Access to Psychotherapy in the Era of Web 2.0 – New Media, Old Inequalities? / Zugang zur Psychotherapie in der Ära des Web 2.0 – Neue Medien, Alte Ungleichheiten?

Apolinario-Hagen, Jennifer Anette; Tasseit, Siegfried

doi:10.1515/ijhp-2015-0010

Cited by 13 publications

(10 citation statements)

References 41 publications

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“…Although more female than male persons seek help for mental problems and attend psychotherapy [51], future studies should aim to explore attitudes of populations underrepresented in most studies, such as young men [70]. Given that Internet-delivered therapies such as iCBT mostly reach similar populations as traditional face-to-face CBT [21,62], expanding the public access to professional help remains a great challenge. Understanding the views and needs of a broad range of potential adopters in public health could be a crucial next step to reach more or hard-to-reach persons from the general population.…”

Section: Discussionmentioning

confidence: 99%

“…Items of the measure were selected based on a literature review that aimed to identify commonly cited statements about relative advantages of e-mental health treatment services for mental health care [2,3,18]. The main findings of this work were published as rapid review [21]. The first set of items was subsequently modified after an expert interview (licensed psychotherapist with a senior level of clinical expertise).…”

Section: Methodsmentioning

confidence: 99%

“…However, these promising findings from controlled studies appear to challenge the overall poor uptake of e-mental health services in health care systems worldwide indicating psychological barriers [18-21]. Although clinical studies have identified individual predictors of engagement or disengagement in active treatment conditions [22-25], the evidence base for predictors of help-seeking intentions and using e-mental health treatments in the general population is still scare.…”

Section: Introductionmentioning

confidence: 99%

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Current Views and Perspectives on E-Mental Health: An Exploratory Survey Study for Understanding Public Attitudes Toward Internet-Based Psychotherapy in Germany

Apolinário-Hagen¹,

Vehreschild²,

Alkoudmani³

2017

JMIR Ment Health

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BackgroundDespite the advanced development of evidence-based psychological treatment services, help-seeking persons with mental health problems often fail to receive appropriate professional help. Internet-delivered psychotherapy has thus been suggested as an efficient strategy to overcome barriers to access mental health care on a large scale. However, previous research indicated poor public acceptability as an issue for the dissemination of Internet-delivered therapies. Currently, little is known about the expectations and attitudes toward Internet-delivered therapies in the general population. This is especially the case for countries such as Germany where electronic mental health (e-mental health) treatment services are planned to be implemented in routine care.ObjectiveThis pilot study aimed to determine the expectations and attitudes toward Internet-based psychotherapy in the general population in Germany. Furthermore, it aimed to explore the associations between attitudes toward Internet-based therapies and perceived stress.MethodsTo assess public attitudes toward Internet-based psychotherapy, we conducted both Web-based and paper-and-pencil surveys using a self-developed 14-item questionnaire (Cronbach alpha=.89). Psychological distress was measured by employing a visual analogue scale (VAS) and the 20-item German version of the Perceived Stress Questionnaire (PSQ). In addition, we conducted explorative factor analysis (principal axis factor analysis with promax rotation). Spearman’s rank correlations were used to determine the associations between attitudes toward Internet-based therapies and perceived stress.ResultsDescriptive analyses revealed that most respondents (N=1558; female: 78.95%, 1230/1558) indicated being not aware of the existence of Internet-delivered therapies (83.46%, 1141/1367). The average age was 32 years (standard deviation, SD 10.9; range 16-76). Through exploratory factor analysis, we identified 3 dimensions of public attitudes toward Internet-based therapies, which we labeled “usefulness or helpfulness,” “relative advantage or comparability,” and “accessibility or access to health care.” Analyses revealed negative views about Internet-based therapies on most domains, such as perceived helpfulness. The study findings further indicated ambivalent attitudes: Although most respondents agreed to statements on expected improvements in health care (eg, expanded access), we observed low intentions to future use of Internet-delivered therapies in case of mental health problems.ConclusionsThis pilot study showed deficient “e-awareness” and rather negative or ambivalent attitudes toward Internet-delivered therapies in the German-speaking general population. However, research targeting determinants of the large-scale adoption of Internet-based psychotherapy is still in its infancy. Thus, further research is required to explore the “black box” of public attitudes toward Internet-delivered therapies with representative samples, validated measures, and longitudinal survey designs.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Current Views and Perspectives on E-Mental Health: An Exploratory Survey Study for Understanding Public Attitudes Toward Internet-Based Psychotherapy in Germany

