Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionals

Background: Research has shown that computerized cognitive behavior therapy (cCBT), including internet-delivered CBT), can be effective. However, less is known about clinicians' attitudes towards this mode of treatment delivery. The aim of this study was to explore the attitudes of clinicians w...

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Main Authors: Sarah Vigerland, Brjánn Ljótsson, Fanny Bergdahl Gustafsson, Sandra Hagert, Ulrika Thulin, Gerhard Andersson, Eva Serlachius
Format: Article
Language:English
Published: Elsevier 2014-07-01
Series:Internet Interventions
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214782914000165
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author Sarah Vigerland
Brjánn Ljótsson
Fanny Bergdahl Gustafsson
Sandra Hagert
Ulrika Thulin
Gerhard Andersson
Eva Serlachius
author_facet Sarah Vigerland
Brjánn Ljótsson
Fanny Bergdahl Gustafsson
Sandra Hagert
Ulrika Thulin
Gerhard Andersson
Eva Serlachius
author_sort Sarah Vigerland
collection DOAJ
description Background: Research has shown that computerized cognitive behavior therapy (cCBT), including internet-delivered CBT), can be effective. However, less is known about clinicians' attitudes towards this mode of treatment delivery. The aim of this study was to explore the attitudes of clinicians within child- and adolescent psychiatry towards cCBT and to explore if attitudes differed depending on rurality or theoretical orientation. Methods: A random sample of Swedish child- and adolescent mental health services was selected for a survey study (N = 15). A total number of 156 surveys were collected. Results: Results showed a generally low knowledge of cCBT. A majority of clinicians were positive to cCBT as a prevention program (73%), and as treatment for mild to moderate problems (75%). More caution was reported with regard to more severe mental health problems. Treatment orientation, but not rurality, had a significant effect on several ratings. Thematic analyses showed concerns regarding for example lack of human support and the restricted usefulness of cCBT regarding age and complexity of symptoms. Perceived advantages were for example increased availability and possibility of an alternative way of communication. Conclusions: This study adds to the limited literature on attitudes towards cCBT. The emerging picture is of a mainly positive attitude and prerequisites for dissemination are promising.
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spelling doaj.art-ec96eb0c2f914952bcaa6169f4a1334e2022-12-22T02:11:10ZengElsevierInternet Interventions2214-78292014-07-011311111710.1016/j.invent.2014.06.002Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionalsSarah Vigerland0Brjánn Ljótsson1Fanny Bergdahl Gustafsson2Sandra Hagert3Ulrika Thulin4Gerhard Andersson5Eva Serlachius6Department of Clinical Neuroscience, Centre for Psychiatric Research and Education, Karolinska Institutet, Stockholm, SwedenDepartment of Clinical Neuroscience, Centre for Psychiatric Research and Education, Karolinska Institutet, Stockholm, SwedenDepartment of Psychology, Stockholm University, SwedenDepartment of Psychology, Stockholm University, SwedenDepartment of Clinical Neuroscience, Centre for Psychiatric Research and Education, Karolinska Institutet, Stockholm, SwedenDepartment of Behavioral Sciences and Learning, Swedish Institute for Disability Research, Linköping University, Linköping, SwedenDepartment of Clinical Neuroscience, Centre for Psychiatric Research and Education, Karolinska Institutet, Stockholm, SwedenBackground: Research has shown that computerized cognitive behavior therapy (cCBT), including internet-delivered CBT), can be effective. However, less is known about clinicians' attitudes towards this mode of treatment delivery. The aim of this study was to explore the attitudes of clinicians within child- and adolescent psychiatry towards cCBT and to explore if attitudes differed depending on rurality or theoretical orientation. Methods: A random sample of Swedish child- and adolescent mental health services was selected for a survey study (N = 15). A total number of 156 surveys were collected. Results: Results showed a generally low knowledge of cCBT. A majority of clinicians were positive to cCBT as a prevention program (73%), and as treatment for mild to moderate problems (75%). More caution was reported with regard to more severe mental health problems. Treatment orientation, but not rurality, had a significant effect on several ratings. Thematic analyses showed concerns regarding for example lack of human support and the restricted usefulness of cCBT regarding age and complexity of symptoms. Perceived advantages were for example increased availability and possibility of an alternative way of communication. Conclusions: This study adds to the limited literature on attitudes towards cCBT. The emerging picture is of a mainly positive attitude and prerequisites for dissemination are promising.http://www.sciencedirect.com/science/article/pii/S2214782914000165Internet-delivered CBTComputerized CBTChildrenAdolescentsAttitudes
spellingShingle Sarah Vigerland
Brjánn Ljótsson
Fanny Bergdahl Gustafsson
Sandra Hagert
Ulrika Thulin
Gerhard Andersson
Eva Serlachius
Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionals
Internet Interventions
Internet-delivered CBT
Computerized CBT
Children
Adolescents
Attitudes
title Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionals
title_full Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionals
title_fullStr Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionals
title_full_unstemmed Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionals
title_short Attitudes towards the use of computerized cognitive behavior therapy (cCBT) with children and adolescents: A survey among Swedish mental health professionals
title_sort attitudes towards the use of computerized cognitive behavior therapy ccbt with children and adolescents a survey among swedish mental health professionals
topic Internet-delivered CBT
Computerized CBT
Children
Adolescents
Attitudes
url http://www.sciencedirect.com/science/article/pii/S2214782914000165
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