seeks the facilitators and barriers for implementation

What uses does the Moodbuster platform have? (6)

1. Treatment
2. Homework
3. Mood graphs
4. Calendar
5. Messaging
6. Feedback

What are four frequently named barriers to the implementation of BT? (4)

1. Therapeutic alliance was burdened by technical issues (therapeutic)
2. The limited number of f2f sessions hinders the therapy sessions (therapeutic)
3. Limited customizability and autonomy in decision (therapeutic)
4. Negative effects and time burden (therapists)

What are the four frequently named facilitators of the implementation of BT? (4)

1. Accessibility to a new group of patients (implementation)
2. Adequate treatment approach for depressions (implementation)
3. Beneficial therapeutical skills (therapist)
4. Time savings in therapy (therapist)

What are the interesting similarities between previous studies on non-blended, guided stand-alone IMIs and other healthcare solutions?

That important barriers were worries about data safety and the absence of a clear concept as to how BT can be embedded in the healthcare system

What advantages does the therapy profit from? (3)

1. Patient's access to information between sessions and after the end of the treatment
2. Time savings in the F2F sessions, thus enabling therapists to use additional time to intensify the treatment
3. The therapist's access to a digital therapy toolkit

The question on the page originate from the summary of the following study material:

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