Experiences of non-adherence to Internet-delivered cognitive behavior therapy: A qualitative study
By O. Johansson, T. Michel, Gerhard Andersson, B. Paxling. 2015
91 citations recorded by the source corpus.
Many trials on Internet-delivered psychological treatments have had problems with nonadherence, but not much is known about the subjective reasons for non-adhering. The aim of this study was to explore participants' experiences of non-adherence to Internet-delivered psychological treatment. Grounded theory was used to analyze data from seven in-depth interviews with persons who had non-adhered to a study on Internet-delivered cognitive behavioral therapy for generalized anxiety disorder. The process of non-adherence is described as an interaction between patient factors and treatment factors. A working model theory was generated to illustrate the experience of nonadherence. The model describes a process where treatment features such as workload, text-content complexity and treatment process don't match personal prerequisites regarding daily routines, perceived language skills and treatment expectations respectively, resulting in the decision to nonadhere. Negative effects were also stated as a reason for non-adherence. Several common strategies used for increasing adherence to Internet-delivered therapy in general are by these non-completers regarded as factors directly related to their reason for non-adherence.
Subfields: Applied Psychology, Education, Sociology and Political Science
View Paper: https://www.semanticscholar.org/paper/f7bde5bd6858f28958631f1ebc176dc2a241317d
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In Applied Psychology
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In Education
In Sociology and Political Science
Citations in the corpus
- Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis (2016, background): “Professional support features , which include features that enable remote contact with a clinician via e-mail, telephone or text messages, have been found to positively influence engagement with DBCIs [20, 25, 26, 63, 68, 70, 73, 77, 88, 90, 95, 120, 131 – 134].”