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Patient Perspectives on Blended Internet-Based and Face-to-Face Cognitive Behavioral Therapy for Alcohol Use
Kristine Tarp1,2,3, Regina Christiansen4,5, Randi Bilberg4,5,6
1Research Unit for Digital Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Blended cognitive behavioral therapy (bCBT) for alcohol use disorder (AUD) offers patients greater autonomy and flexibility. This combined approach of internet-based and face-to-face therapy enhances self-reflection and engagement, leading to perceived benefits over traditional methods.
Area of Science:
- Mental Health
- Behavioral Science
- Digital Health
Background:
- Harmful alcohol consumption is a global health issue, with alcohol use disorder (AUD) affecting 150,000 people in Denmark.
- Low treatment-seeking rates for AUD are attributed to personal and systemic barriers.
- Internet-based cognitive behavioral therapy (iCBT) shows promise in addressing the treatment gap for AUD.
Purpose of the Study:
- To investigate user experiences with blended cognitive behavioral therapy (bCBT) for AUD.
- To explore the perceived advantages and disadvantages of bCBT.
- To understand patient motivations for choosing bCBT.
Main Methods:
- 13 patients who completed the Blend-A study participated in semistructured interviews (telephone and face-to-face).
- Interviews explored patient backgrounds, digital technology use, treatment motivations, and program experiences.
- Thematic analysis was used to analyze transcribed interview data.
Main Results:
- Patients reported increased anonymity, privacy, and flexibility with the internet-based component of bCBT.
- Written materials and assignments facilitated knowledge acquisition and self-reflection.
- Reminders improved assignment completion and engagement with the treatment.
Conclusions:
- bCBT provides assisted autonomy, a benefit not fully achievable with iCBT or face-to-face CBT (FtF CBT) alone.
- The combination of iCBT and FtF CBT allows for valuable self-reflection between sessions.
- Patients generally perceived more benefits than drawbacks with bCBT for AUD treatment.
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