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Experiences and attitudes of primary care therapists in the implementation and use of internet-based treatment in Swedish primary care settings

Författare och institution:
Marie Kivi (Psykologiska institutionen); M.C.M. Eriksson (-); Dominique Hange (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); Eva-Lisa Petersson (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); Cecilia Björkelund (Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa); Boo Johansson (Psykologiska institutionen)
Publicerad i:
Internet Interventions, 2 ( 3 ) s. 248-256
Artikel, refereegranskad vetenskaplig
Sammanfattning (abstract):
© 2015 The Authors. Published by Elsevier B.V. Background: The current knowledge of internet-based cognitive behavior therapy (ICBT) implemented in primary care settings is sparse. Our objective was to explore primary care therapists' experiences and attitudes of ICBT, the opportunities and conditions for research in primary care, and to identify potential barriers to the implementation of ICBT treatment in primary care. Methods: Eleven therapists (of 14) participating in the research and implementation project PRIM-NET completed a survey. Four of them were selected also for a detailed semi-structured interview. Data from the interviews were analyzed qualitatively and according to methods used in implementation science. Results: Six general themes were identified in which the therapists considered ICBT as a good treatment that ought to be introduced in primary care. To optimize procedure in primary care settings, several adaptations of ICBT were suggested. Integrating and blending ICBT and face-to-face therapies, for example, would render primary care psychology more efficient. The PRIM-NET study and research within primary care was seen as rewarding and necessary, but challenging. To a large extent primary care still revolves around the general practitioner, with a focus on production, finances, and a somatic aspect of the patients. Five possible barriers to implementation of ICBT were identified which perhaps explains why psychological procedures are not fully integrated into primary care. Conclusions: Although the implementation of new methods and routines is typically accompanied by challenges, the overall experience of the therapists supports the implementation of ICBT as an additional treatment in primary care.
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Klinisk medicin
Klinisk medicin ->
Allmän medicin
ICBT , Implementation , Primary care , Qualitative method , Therapists' view
Postens nummer:
Posten skapad:
2015-07-21 17:17

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