Apolinário-Hagen¹,

Vehreschild²,

Alkoudmani³

2017

JMIR Ment Health

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“…In controlled trials, especially therapist-guided, Internet-based cognitive behavior therapy (iCBT) approaches achieved effect sizes, satisfaction, and adherence rates comparable to those of traditional face-to-face CBT [14]. However, poor engagement of primary care patients [15-17] and the slow diffusion of e-mental health into mental health care indicated acceptability issues as barrier for the dissemination of e-mental health treatments [2,6]. This outlined discrepancy between promising research findings and the weak uptake of e-mental health treatments in real-world help-seeking contexts needs clarification about facilitators and barriers of successful dissemination of e-mental health [6].…”

Section: Introductionmentioning

confidence: 99%

“…Previous reviews have thus mainly targeted the evidence base for the effectiveness of Web-based therapies for diagnosed mental disorders [7-14] and Web-based self-help formats [35]. Other types of existing e-mental health reviews focused on proposed relative advantages and challenges for mental health care [1-3,17]. Considering the above-outlined divide between the overall good satisfaction or acceptability of participants in controlled trials and the low impact in health care across the globe [2,3,6,17], a scoping review targeting the “status quo” of public acceptability of e-mental health through the identification of potential indicators of acceptability (ie, perceived helpfulness and intentions to use) can offer first insights into the “black box” of prospective service users.…”

Section: Introductionmentioning

confidence: 99%

Public Acceptability of E-Mental Health Treatment Services for Psychological Problems: A Scoping Review

Apolinário-Hagen¹,

Kemper²,

Stürmer³

2017

JMIR Ment Health

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BackgroundOver the past decades, the deficient provision of evidence-based interventions for the prevention and treatment of mental health problems has become a global challenge across health care systems. In view of the ongoing diffusion of new media and mobile technologies into everyday life, Web-delivered electronic mental health (e-mental health) treatment services have been suggested to expand the access to professional help. However, the large-scale dissemination and adoption of innovative e-mental health services is progressing slowly. This discrepancy between potential and actual impact in public health makes it essential to explore public acceptability of e-mental health treatment services across health care systems.ObjectiveThis scoping review aimed to identify and evaluate recent empirical evidence for public acceptability, service preferences, and attitudes toward e-mental health treatments. On the basis of both frameworks for technology adoption and previous research, we defined (1) perceived helpfulness and (2) intentions to use e-mental health treatment services as indicators for public acceptability in the respective general population of reviewed studies. This mapping should reduce heterogeneity and help derive implications for systematic reviews and public health strategies.MethodsWe systematically searched electronic databases (MEDLINE/PubMed, PsycINFO, Psyndex, PsycARTICLES, and Cochrane Library, using reference management software for parallel searches) to identify surveys published in English in peer-reviewed journals between January 2010 and December 2015, focusing on public perceptions about e-mental health treatments outside the context of clinical, psychosocial, or diagnostic interventions. Both indicators were obtained from previous review. Exclusion criteria further involved studies targeting specific groups or programs.ResultsThe simultaneous database search identified 76 nonduplicate records. Four articles from Europe and Australia were included in this scoping review. Sample sizes ranged from 217 to 2411 participants of ages 14-95 years. All included studies used cross-sectional designs and self-developed measures for outcomes related to both defined indicators of public acceptability. Three surveys used observational study designs, whereas one study was conducted as an experiment investigating the impact of brief educational information on attitudes. Taken together, the findings of included surveys suggested that e-mental health treatment services were perceived as less helpful than traditional face-to-face interventions. Additionally, intentions to future use e-mental health treatments were overall smaller in comparison to face-to-face services. Professional support was essential for help-seeking intentions in case of psychological distress. Therapist-assisted e-mental health services were preferred over unguided programs. Unexpectedly, assumed associations between familiarity with Web-based self-help for health purposes or “e-awareness” and intentions to use e-mental health servi...

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Cognitive Behavioral Therapy and Behavioral Activation Therapy for Treatment-Resistant Depression: Traditional and Digital Therapy Perspectives

Apolinário-Hagen

Fritsche

Albers

et al. 2018

Treatment Resistance in Psychiatry

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Access to Psychotherapy in the Era of Web 2.0 – New Media, Old Inequalities? / Zugang zur Psychotherapie in der Ära des Web 2.0 – Neue Medien, Alte Ungleichheiten?

Cited by 13 publications

References 41 publications

Current Views and Perspectives on E-Mental Health: An Exploratory Survey Study for Understanding Public Attitudes Toward Internet-Based Psychotherapy in Germany

Current Views and Perspectives on E-Mental Health: An Exploratory Survey Study for Understanding Public Attitudes Toward Internet-Based Psychotherapy in Germany

Public Acceptability of E-Mental Health Treatment Services for Psychological Problems: A Scoping Review

Cognitive Behavioral Therapy and Behavioral Activation Therapy for Treatment-Resistant Depression: Traditional and Digital Therapy Perspectives

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