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Experiences of non-adherence to Internet-delivered cognitive behaviour therapy: a qualitative study

Johansson, Olof LU ; Michel, Teresa; Andersson, Gerhard and Paxling, Björn (2015) In Internet Interventions 2(2). p.137-142
Abstract
Many trials on Internet-delivered psychological treatments have had problems with nonadherence, but not much is known about the subjective reasons for non-adhering. The aim of this study was to explore participants' experiences of non-adherence to Internet-delivered psychological treatment. Grounded theory was used to analyze data from seven in-depth interviews with persons who had non-adhered to a study on Internet-delivered cognitive behavioral therapy for generalized anxiety disorder. The process of non-adherence is described as an interaction between patient factors and treatment factors. A working model theory was generated to illustrate the experience of nonadherence. The model describes a process where treatment features such as... (More)
Many trials on Internet-delivered psychological treatments have had problems with nonadherence, but not much is known about the subjective reasons for non-adhering. The aim of this study was to explore participants' experiences of non-adherence to Internet-delivered psychological treatment. Grounded theory was used to analyze data from seven in-depth interviews with persons who had non-adhered to a study on Internet-delivered cognitive behavioral therapy for generalized anxiety disorder. The process of non-adherence is described as an interaction between patient factors and treatment factors. A working model theory was generated to illustrate the experience of nonadherence. The model describes a process where treatment features such as workload, text-content complexity and treatment process don't match personal prerequisites regarding daily routines, perceived language skills and treatment expectations respectively, resulting in the decision to nonadhere. Negative effects were also stated as a reason for non-adherence. Several common strategies used for increasing adherence to Internet-delivered therapy in general are by these non-completers regarded as factors directly related to their reason for non-adherence. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
in press
subject
keywords
Internet treatment, Attrition, Non-adherence, Generalized anxiety disorder, Cognitive behavior therapy, Behavior therapy, Self-help
in
Internet Interventions
volume
2
issue
2
pages
137 - 142
publisher
Elsevier
external identifiers
  • scopus:84925164624
ISSN
2214-7829
DOI
10.1016/j.invent.2015.02.006
language
English
LU publication?
yes
id
c520bd4a-5fe4-4aaf-bb34-350579257421 (old id 5156738)
date added to LUP
2015-03-26 16:27:18
date last changed
2017-10-08 04:06:59
@article{c520bd4a-5fe4-4aaf-bb34-350579257421,
  abstract     = {Many trials on Internet-delivered psychological treatments have had problems with nonadherence, but not much is known about the subjective reasons for non-adhering. The aim of this study was to explore participants' experiences of non-adherence to Internet-delivered psychological treatment. Grounded theory was used to analyze data from seven in-depth interviews with persons who had non-adhered to a study on Internet-delivered cognitive behavioral therapy for generalized anxiety disorder. The process of non-adherence is described as an interaction between patient factors and treatment factors. A working model theory was generated to illustrate the experience of nonadherence. The model describes a process where treatment features such as workload, text-content complexity and treatment process don't match personal prerequisites regarding daily routines, perceived language skills and treatment expectations respectively, resulting in the decision to nonadhere. Negative effects were also stated as a reason for non-adherence. Several common strategies used for increasing adherence to Internet-delivered therapy in general are by these non-completers regarded as factors directly related to their reason for non-adherence.},
  author       = {Johansson, Olof and Michel, Teresa and Andersson, Gerhard and Paxling, Björn},
  issn         = {2214-7829},
  keyword      = {Internet treatment,Attrition,Non-adherence,Generalized anxiety disorder,Cognitive behavior therapy,Behavior therapy,Self-help},
  language     = {eng},
  number       = {2},
  pages        = {137--142},
  publisher    = {Elsevier},
  series       = {Internet Interventions},
  title        = {Experiences of non-adherence to Internet-delivered cognitive behaviour therapy: a qualitative study},
  url          = {http://dx.doi.org/10.1016/j.invent.2015.02.006},
  volume       = {2},
  year         = {2015},
}