Examining Initial Perception of Internet-Delivered Cognitive Behavioural Therapy Through Lens of Attutinal Structural, and Computer Barriers
Notice bibliographique
Résumé
Interned Cognitive Behavioural Therapy (ICBT) for depressive and anxiety symptoms provides flexibility, decrease in labour intensity, and improved cost-effectiveness. Understanding barriers to interest in ICBT is beneficial to effectively inform policy with regards to expanding this innovative therapeutic approach. To our knowledge no research has been conducted to look at the relationship between barriers and interest in ICBT. The objective of this study was to understand associations between common attitudinal and structural barriers, and ICBT-specific barriers on interest in ICBT as well as to understand direct and mediating association of barriers with interest in ICBT. This cross-sectional observational study was conducted among adult (>18 years) urban and rural residents (n=200) in Saskatchewan, Canada. Data were collected through an online survey that contained 27 constructs measuring barriers and interest in ICBT. Multivariable linear regression analyses were conducted with interest in ICBT as the dependent variable and barriers as independent variables after controlling for age, gender, residency (urban/rural), and depression or generalized anxiety symptoms. Utilizing structural equation modeling, a path analysis framework was developed by incorporating previously established associations from multivariable regression analyses to model direct and indirect associations through path analysis. The path analysis framework showed that perceived access to care played a mediating role in mitigating the negative association of life chaos and financial concerns on interest in ICBT. Similarly, computer self-efficacy was a significant mediator in negative association of computer anxiety on interest in ICBT. In the context of the framework, significant direct effect on interest in ICBT held to be true for observed attitudinal barriers: self-stigma of seeking help and perceived need for help. The findings of this study pointed towards several policy implications, including aligning ICBT towards communities with lower access to care and higher need for intervention. To our knowledge, this study is the first to empirically show direct and indirect associations of barriers with interest in ICBT utilizing path analysis. In informing health care policy decisions, path analysis could be a useful technique in analyzing complex relationships and prioritize intervention factors, an approach which would not be possible to implement using traditional regressions analyses.
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Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».