The Dissemination of Computer-Based Psychological Treatment: A Preliminary Analysis of Patient and Clinician Perceptions
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Computerized cognitive behavioral therapy is an efficacious treatment for anxiety and depression with the potential to improve access to evidence-based care. However, its adoption in clinical practice in the US has been low and thus there is a need for identification of barriers to its use. We examined treatment-seeking patient (n = 55) and clinician (n = 26) perceptions of computer-based psychological treatment (CBPT) using Diffusion of Innovations theory as a conceptual framework. Diffusion of Innovations theory emphasizes potential adopter perceptions as being key to understanding adoption decisions, thus making it an ideal framework for evaluating barriers to use. Overall, treatment-seeking patients held slightly negative perceptions of CBPT, while clinicians’ perceptions were more neutral. In both groups, perceptions of observability (seeing or hearing about the treatment in use) were rated lowest. Implications for dissemination efforts and suggestions for future research are discussed.
KeywordsComputers Technology Dissemination Diffusion of innovations Depression Anxiety
This project was funded by a grant to Mr. Carper by Boston University’s Undergraduate Research Opportunities Program. Mr. Carper is now at the Child and Adolescent Anxiety Disorders Clinic, Department of Psychology, Temple University. Dr. McHugh is now at McLean Hospital/Harvard Medical School.
- Brown, B. S. (1995). Reducing impediments to technology transfer in drug abuse programming. In T. E. Backer, S. L. David, & G. Soucy (Eds.), Reviewing the behavioral science knowledge base on technology transfer (NIDA Research Monograph 155, NIH Publication No. 95-4035). Rockville, MD: National Institude on Drug Abuse.Google Scholar
- Carper, M. M., McHugh, R. K., & Barlow, D. H. (2010). Development and initial validation of the perceptions of computerized therapy questionnaire. In R. K. McHugh. & L. C. Santucci (Chairs). Dissemination and implementation of computerized CBT. Symposium conducted at the 44th annual convention for the association for behavioral and cognitive therapies, San Francisco, CA.Google Scholar
- Celio, A. A., Winzelberg, A. J., Wilfley, D. E., Eppstein-Herald, D., Springer, E. A., Dev, P., et al. (2000). Reducing risk factors for eating disorders: Comparison of an Internet- and a classroom-delivered psychoeducational program. Journal of Consulting and Clinical Psychology, 68, 650–657.PubMedCrossRefGoogle Scholar
- Department of Health. (2007). Improving access to psychological therapies (IAPT) programme: Computerised cognitive behavioural therapy (cCBT) implementation guidance. Retrieved from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_073470.
- Fischer, E. H., & Farina, A. (1995). Attitudes toward seeking professional psychological help: A shortened form and considerations for research. Journal of College Student Development, 36, 368–373.Google Scholar
- Haberstroh, S., Duffey, T., Evans, M., Gee, R., & Trepal, H. (2007). The experience of online counseling. Journal of Mental Health Counseling, 29, 269–282.Google Scholar
- Hart, B. M., Wicherski, M., & Kohout, J. L. (2010, May). 2008–2009 Master’s- and doctoral-level students in U.S. and Canadian graduate departments of psychology: 2010 graduate study in psychology. Retrieved from the American Psychological Association web site: http://www.apa.org/workforce/publications/10-grad-study/students.aspx.
- Internet World Statistics. (2011). World Internet users statistics news and world population stats. Retrieved from http://internetworldstats.com/stats.htm.
- Kenardy, J. A., Dow, M. G. T., Johnston, D. W., Newman, M. G., Thomson, A., & Taylor, C. B. (2003). A comparison of delivery methods of cognitive-behavioral therapy for panic disorder: An international multicenter trial. Journal of Consulting and Clinical Psychology, 71, 1068–1075.PubMedCrossRefGoogle Scholar
- Klein, B., & Cook, S. (2010). Preferences for e-mental health services amongst an online Australian sample. Electronic Journal of Applied Psychology, 6, 27–38.Google Scholar
- Leibert, T., Archer, J., Jr., Munson, J., & York, G. (2006). An exploratory study of client perceptions of Internet counseling and the therapeutic alliance. Journal of Mental Health Counseling, 28, 69–83.Google Scholar
- President’s New Freedom Commission. (2004). Report of the president’s new freedom commission on mental health. Retrieved from http://www.mentalhealthcommission.gov/reports/FinalReport/toc.html.
- Rochlen, A. B., Beretvas, S. N., & Zack, J. S. (2004a). The online and face-to-face counseling attitudes scales: A validation study. Measurement and Evaluation in Counseling and Development, 37, 95–111.Google Scholar
- Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.Google Scholar
- Sullivan, G., Craske, M. G., Sherbourne, C., Edlund, M. J., Rose, R. D., Golinelli, D., et al. (2007). Design of the coordinated anxiety learning and management (CALM) study: Innovations in collaborative care for anxiety disorders. General Hospital Psychiatry, 29, 379–387.PubMedCrossRefGoogle Scholar
- U.S. Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Washington, D.C. Retrieved from http://www.surgeongeneral.gov/library/mentalhealth/home.html.