Coaching with Internet-Based Mental Health Program: Patient and Coach Experiences

Area of Science:

• Mental Health
• Digital Health
• Telehealth

Background:

• The COVID-19 pandemic highlighted significant gaps in mental health treatment access and provider availability.
• Internet-based, asynchronous mental health programs offer a scalable solution, integrating licensed provider coaching.

Purpose of the Study:

• To explore patient and provider experiences within webSTAIR, an internet-based, coached psychoeducational program.
• To understand the dynamics of the coaching relationship in a digital mental health setting.

Main Methods:

• Qualitative study involving interviews with 60 patients and 9 coaches from the webSTAIR program (2017-2020).
• Patient interviews analyzed using content and matrix analysis.
• Coach interviews analyzed using thematic analysis.

Main Results:

• Both patients and coaches emphasized the critical role of relationship building and rapport in the coaching dynamic.
• Coaches were vital for patients in understanding program content and applying learned skills.
• A positive coach-patient relationship enhanced the overall program experience for patients.

Conclusions:

• The therapeutic relationship and coach support are crucial for the success of internet-based mental health interventions.
• Licensed coaches play a central role in facilitating patient comprehension and skill utilization in digital psychoeducational programs.