Preferences of psychotherapists for blended care in Germany: a discrete choice experiment

Abstract Objectives Digital treatment formats are emerging within mental health care. Evidence suggests that mental health care providers and recipients prefer a combination of digital and traditional elements within psychotherapy treatment formats, also called blended care (BC), over standalone dig...

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Main Authors: Elena A. Phillips, Sebastian Himmler, Jonas Schreyögg
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-022-03765-x
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author Elena A. Phillips
Sebastian Himmler
Jonas Schreyögg
author_facet Elena A. Phillips
Sebastian Himmler
Jonas Schreyögg
author_sort Elena A. Phillips
collection DOAJ
description Abstract Objectives Digital treatment formats are emerging within mental health care. Evidence suggests that mental health care providers and recipients prefer a combination of digital and traditional elements within psychotherapy treatment formats, also called blended care (BC), over standalone digital formats. We examined the attitudes and preferences of licensed psychotherapists in Germany regarding such BC applications. Methods We fielded a survey among psychotherapists, including questions about attitudes, previous experiences, and expectations regarding BC, as well as a discrete choice experiment. Attributes for the experiment were developed using a stepwise qualitative approach. A Bayesian D-efficient design was used to generate the choice tasks. The choice data were analyzed by applying mixed logit models. Results The survey was completed by 200 psychotherapists. Attitudes towards BC were mainly positive, with strong reported intentions to use BC formats. In the choice experiment, recommendation from a professional society for a BC online component was the most important characteristic. Greater effectiveness and a larger share of face-to-face vs. online time were also desired features, while a financial incentive to use BC was less relevant.
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spelling doaj.art-025e049ee3724fdd87c7d1bb12d19f1e2022-12-21T17:26:31ZengBMCBMC Psychiatry1471-244X2022-02-0122111210.1186/s12888-022-03765-xPreferences of psychotherapists for blended care in Germany: a discrete choice experimentElena A. Phillips0Sebastian Himmler1Jonas Schreyögg2Hamburg Center for Health Economics, University of HamburgErasmus School of Health Policy & Management Health EconomicsHamburg Center for Health Economics, University of HamburgAbstract Objectives Digital treatment formats are emerging within mental health care. Evidence suggests that mental health care providers and recipients prefer a combination of digital and traditional elements within psychotherapy treatment formats, also called blended care (BC), over standalone digital formats. We examined the attitudes and preferences of licensed psychotherapists in Germany regarding such BC applications. Methods We fielded a survey among psychotherapists, including questions about attitudes, previous experiences, and expectations regarding BC, as well as a discrete choice experiment. Attributes for the experiment were developed using a stepwise qualitative approach. A Bayesian D-efficient design was used to generate the choice tasks. The choice data were analyzed by applying mixed logit models. Results The survey was completed by 200 psychotherapists. Attitudes towards BC were mainly positive, with strong reported intentions to use BC formats. In the choice experiment, recommendation from a professional society for a BC online component was the most important characteristic. Greater effectiveness and a larger share of face-to-face vs. online time were also desired features, while a financial incentive to use BC was less relevant.https://doi.org/10.1186/s12888-022-03765-xE-mental healthBlended careE-therapyInterventionsDiscrete choice experimentTherapist preferences
spellingShingle Elena A. Phillips
Sebastian Himmler
Jonas Schreyögg
Preferences of psychotherapists for blended care in Germany: a discrete choice experiment
BMC Psychiatry
E-mental health
Blended care
E-therapy
Interventions
Discrete choice experiment
Therapist preferences
title Preferences of psychotherapists for blended care in Germany: a discrete choice experiment
title_full Preferences of psychotherapists for blended care in Germany: a discrete choice experiment
title_fullStr Preferences of psychotherapists for blended care in Germany: a discrete choice experiment
title_full_unstemmed Preferences of psychotherapists for blended care in Germany: a discrete choice experiment
title_short Preferences of psychotherapists for blended care in Germany: a discrete choice experiment
title_sort preferences of psychotherapists for blended care in germany a discrete choice experiment
topic E-mental health
Blended care
E-therapy
Interventions
Discrete choice experiment
Therapist preferences
url https://doi.org/10.1186/s12888-022-03765-x
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