The acceptability of a therapist-assisted internet-delivered cognitive behaviour therapy program for the treatment of anxiety disorders in adolescents: a qualitative study.

Computerized treatments have been shown to be effective in young people with anxiety disorders. However, there has been limited investigation into the experiences of adolescents in undertaking this treatment. This qualitative study explored adolescents' experiences of being treated for an anxiety di...

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Publicado en:European Child & Adolescent Psychiatry Vol. 32; no. 4; pp. 661 - 674
Autores principales: Smart, Katy, Smith, Lydia, Harvey, Kate, Waite, Polly
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-021-01903-6
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        atl: The acceptability of a therapist-assisted internet-delivered cognitive behaviour therapy program for the treatment of anxiety disorders in adolescents: a qualitative study.
      aug:
        au:
          Smart, Katy
          Smith, Lydia
          Harvey, Kate
          Waite, Polly
        affil: School of Psychology, University of Southampton, Southampton, UK
      sug:
        subj:
          Patient Attitudes
          Internet-Based Intervention Methods
          Behavior Therapy Methods
          Anxiety Disorders Therapy
          Telemedicine
          Program Development
          Psychotherapy
          Treatment Outcomes
          Human
          Male
          Female
          Adolescence
          Qualitative Studies
          Thematic Analysis
          Semi-Structured Interview
          Internet
          Anxiety
          Adolescent Behavior
          Therapy, Computer Assisted Methods
          Funding Source
          Attitude to Health
          Emotions
          Adolescent: 13-18 years
          Male
          Female
      ab: Computerized treatments have been shown to be effective in young people with anxiety disorders. However, there has been limited investigation into the experiences of adolescents in undertaking this treatment. This qualitative study explored adolescents' experiences of being treated for an anxiety disorder, using an online intervention with therapist support, as part of a randomised controlled trial. Individual semi-structured interviews were conducted with thirteen adolescents aged between 13 and 17 years, who had received the online intervention. Data were analysed using reflexive thematic analysis. Two cross-cutting themes were identified: (i) Usability of the program, and (ii) Putting techniques into practice. Although the convenience of online sessions was recognised as positive, many of the adolescents expressed a preference for face-to-face sessions. The length of sessions and the large amount of reading involved was highlighted by most participants. The transdiagnostic nature of the content meant some elements of the programme were seen as less relevant. While many participants appreciated the 'fun' aspect of the program, others felt that certain aspects of the program were not suitable for their age group. Exposure, psychoeducation and cognitive restructuring were generally received positively, whereas responses to the use of relaxation and rewards were much more mixed. Our findings highlight the potential utility for online treatments delivered with therapist support. However, they also highlight how issues with both the format and treatment components can impact the acceptability of a program. As such, further work is warranted to improve the acceptability of online treatments for adolescents with anxiety disorders.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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