“Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care
Introduction: Psychotherapists may act as bottlenecks in the integration of digital interventions into psychotherapy, known as blended care (BC). In the literature, various factors are discussed as potential inclusion, exclusion, or limiting criteria in BC. Method: Our aim for this interview study w...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-09-01
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| Series: | Internet Interventions |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221478292500048X |
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| author | Sophie Jordan Pauline Becker Solveig Behr Friederike Fenski Christine Knaevelsrud Johanna Boettcher Carmen Schaeuffele |
| author_facet | Sophie Jordan Pauline Becker Solveig Behr Friederike Fenski Christine Knaevelsrud Johanna Boettcher Carmen Schaeuffele |
| author_sort | Sophie Jordan |
| collection | DOAJ |
| description | Introduction: Psychotherapists may act as bottlenecks in the integration of digital interventions into psychotherapy, known as blended care (BC). In the literature, various factors are discussed as potential inclusion, exclusion, or limiting criteria in BC. Method: Our aim for this interview study was to gain a deeper understanding of the factors psychotherapists consider when inviting patients to participate in BC. For this purpose, we interviewed seven psychotherapists with a psychodynamic and seven psychotherapists with a cognitive behavioral background who participated in a naturalistic trial on BC in routine outpatient psychotherapy. Results: Psychotherapists considered few fixed inclusion or exclusion criteria when considering which patients to introduce BC to. The basic technical requirements had to be met and the patients had to be “fit for outpatient therapy”. Psychotherapists found patients' response to BC, like their motivation, to be a decisive factor when considering BC. Discussion: Psychotherapists emphasized patient motivation for BC as a potential bottleneck in its implementation. Therefore, a successful implementation strategy should focus on strengthening both psychotherapists' and patients' motivation to engage with BC. The openness of psychotherapists towards patient characteristics suggests that BC in outpatient care may target a broad patient population. |
| format | Article |
| id | doaj-art-3ba6acbc9abf48a7a15462a395d15edd |
| institution | Kabale University |
| issn | 2214-7829 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Internet Interventions |
| spelling | doaj-art-3ba6acbc9abf48a7a15462a395d15edd2025-08-26T04:14:19ZengElsevierInternet Interventions2214-78292025-09-014110084710.1016/j.invent.2025.100847“Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended careSophie Jordan0Pauline Becker1Solveig Behr2Friederike Fenski3Christine Knaevelsrud4Johanna Boettcher5Carmen Schaeuffele6Freie Universität Berlin, Dept. of Education and Psychology, GermanyPsychologische Hochschule Berlin, Dept. of Clinical Psychology, GermanyFreie Universität Berlin, Dept. of Education and Psychology, GermanyPsychologische Hochschule Berlin, Dept. of Clinical Psychology, GermanyFreie Universität Berlin, Dept. of Education and Psychology, GermanyPsychologische Hochschule Berlin, Dept. of Clinical Psychology, GermanyFreie Universität Berlin, Dept. of Education and Psychology, Germany; Corresponding author at: Freie Universtität Berlin, Department of Education and Psychology, Habelschwerdter Allee 45, 14195 Berlin, Germany.Introduction: Psychotherapists may act as bottlenecks in the integration of digital interventions into psychotherapy, known as blended care (BC). In the literature, various factors are discussed as potential inclusion, exclusion, or limiting criteria in BC. Method: Our aim for this interview study was to gain a deeper understanding of the factors psychotherapists consider when inviting patients to participate in BC. For this purpose, we interviewed seven psychotherapists with a psychodynamic and seven psychotherapists with a cognitive behavioral background who participated in a naturalistic trial on BC in routine outpatient psychotherapy. Results: Psychotherapists considered few fixed inclusion or exclusion criteria when considering which patients to introduce BC to. The basic technical requirements had to be met and the patients had to be “fit for outpatient therapy”. Psychotherapists found patients' response to BC, like their motivation, to be a decisive factor when considering BC. Discussion: Psychotherapists emphasized patient motivation for BC as a potential bottleneck in its implementation. Therefore, a successful implementation strategy should focus on strengthening both psychotherapists' and patients' motivation to engage with BC. The openness of psychotherapists towards patient characteristics suggests that BC in outpatient care may target a broad patient population.http://www.sciencedirect.com/science/article/pii/S221478292500048XBlended careBlended therapyQualitative content analysisInternet-based intervention |
| spellingShingle | Sophie Jordan Pauline Becker Solveig Behr Friederike Fenski Christine Knaevelsrud Johanna Boettcher Carmen Schaeuffele “Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care Internet Interventions Blended care Blended therapy Qualitative content analysis Internet-based intervention |
| title | “Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care |
| title_full | “Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care |
| title_fullStr | “Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care |
| title_full_unstemmed | “Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care |
| title_short | “Who blends in and why (not)?” A qualitative study on psychotherapists' patient inclusion in blended care |
| title_sort | who blends in and why not a qualitative study on psychotherapists patient inclusion in blended care |
| topic | Blended care Blended therapy Qualitative content analysis Internet-based intervention |
| url | http://www.sciencedirect.com/science/article/pii/S221478292500048X |
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