Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.

<h4>Objective</h4>Computerised therapies play an integral role in efforts to improve access to psychological treatment for patients with depression and anxiety. However, despite recognised problems with uptake, there has been a lack of investigation into the barriers and facilitators of...

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Autores principales:	Sarah E Knowles, Gill Toms, Caroline Sanders, Penny Bee, Karina Lovell, Stefan Rennick-Egglestone, David Coyle, Catriona M Kennedy, Elizabeth Littlewood, David Kessler, Simon Gilbody, Peter Bower
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/cc6d2d7eb7944a83837007aa9ff2db81
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spelling	oai:doaj.org-article:cc6d2d7eb7944a83837007aa9ff2db812021-11-18T08:37:30ZQualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.1932-620310.1371/journal.pone.0084323https://doaj.org/article/cc6d2d7eb7944a83837007aa9ff2db812014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24465404/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>Computerised therapies play an integral role in efforts to improve access to psychological treatment for patients with depression and anxiety. However, despite recognised problems with uptake, there has been a lack of investigation into the barriers and facilitators of engagement. We aimed to systematically review and synthesise findings from qualitative studies of computerised therapies, in order to identify factors impacting on engagement.<h4>Method</h4>Systematic review and meta-synthesis of qualitative studies of user experiences of computer delivered therapy for depression and/or anxiety.<h4>Results</h4>8 studies were included in the review. All except one were of desktop based cognitive behavioural treatments. Black and minority ethnic and older participants were underrepresented, and only one study addressed users with a co-morbid physical health problem. Through synthesis, we identified two key overarching concepts, regarding the need for treatments to be sensitive to the individual, and the dialectal nature of user experience, with different degrees of support and anonymity experienced as both positive and negative. We propose that these factors can be conceptually understood as the 'non-specific' or 'common' factors of computerised therapy, analogous to but distinct from the common factors of traditional face-to-face therapies.<h4>Conclusion</h4>Experience of computerised therapy could be improved through personalisation and sensitisation of content to individual users, recognising the need for users to experience a sense of 'self' in the treatment which is currently absent. Exploiting the common factors of computerised therapy, through enhancing perceived connection and collaboration, could offer a way of reconciling tensions due to the dialectal nature of user experience. Future research should explore whether the findings are generalisable to other patient groups, to other delivery formats (such as mobile technology) and other treatment modalities beyond cognitive behaviour therapy. The proposed model could aid the development of enhancements to current packages to improve uptake and support engagement.Sarah E KnowlesGill TomsCaroline SandersPenny BeeKarina LovellStefan Rennick-EgglestoneDavid CoyleCatriona M KennedyElizabeth LittlewoodDavid KesslerSimon GilbodyPeter BowerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e84323 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sarah E Knowles Gill Toms Caroline Sanders Penny Bee Karina Lovell Stefan Rennick-Egglestone David Coyle Catriona M Kennedy Elizabeth Littlewood David Kessler Simon Gilbody Peter Bower Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.
description	<h4>Objective</h4>Computerised therapies play an integral role in efforts to improve access to psychological treatment for patients with depression and anxiety. However, despite recognised problems with uptake, there has been a lack of investigation into the barriers and facilitators of engagement. We aimed to systematically review and synthesise findings from qualitative studies of computerised therapies, in order to identify factors impacting on engagement.<h4>Method</h4>Systematic review and meta-synthesis of qualitative studies of user experiences of computer delivered therapy for depression and/or anxiety.<h4>Results</h4>8 studies were included in the review. All except one were of desktop based cognitive behavioural treatments. Black and minority ethnic and older participants were underrepresented, and only one study addressed users with a co-morbid physical health problem. Through synthesis, we identified two key overarching concepts, regarding the need for treatments to be sensitive to the individual, and the dialectal nature of user experience, with different degrees of support and anonymity experienced as both positive and negative. We propose that these factors can be conceptually understood as the 'non-specific' or 'common' factors of computerised therapy, analogous to but distinct from the common factors of traditional face-to-face therapies.<h4>Conclusion</h4>Experience of computerised therapy could be improved through personalisation and sensitisation of content to individual users, recognising the need for users to experience a sense of 'self' in the treatment which is currently absent. Exploiting the common factors of computerised therapy, through enhancing perceived connection and collaboration, could offer a way of reconciling tensions due to the dialectal nature of user experience. Future research should explore whether the findings are generalisable to other patient groups, to other delivery formats (such as mobile technology) and other treatment modalities beyond cognitive behaviour therapy. The proposed model could aid the development of enhancements to current packages to improve uptake and support engagement.
format	article
author	Sarah E Knowles Gill Toms Caroline Sanders Penny Bee Karina Lovell Stefan Rennick-Egglestone David Coyle Catriona M Kennedy Elizabeth Littlewood David Kessler Simon Gilbody Peter Bower
author_facet	Sarah E Knowles Gill Toms Caroline Sanders Penny Bee Karina Lovell Stefan Rennick-Egglestone David Coyle Catriona M Kennedy Elizabeth Littlewood David Kessler Simon Gilbody Peter Bower
author_sort	Sarah E Knowles
title	Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.
title_short	Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.
title_full	Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.
title_fullStr	Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.
title_full_unstemmed	Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.
title_sort	qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/cc6d2d7eb7944a83837007aa9ff2db81
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Qualitative meta-synthesis of user experience of computerised therapy for depression and anxiety.

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