PsychNology Journal, Volume 11, Number 3, 213 – 233

Service Providers’ Perceptions on the Uptake of Computerised Cognitive Behavioural Therapy (CCBT)

Eliane Du, Ethel Quayle
School of Health in Social Science, University of Edinburgh, United Kingdom

Hamish Macleod
Institute for Education Community and Society, University of Edinburgh, United Kingdom


ABSTRACT

Studies suggest that Computerised Cognitive Behavioural Therapy (CCBT) is an effective self-help approach with or without therapist guidance for mild to moderate anxiety and depression. According to media reports, CCBT will be offered to patients across National Health Service (NHS) Scotland to save costs and as a solution to the long waiting lists for face-to-face therapy. However, the low adherence by patients to programmes of CCBT remains a concern. The attitudes and perceptions of practitioners toward CCBT may have an impact on the uptake and adherence. However, this has rarely been explored in previous research. In-depth semi-structured interviews were carried out with service providers at different NHS organisations who were involved in both decision-making about the availability of CCBT and in providing support concerning its use. Interview data were analysed using Grounded Theory Methods. The results confirmed that usability was not the only factor influencing the uptake of CCBT. One core category, “shaping behaviour” emerged from the interviews indicating that attitudes and perceptions of practitioners toward this intervention might have compromised the effective use of CCBT and its service delivery. Several elements of these attitudes were identified. Specifically, “shaping behaviour” related to issues surrounding challenging practices; increasing awareness and understanding; promoting and marketing; getting buy-in and increasing acceptance; and believing in technology and its effectiveness. These factors are all critical to the success and clinical impact of this type of intervention.

KEYWORDS: Computerised cognitive behavioural therapy, CCBT, human computer interaction, HCI, usability, depression, anxiety, attitude, behaviour, perception, practitioner, adherence.


CITE AS:
Du E, Quayle E., and Macleod H. (2013). Service Providers’ Perceptions on the Uptake of Computerised Cognitive Behavioural Therapy (CCBT). PsychNology Journal, 11(3), 213 - 233. Retrieved [month] [day], [year], from www.psychnology.org.

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PsychNology Journal Volume 11, Number 3