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Working alliance in low-intensity internet-based cognitive behavioral therapy for depression in primary care in Spain: A qualitative study
dc.contributor.author | Barcelo-Soler, Alberto | |
dc.contributor.author | Garcia-Campayo, Javier | |
dc.contributor.author | Araya, Ricardo | |
dc.contributor.author | Doukani, Asmae | |
dc.contributor.author | Gili, Margalida | |
dc.contributor.author | García-Palacios, Azucena | |
dc.contributor.author | Mayoral-Cleries, Fermin | |
dc.contributor.author | Montero-Marín, Jesús | |
dc.date.accessioned | 2023-06-22T17:26:24Z | |
dc.date.available | 2023-06-22T17:26:24Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Barceló-Soler A, García-Campayo J, Araya R, Doukani A, Gili M, García-Palacios A, Mayoral F and Montero-Marin J (2023) Working alliance in low-intensity internet-based cognitive behavioral therapy for depression in primary care in Spain: A qualitative study. Front. Psychol. 14:1024966. doi: 10.3389/fpsyg.2023.1024966 | ca_CA |
dc.identifier.issn | 1664-1078 | |
dc.identifier.uri | http://hdl.handle.net/10234/202914 | |
dc.description.abstract | Introduction: Psychotherapies delivered via the Internet have been promoted as an alternative for improving access to psychological treatments. A conceptual working alliance model of blended (i.e., traditional face-to-face consultation combined with Internet-delivered psychotherapy) cognitive-behavioral therapy (b-CBT) for depression has been developed in the UK. However, little is known about how this important therapeutic process, namely the working alliance (WA), is developed and maintained in Internet-delivered cognitive-behavioral therapy without face-to-face consultation (i-CBT). The aim of this study was to evaluate the validity of the WA model of b-CBT in Spanish patients with depression receiving i-CBT. Methods: Forty-one patients suffering from mild-moderate depression were interviewed to assess their experiences of an i-CBT program. Interviews were conducted with participants who received a self-guided application (n = 9), and low-intensity support (n = 10). Three group interviews were also conducted with patients who either did not start the program (n = 8) or did not complete it (n = 6), and with patients who did complete it (n = 8). Results: Qualitative thematic content analysis was performed using the constant comparative method, which revealed four main themes: “bond,” “goals,” “task,” and “usability heuristics,” all consistent with the existing literature. However, a new subcategory emerged, called “anonymity,” which may highlight the social stigma that mental illness still has in the Spanish context. Conclusion: Results suggest that the development and maintenance of the WA through i-CBT could offer a better experience of the therapeutic process and improve the clinical impact. Clinical Trial Registration: Clinicaltrials.gov, identifier: NCT01611818. | ca_CA |
dc.format.extent | 14 p. | ca_CA |
dc.format.mimetype | application/pdf | ca_CA |
dc.language.iso | eng | ca_CA |
dc.publisher | Frontiers Media | ca_CA |
dc.relation.isPartOf | Frontiers in Psychology 14:1024966. | ca_CA |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | ca_CA |
dc.subject | working alliance | ca_CA |
dc.subject | telemedicine | ca_CA |
dc.subject | CBT | ca_CA |
dc.subject | qualitative | ca_CA |
dc.subject | depression | ca_CA |
dc.title | Working alliance in low-intensity internet-based cognitive behavioral therapy for depression in primary care in Spain: A qualitative study | ca_CA |
dc.type | info:eu-repo/semantics/article | ca_CA |
dc.identifier.doi | https://doi.org/10.3389/fpsyg.2023.1024966 | |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | ca_CA |
dc.type.version | info:eu-repo/semantics/publishedVersion | ca_CA |
project.funder.name | Government of Aragon | ca_CA |
project.funder.name | Spanish Ministry of Economy and Competitiveness | ca_CA |
project.funder.name | European Union ERDF | ca_CA |
oaire.awardNumber | B17_20R | ca_CA |
oaire.awardNumber | RD16/0007/0005 | ca_CA |
oaire.awardNumber | ISCIII; CP21/00080 | ca_CA |
dc.subject.ods | 3. Salud y bienestar |
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