Abstract
Computerized cognitive behavioral therapy is an efficacious treatment for anxiety and depression with the potential to improve
access to evidence-based care. However, its adoption in clinical practice in the US has been low and thus there is a need
for identification of barriers to its use. We examined treatment-seeking patient (n = 55) and clinician (n = 26) perceptions of computer-based psychological treatment (CBPT) using Diffusion of Innovations theory as a conceptual
framework. Diffusion of Innovations theory emphasizes potential adopter perceptions as being key to understanding adoption
decisions, thus making it an ideal framework for evaluating barriers to use. Overall, treatment-seeking patients held slightly
negative perceptions of CBPT, while clinicians’ perceptions were more neutral. In both groups, perceptions of observability
(seeing or hearing about the treatment in use) were rated lowest. Implications for dissemination efforts and suggestions for
future research are discussed.
access to evidence-based care. However, its adoption in clinical practice in the US has been low and thus there is a need
for identification of barriers to its use. We examined treatment-seeking patient (n = 55) and clinician (n = 26) perceptions of computer-based psychological treatment (CBPT) using Diffusion of Innovations theory as a conceptual
framework. Diffusion of Innovations theory emphasizes potential adopter perceptions as being key to understanding adoption
decisions, thus making it an ideal framework for evaluating barriers to use. Overall, treatment-seeking patients held slightly
negative perceptions of CBPT, while clinicians’ perceptions were more neutral. In both groups, perceptions of observability
(seeing or hearing about the treatment in use) were rated lowest. Implications for dissemination efforts and suggestions for
future research are discussed.
- Content Type Journal Article
- Category Original Paper
- Pages 1-9
- DOI 10.1007/s10488-011-0377-5
- Authors
- Matthew M. Carper, Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, MA, USA
- R. Kathryn McHugh, Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, MA, USA
- David H. Barlow, Center for Anxiety and Related Disorders, Department of Psychology, Boston University, Boston, MA, USA
- Journal Administration and Policy in Mental Health and Mental Health Services Research
- Online ISSN 1573-3289
- Print ISSN 0894-587X