BackgroundThere are clear advantages to internet-delivered interventions for depression. Users' perspectives on the acceptability, satisfaction, and efficacy of an internet-delivered treatment for depression can inform future developments in the area.MethodsRespondents (n = 281) were participants in an 8 week supported internet-delivered Cognitive Behaviour Therapy treatment for depressive symptoms. Self-report online questionnaires gathered quantitative and qualitative data on the user experience.Principle findingsMost respondents were satisfied with the programme (n = 191), felt supported (n = 203), reported positive gains and impact resulting from use of the programme, and perceived these to be likely to be lasting effects (n = 149). Flexibility and accessibility were the most liked aspects. A small number of respondents felt their needs were not met by the intervention (n = 64); for this group suggestions for improvements centred on the programme's structure and how supporter feedback is delivered.ConclusionResults will deepen the understanding of users' experience and inform the development and implementation of evidence-based internet-delivered interventions.

The mental-health literature highlights the importance of improved quality of life as an explicit goal of the mental-health service. Recent work indicates that assessment of subjective quality of life can be feasible and meaningful in individuals with psychiatric disorders. Although a number of studies have examined the influence of demographic variables on subjective quality of life in individuals with psychiatric disorders, there remains a paucity of studies that have made comparisons between diagnoses in inpatient populations. We used the WHOQOL-BREF to examine the influence of different psychiatric diagnoses on quality of life and investigated whether the relationship between demographic variables and quality of life was the same across diagnoses. We found that the relationship between demographic and illness variables was complex, with inconsistent effects across WHOQOL-BREF domains. Certain domains of the WHOQOL-BREF were more sensitive to the influence of psychiatric diagnosis than others.

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