Views of Implementers and Nonimplementers of Internet-Administered Cognitive Behavioral Therapy for Depression and Anxiety: Survey of Primary Care Decision Makers in Sweden
Views of Implementers and Nonimplementers of Internet-Administered Cognitive Behavioral Therapy for Depression and Anxiety: Survey of Primary Care Decision Makers in Sweden
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DOI：
10.2196/18033
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发表时间：
2020-08-12
影响因子：
7.4
通讯作者：
von Essen, Louise
中科院分区：
文献类型：
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作者：
Brantnell, Anders;Woodford, Joanne;von Essen, Louise
背景资料：互联网管理的认知行为疗法（ICBT）已被证明是一种有效的干预抑郁症和/或焦虑症的成年人，并建议在瑞典初级保健提供的国家指南。然而，目前尚不清楚在瑞典初级保健中实施信通技术的组织的数量和类型。此外，对实施信通技术的障碍和促进因素也缺乏了解。两个主要目标是识别和描述瑞典提供ICBT的初级保健组织，并比较决策者的（即初级保健组织的负责人）对实施《国际生物技术公约》的障碍和促进因素的看法（即提供ICBT的组织）和非执行者（即不提供ICBT的组织）。方法：制定了一项基于清单的在线调查，以查明执行工作的障碍和促进因素，并提供给所有初级保健的决策者瑞典的组织。调查包括背景问题（例如，提供ICBT和与ICBT工作的人数）和障碍和促进者有关的以下类别：用户，治疗师，ICBT程序，组织，和更广泛的society.Results：参与率为35.75%（404/1130）。大多数（250/404，61.8%）的参与者是医疗保健中心主任，并有护理背景。总共有89.8%（363/404）的参与组织提供了CBT。少数组织（83/404，20.5%）提供ICBT。大多数提供ICBT的专业人员是心理学家（67/83，80%）和社会工作者（31/83，37%）。大多数组织（61/83，73%）有1至2人提供信通技术干预措施。在过去12个月中，65%（54/83）的组织接受了1至10例接受ICBT治疗的患者，整个样本中接受治疗的患者人数在1至400人之间。有9例有显著性差异（P
Background: Internet-administered cognitive behavioral therapy (ICBT) has been demonstrated to be an effective intervention for adults with depression and/or anxiety and is recommended in national guidelines for provision within Swedish primary care. However, the number and type of organizations that have implemented ICBT within primary care in Sweden is currently unclear. Further, there is a lack of knowledge concerning barriers and facilitators to ICBT implementation.Objective: The two primary objectives were to identify and describe primary care organizations providing ICBT in Sweden and compare decision makers' (ie, directors of primary care organizations) views on barriers and facilitators to implementation of ICBT among ICBT implementers (ie, organizations that offered ICBT) and nonimplementers (ie, organizations that did not offer ICBT).Methods: An online survey based on a checklist for identifying barriers and facilitators to implementation was developed and made accessible to decision makers from all primary care organizations in Sweden. The survey consisted of background questions (eg, provision of ICBT and number of persons working with ICBT) and barriers and facilitators relating to the following categories: users, therapists, ICBT programs, organizations, and wider society.Results: The participation rate was 35.75% (404/1130). The majority (250/404, 61.8%) of participants were health care center directors and had backgrounds in nursing. Altogether, 89.8% (363/404) of the participating organizations provided CBT. A minority (83/404, 20.5%) of organizations offered ICBT. Most professionals delivering ICBT were psychologists (67/83, 80%) and social workers (31/83, 37%). The majority (61/83, 73%) of organizations had 1 to 2 persons delivering ICBT interventions. The number of patients treated with ICBT during the last 12 months was 1 to 10 in 65% (54/83) of the organizations, ranging between 1 and 400 treated patients across the whole sample. There were 9 significant (P