Cerga-Pashoja Arlinda, Doukani Asmae, Gega Lina, Walke Jennifer, Araya Ricardo
Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Department of Health Sciences & Hull York Medical School, University of York, York, UK.
Psychother Res. 2020 Nov;30(8):998-1010. doi: 10.1080/10503307.2020.1720932. Epub 2020 Feb 5.
Numerous studies and reviews have explored the value of adding therapist support to internet self-help for improving client adherence and outcomes. This study is different as it explores the value of adding internet self-help to face-to-face therapy, from the perspective of practitioners who used both. This study explores practitioners' experiences of whether-and how-internet self-help blended with face-to-face therapy may confer an added value or become an added burden to their routine practice. Using a structured topic guide, we collected narrative data via 3 focus groups and 1 telephone interview from 11 practitioners across two sites in England. We carried out a thematic analysis within two domains, "value vs. burden". Practitioners reported that internet self-help can confer added value to face-to-face therapy by: fostering client engagement with face-to-face sessions; making therapy ubiquitous beyond sessions; and preventing therapeutic drift between sessions. Conversely, internet self-help can add burden to face-to-face therapy when it is experienced as disruptive, overwhelming and time-consuming. Recognizing and mitigating factors that can turn internet self-help from an added value to an added burden will help practitioners adopt and make the most out of blended therapy.
众多研究和综述探讨了在网络自助治疗中增加治疗师支持对提高来访者依从性和治疗效果的价值。本研究有所不同，它从同时使用过面对面治疗和网络自助治疗的从业者的角度，探讨了在面对面治疗中增加网络自助治疗的价值。本研究探讨了从业者对于网络自助治疗与面对面治疗相结合是否以及如何能为他们的日常工作带来附加价值或成为额外负担的体验。我们使用结构化主题指南，通过3个焦点小组和1次电话访谈，从英格兰两个地点的11名从业者那里收集了叙述性数据。我们在“价值与负担”两个领域内进行了主题分析。从业者报告称，网络自助治疗可以通过以下方式为面对面治疗带来附加价值：促进来访者参与面对面治疗；使治疗在治疗时段之外无处不在；防止治疗时段之间的治疗偏离。相反，当网络自助治疗被体验为具有干扰性、压倒性且耗时的时候，它会给面对面治疗增加负担。认识并减轻那些可能使网络自助治疗从附加价值变为额外负担的因素，将有助于从业者采用并充分利用混合治疗。
