Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment

Canadian public safety personnel (PSP) experience high rates of mental health problems and barriers to receiving care. Internet-delivered cognitive behavioural therapy (ICBT) may help reduce barriers to care; however, there is no literature involving qualitative analyses of client feedback to descri...

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Autores principales:	Janine D. Beahm, Hugh C. McCall, R. Nicholas Carleton, Nick Titov, Blake Dear, Heather D. Hadjistavropoulos
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Digital mental health Qualitative ICBT Public safety personnel First responders Learning health systems Information technology T58.5-58.64 Psychology BF1-990
Acceso en línea:	https://doaj.org/article/27bd3a48bd0640dab11dc1fb0f9441f2
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spelling	oai:doaj.org-article:27bd3a48bd0640dab11dc1fb0f9441f22021-11-12T04:35:19ZInsights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment2214-782910.1016/j.invent.2021.100481https://doaj.org/article/27bd3a48bd0640dab11dc1fb0f9441f22021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2214782921001214https://doaj.org/toc/2214-7829Canadian public safety personnel (PSP) experience high rates of mental health problems and barriers to receiving care. Internet-delivered cognitive behavioural therapy (ICBT) may help reduce barriers to care; however, there is no literature involving qualitative analyses of client feedback to describe PSP experiences with ICBT. Identifying these experiences is important because it can inform future use of ICBT with this group that has unique needs. The current study was designed to explore how clients (N = 82) experienced ICBT that had been tailored to meet their needs; specifically, the study assessed their perceptions of program impacts, what clients found helpful, and client suggestions for improvements. The ICBT course included five core lessons, client stories, and nine initial additional resources, as well as flexible frequencies (optional, once weekly, or twice weekly) and durations (8 to 16 weeks) of therapist support. A qualitative reliability thematic analysis was used to analyze client communications and feedback. Responses to a Treatment Satisfaction Questionnaire administered at eight weeks post-enrollment were available for 57 clients. Client emails with therapists were also examined among all clients, including an additional 25 clients who did not complete the Treatment Satisfaction Questionnaire. Themes identified in the qualitative analyses were related to: reported impacts and hindering events, helpful and challenging course skills and content, helpful aspects of the course, and areas for improvement. Clients who completed the Treatment Satisfaction Questionnaire and those who did not reported beneficial impacts from the program, with the most commonly endorsed themes being skill development and normalizing mental health issues. Hindering events were experienced by both groups and included timeline challenges, technology challenges, and negative effects. Comments from both groups suggested that clients had more success than challenges when practicing the skills. Thought challenging was the skill most frequently identified as helpful. Clients described many aspects of the program as helpful with the most frequently endorsed themes being the course format and content, the flexible nature of the course, access to additional materials and case stories, and therapist assistance. Clients also provided suggestions for improving the course (e.g., case stories, additional resources, timelines audio and videos). Overall, client communications suggest that ICBT is accepted and perceived as beneficial among PSP. These results informed rapid improvements to the ICBT program tailored for PSP and may inform others seeking to provide digital mental health services to PSP.Janine D. BeahmHugh C. McCallR. Nicholas CarletonNick TitovBlake DearHeather D. HadjistavropoulosElsevierarticleDigital mental healthQualitativeICBTPublic safety personnelFirst respondersLearning health systemsInformation technologyT58.5-58.64PsychologyBF1-990ENInternet Interventions, Vol 26, Iss , Pp 100481- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Digital mental health Qualitative ICBT Public safety personnel First responders Learning health systems Information technology T58.5-58.64 Psychology BF1-990
spellingShingle	Digital mental health Qualitative ICBT Public safety personnel First responders Learning health systems Information technology T58.5-58.64 Psychology BF1-990 Janine D. Beahm Hugh C. McCall R. Nicholas Carleton Nick Titov Blake Dear Heather D. Hadjistavropoulos Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment
description	Canadian public safety personnel (PSP) experience high rates of mental health problems and barriers to receiving care. Internet-delivered cognitive behavioural therapy (ICBT) may help reduce barriers to care; however, there is no literature involving qualitative analyses of client feedback to describe PSP experiences with ICBT. Identifying these experiences is important because it can inform future use of ICBT with this group that has unique needs. The current study was designed to explore how clients (N = 82) experienced ICBT that had been tailored to meet their needs; specifically, the study assessed their perceptions of program impacts, what clients found helpful, and client suggestions for improvements. The ICBT course included five core lessons, client stories, and nine initial additional resources, as well as flexible frequencies (optional, once weekly, or twice weekly) and durations (8 to 16 weeks) of therapist support. A qualitative reliability thematic analysis was used to analyze client communications and feedback. Responses to a Treatment Satisfaction Questionnaire administered at eight weeks post-enrollment were available for 57 clients. Client emails with therapists were also examined among all clients, including an additional 25 clients who did not complete the Treatment Satisfaction Questionnaire. Themes identified in the qualitative analyses were related to: reported impacts and hindering events, helpful and challenging course skills and content, helpful aspects of the course, and areas for improvement. Clients who completed the Treatment Satisfaction Questionnaire and those who did not reported beneficial impacts from the program, with the most commonly endorsed themes being skill development and normalizing mental health issues. Hindering events were experienced by both groups and included timeline challenges, technology challenges, and negative effects. Comments from both groups suggested that clients had more success than challenges when practicing the skills. Thought challenging was the skill most frequently identified as helpful. Clients described many aspects of the program as helpful with the most frequently endorsed themes being the course format and content, the flexible nature of the course, access to additional materials and case stories, and therapist assistance. Clients also provided suggestions for improving the course (e.g., case stories, additional resources, timelines audio and videos). Overall, client communications suggest that ICBT is accepted and perceived as beneficial among PSP. These results informed rapid improvements to the ICBT program tailored for PSP and may inform others seeking to provide digital mental health services to PSP.
format	article
author	Janine D. Beahm Hugh C. McCall R. Nicholas Carleton Nick Titov Blake Dear Heather D. Hadjistavropoulos
author_facet	Janine D. Beahm Hugh C. McCall R. Nicholas Carleton Nick Titov Blake Dear Heather D. Hadjistavropoulos
author_sort	Janine D. Beahm
title	Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment
title_short	Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment
title_full	Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment
title_fullStr	Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment
title_full_unstemmed	Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment
title_sort	insights into internet-delivered cognitive behavioural therapy for public safety personnel: exploration of client experiences during and after treatment
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/27bd3a48bd0640dab11dc1fb0f9441f2
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Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment

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