Faculty of Health, Welfare and Organisation, Østfold University College, Fredrikstad, Norway; Faculty of Health Sciences, Department of Behavioral Sciences, Oslo Metropolitan University, Oslo, Norway.
Division of Psychiatry, Haukeland University Hospital, Bergen, Norway; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Acta Psychol (Amst). 2024 Oct;250:104510. doi: 10.1016/j.actpsy.2024.104510. Epub 2024 Oct 9.
This qualitative study explored the experiences of individuals testing a novel internet-delivered acceptance and commitment therapy program (iACT) for patients with mild and moderate depressive disorder. Twelve participants, consisting of one male and 11 females with a history of depression but not currently depressed were recruited. Individual semi-structured interviews were conducted after 14 days of access to the iACT without therapist guidance. By using reflexive thematic analysis three key themes reflecting important aspects of the participants' experiences were created. 'Theme 1: I would have been too ill to benefit from the program' points to generally positive sentiments about the program among participants but raised concerns about treatment adherence during a depressive episode. 'Theme 2: It has the potential to fill gaps in healthcare services' highlighted the program's perceived role as a supplement to current health services rather than as a standalone intervention. 'Theme 3: It is not perfect for anyone' underscored the participants different views on how their personal needs would be met by this program and the lack of tailoring to individual preferences. These findings provide valuable insights for refining future internet-delivered intervention development targeting patients with depression or other mental health challenges.
本定性研究探讨了个体测试一种新颖的互联网为基础的接受和承诺疗法（iACT）用于治疗轻度和中度抑郁障碍患者的体验。招募了 12 名参与者，其中包括 1 名男性和 11 名女性，他们有抑郁病史但目前没有抑郁。在没有治疗师指导的情况下使用 iACT 14 天后，进行了个体半结构化访谈。通过使用反思性主题分析，创建了反映参与者体验重要方面的三个关键主题。“主题 1：我可能会因为病情太严重而无法从该项目中受益”，反映了参与者对该项目的普遍积极看法，但对在抑郁发作期间坚持治疗的问题表示担忧。“主题 2：它有可能填补医疗保健服务的空白”，突出了该项目作为现有卫生服务的补充，而不是作为独立干预措施的潜在作用。“主题 3：它并不适合任何人”，强调了参与者对该项目如何满足其个人需求的不同看法，以及缺乏针对个人偏好的定制。这些发现为改进针对抑郁症或其他心理健康挑战患者的未来互联网为基础的干预措施的开发提供了有价值的见解。
