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Improving Acceptability and Uptake Behavior for Internet-Based Cognitive-Behavioral Therapy.

Anthony Molloy1, Donovan M Ellis1, Langting Su1

  • 1Department of Psychology, Georgia State University, Atlanta, GA, United States.

Frontiers in Digital Health
|October 29, 2021
PubMed
Summary
This summary is machine-generated.

Internet-based cognitive behavioral therapy (iCBT) shows promise for mental healthcare access. However, interventions to boost public acceptance and use of iCBT had limited success in this study.

Keywords:
acceptabilitydigital healthfinancial incentiveinternet-based cognitive behavioral therapymental healthtreatment accesstreatment rationaleuptake

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Area of Science:

  • Mental Health
  • Digital Health
  • Psychology

Background:

  • Internet-based cognitive behavioral therapy (iCBT) offers potential for improving mental healthcare access.
  • Public acceptance and utilization of iCBT remain significant barriers.
  • Existing iCBT programs face challenges in widespread adoption.

Purpose of the Study:

  • To evaluate the effectiveness of two interventions designed to enhance the acceptability and uptake of iCBT.
  • To test if a detailed treatment rationale and financial incentives increase willingness to use iCBT.
  • To compare acceptability and usage intentions for therapist-assisted versus self-guided iCBT.

Main Methods:

  • A diverse sample of 662 participants was recruited from a university and the community.
  • Participants were randomly assigned to receive a treatment rationale or definition, and a financial incentive or not.
  • Standardized measures assessed attitudes, outcome expectancy, and willingness to use iCBT, alongside information-seeking behavior.

Main Results:

  • A treatment rationale positively influenced attitudes and outcome expectancy for iCBT but not willingness to use it.
  • Neither the rationale nor financial incentive significantly impacted seeking information about accessing iCBT.
  • Therapist-assisted and self-guided iCBT were rated equally acceptable; community members showed higher willingness to use iCBT than students.

Conclusions:

  • Current interventions have limited impact on improving iCBT acceptability and uptake.
  • Further research is crucial to overcome barriers to iCBT adoption.
  • Addressing acceptability is key to realizing iCBT's potential in meeting mental health needs.