Significant events in an Internet‐delivered (<italic>Space from Depression</italic>) intervention for depression.

Abstract: Objective: The advantages and effectiveness of Internet interventions have been established. Little is known about the critical processes of change in Internet‐delivered interventions and of the psychological experience of users. These are both clinically relevant and have a link to the ov...

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Publicado en:Counselling & Psychotherapy Research Vol. 18; no. 1; pp. 35 - 49
Autores principales: Richards, Derek, Dowling, Mairéad, O'Brien, Emma, Viganò, Noemi, Timulak, Ladislav
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Counselling & Psychotherapy Research
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      dt: Mar2018
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        127336349
        127336349
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        10.1002/capr.12142
        127336349
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        atl: Significant events in an Internet‐delivered (<italic>Space from Depression</italic>) intervention for depression.
      aug:
        au:
          Richards, Derek
          Dowling, Mairéad
          O'Brien, Emma
          Viganò, Noemi
          Timulak, Ladislav
        affil: E‐mental Health Research Group, School of Psychology, University of Dublin, Trinity College Dublin, Dublin, Ireland
      sug:
        subj:
          Depression Therapy
          Cognitive Therapy
          Telepsychiatry
          Internet
          Patient Attitudes
          Psychotherapy
          Human
          Questionnaires
          Qualitative Studies
          Content Analysis
          Treatment Outcomes
      ab: Abstract: Objective: The advantages and effectiveness of Internet interventions have been established. Little is known about the critical processes of change in Internet‐delivered interventions and of the psychological experience of users. These are both clinically relevant and have a link to the overall outcome of therapy. The goal of this article was to gain an insight into the important therapeutic processes in an 8‐week supported online self‐administered CBT‐based treatment for depression. Method: Respondents were participants (<italic>N</italic> = 88) in a randomised controlled trial with an initial score of 14–28 on the Beck Depression Inventory (BDI‐II), who completed at least one module of the online intervention, and at least one Helpful Aspects of Therapy (HAT) questionnaire. Analysis: The HAT data were analysed using descriptive–interpretative qualitative analysis to (i) identify helpful and hindering events, (ii) describe key events and (iii) describe the corresponding impacts of these events on the clients. Results: In total, <italic>six</italic> helpful events were reported (provision of information, core CBT activities, mindfulness, platform accessibility and usability, supporter, personal stories and examples) and <italic>eight</italic> associated impacts (applying new coping skills/behavioural change, awareness and insight, improved well‐being, support/validation, expression/relief, self‐efficacy/empowerment/sense of achievement, personal connection). In total, <italic>five</italic> hindering events were identified (platform features/design, external factors, internal factors, supporters' feedback and content of the programme) and <italic>five</italic> associated impacts (disappointment, frustration/irritation, confusion, mood deterioration and being self‐critical/blaming) were reported. Conclusions: The current results support previous findings that CBT principles are important in online delivery. The role of the supporter emerges as a key ingredient in online delivery worthy of further investigation.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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