Jordan Sophie, Becker Pauline, Behr Solveig, Fenski Friederike, Knaevelsrud Christine, Boettcher Johanna, Schaeuffele Carmen
Freie Universität Berlin, Dept. of Education and Psychology, Germany.
Psychologische Hochschule Berlin, Dept. of Clinical Psychology, Germany.
Internet Interv. 2025 Jun 18;41:100847. doi: 10.1016/j.invent.2025.100847. eCollection 2025 Sep.
Psychotherapists may act as bottlenecks in the integration of digital interventions into psychotherapy, known as blended care (BC). In the literature, various factors are discussed as potential inclusion, exclusion, or limiting criteria in BC.
Our aim for this interview study was to gain a deeper understanding of the factors psychotherapists consider when inviting patients to participate in BC. For this purpose, we interviewed seven psychotherapists with a psychodynamic and seven psychotherapists with a cognitive behavioral background who participated in a naturalistic trial on BC in routine outpatient psychotherapy.
Psychotherapists considered few fixed inclusion or exclusion criteria when considering which patients to introduce BC to. The basic technical requirements had to be met and the patients had to be "fit for outpatient therapy". Psychotherapists found patients' response to BC, like their motivation, to be a decisive factor when considering BC.
Psychotherapists emphasized patient motivation for BC as a potential bottleneck in its implementation. Therefore, a successful implementation strategy should focus on strengthening both psychotherapists' and patients' motivation to engage with BC. The openness of psychotherapists towards patient characteristics suggests that BC in outpatient care may target a broad patient population.
心理治疗师可能会成为将数字干预措施融入心理治疗（即混合式照护，BC）的瓶颈。在文献中，各种因素被讨论为BC中潜在的纳入、排除或限制标准。
我们本次访谈研究的目的是更深入地了解心理治疗师在邀请患者参与BC时所考虑的因素。为此，我们采访了七位具有精神动力学背景的心理治疗师和七位具有认知行为背景的心理治疗师，他们参与了一项关于常规门诊心理治疗中BC的自然主义试验。
在考虑向哪些患者介绍BC时，心理治疗师很少考虑固定的纳入或排除标准。必须满足基本的技术要求，且患者必须“适合门诊治疗”。心理治疗师发现，患者对BC的反应，比如他们的动机，是考虑BC时的一个决定性因素。
心理治疗师强调患者对BC的动机是其实施过程中的一个潜在瓶颈。因此，一个成功的实施策略应侧重于增强心理治疗师和患者参与BC的动机。心理治疗师对患者特征的开放性表明，门诊护理中的BC可能针对广泛的患者群体。
