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dc.contributor.authorLillevoll, Kjersti
dc.contributor.authorWilhelmsen, Maja
dc.contributor.authorKolstrup, Nils
dc.contributor.authorHøifødt, Ragnhild Sørensen
dc.contributor.authorWaterloo, Knut
dc.contributor.authorEisemann, Martin
dc.contributor.authorRisør, Mette Bech
dc.date.accessioned2013-08-13T11:57:44Z
dc.date.available2013-08-13T11:57:44Z
dc.date.issued2013
dc.description.abstractBackground: Quantitative research on Internet-based cognitive behavioral therapy (ICBT) has collected substantial evidence for the effectiveness of this treatment approach on health outcomes. Less is known about how patients find ICBT to be generally meaningful and helpful for treating depression. Objective: To explore patients’ experiences of being in ICBT treatment with a focus on the treatment dimensions that they considered helpful. Methods: Choosing a phenomenological-hermeneutical approach, 14 patients were interviewed with semistructured qualitative interviews to elicit their understanding of using ICBT. The patients took part in a clinical trial using ICBT with MoodGYM, which also featured brief consultations with a clinical psychologist. The interviews were transcribed and analyzed according to the chosen methodology and organized into significant themes. Results: The phenomenological-hermeneutical analysis identified 5 themes relating overall to the meaning of this mode of treatment in terms of helpfulness. Two related to treatment in general: (1) taking action to address one’s problems and (2) the value of talking to a professional. The next two themes specifically addressed guided self-help using the MoodGYM program: (3) acquiring relevant knowledge, and (4) restructuring the new knowledge acquired through ICBT. A fifth theme concerned (5) actual changes in patients’ perceptions and interactions, related to either the self-help material or the face-to-face consultations with the therapist. Conclusions: Three important dimensions were made explicit: the active engagement of the patient, the guidance of the therapist, and the content of the treatment program. The findings pointed to (1) the role of MoodGYM as a source of new knowledge providing patients with a structured approach to work with their depression, (2) the patient’s role as the primary agent of change through adapting relevant knowledge from MoodGYM to their situation, and (3) the dialogue with the therapist as a trusting relationship in which to share thoughts and feelings, receive feedback and advice, and to assist the patient in making use of the MoodGYM content.en
dc.descriptionThis article is part of Maja Wilhelmsen's doctoral thesis which is available in Munin at <a href=http://hdl.handle.net/10037/7871>http://hdl.handle.net/10037/7871</a>en
dc.identifier.citationJournal of Medical Internet Research 15(2013) nr. 6en
dc.identifier.cristinIDFRIDAID 1035719
dc.identifier.doihttp://dx.doi.org/10.2196/jmir.2531
dc.identifier.issn1438-8871
dc.identifier.urihttps://hdl.handle.net/10037/5349
dc.identifier.urnURN:NBN:no-uit_munin_5050
dc.language.isoengen
dc.rights.accessRightsopenAccess
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry, child psychiatry: 757en
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri, barnepsykiatri: 757en
dc.subjectVDP::Social science: 200::Psychology: 260::Clinical psychology: 262en
dc.subjectVDP::Samfunnsvitenskap: 200::Psykologi: 260::Klinisk psykologi: 262en
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Health service and health administration research: 806en
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Helsetjeneste- og helseadministrasjonsforskning: 806en
dc.titlePatients’ Experiences of Helpfulness in Guided Internet-Based Treatment for Depression: Qualitative Study of Integrated Therapeutic Dimensionsen
dc.typeJournal articleen
dc.typeTidsskriftartikkelen
dc.typePeer revieweden


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