Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, MA, USA,
Adm Policy Ment Health. 2013 Mar;40(2):87-95. doi: 10.1007/s10488-011-0377-5.
Computerized cognitive behavioral therapy is an efficacious treatment for anxiety and depression with the potential to improve access to evidence-based care. However, its adoption in clinical practice in the US has been low and thus there is a need for identification of barriers to its use. We examined treatment-seeking patient (n = 55) and clinician (n = 26) perceptions of computer-based psychological treatment (CBPT) using Diffusion of Innovations theory as a conceptual framework. Diffusion of Innovations theory emphasizes potential adopter perceptions as being key to understanding adoption decisions, thus making it an ideal framework for evaluating barriers to use. Overall, treatment-seeking patients held slightly negative perceptions of CBPT, while clinicians' perceptions were more neutral. In both groups, perceptions of observability (seeing or hearing about the treatment in use) were rated lowest. Implications for dissemination efforts and suggestions for future research are discussed.
计算机化认知行为疗法是一种有效的焦虑和抑郁治疗方法，具有改善获得循证治疗的潜力。然而，它在美国临床实践中的采用率一直很低，因此需要确定其使用的障碍。我们使用创新扩散理论作为概念框架，检查了寻求治疗的患者（n=55）和临床医生（n=26）对基于计算机的心理治疗（CBPT）的看法。创新扩散理论强调潜在采用者的看法是理解采用决策的关键，因此，该理论是评估使用障碍的理想框架。总体而言，寻求治疗的患者对 CBPT 的看法略为负面，而临床医生的看法则更为中立。在这两个群体中，对可观察性（看到或听说正在使用的治疗方法）的看法评价最低。讨论了传播工作的意义和对未来研究的建议。
