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Implementing Internet-Delivered Cognitive Behavioral Therapy for Depression and Anxiety in Adults: Systematic Review
Daniel Duffy1, Derek Richards1, Garrett Hisler1
1Amwell Science, Amwell, Boston, MA, United States.
Journal of Medical Internet Research
|January 28, 2025
Summary
This review synthesized findings on implementing internet-delivered cognitive behavioral therapy (iCBT) for depression and anxiety. Key factors include therapist/patient attitudes, guided vs. unguided iCBT, and workplace integration, highlighting the need for more implementation research.
Area of Science:
- Mental Health Research
- Digital Therapeutics
- Clinical Psychology
Background:
- Implementation findings for internet-delivered cognitive behavioral therapy (iCBT) for adult depression and anxiety are scarce and fragmented.
- Identifying evidence-based factors is crucial for successful real-world iCBT adoption.
Purpose of the Study:
- To systematically review aspects influencing iCBT implementation from research articles.
- To evaluate factors relevant to the operational management of iCBT services.
Main Methods:
- A convergent mixed methods systematic review was conducted.
- Searched multiple databases (PsycINFO, MEDLINE, Embase, etc.) for peer-reviewed articles on iCBT implementation.
- Analyzed 40 diverse article types using a descriptive-interpretive approach.
Main Results:
- Therapist/patient attitudes, guided iCBT superiority, and non-inferiority to face-to-face therapy are key.
- Workplace implementation involves service management, staff motivation, support provision, and screening.
- Contextual factors include legislation, workforce availability, and cost.
Conclusions:
- Several factors require consideration for iCBT implementation in clinical practice.
- Findings should be interpreted cautiously due to the heterogeneity of included studies.
- More research specifically evaluating iCBT implementation is needed.
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