Patients’ reasons for declining a trial evaluating integrated online cognitive behavioural therapy for depression

Fiona E Fox*, Debbie Tallon, Berry Jude, Paul Lanham, Roz Shafran, Chris Williams, Nicola J Wiles, David S Kessler, Katrina M Turner

*Corresponding author for this work

Research output: Contribution to conferenceConference Abstractpeer-review


Background: Integrating cognitive behavioural therapy (CBT) from an accredited therapist with CBT materials within an online platform may be an effective treatment for people with depression. A trial evaluating this new mode of delivering CBT is being conducted (INTERACT). Exploring patients’ views of trial interventions is important to increase understanding about their acceptability and to maximize trial recruitment.

Aims: This study aimed to explore patients’ reasons for declining to participate in the INTERACT trial.

Method: Individuals approached to take part in the trial completed a short questionnaire detailing their reasons for declining trial participation. They were also asked if they would be willing to take part in a short interview to explore their reasons in more detail. Fourteen telephone interviews were conducted with a purposefully sampled sub-group.

Results: Questionnaire results indicate the key reasons for declining were, not wanting to take part in research and not wanting online CBT. Interview accounts highlight the decision not to participate was often based on previous experiences of CBT and uncertainty about receiving CBT online. This presentation will focus specifically on factors relating to the acceptability of receiving CBT online. These include: the impact of the online setting on client-therapist relationship; the accessibility of receiving therapy online and mistrust of the online setting.

Conclusion: Given the potential benefits of delivering therapy for depression online, the findings should be of interest both to researchers and clinicians working in the area of digital mental health
Original languageEnglish
Publication statusAccepted/In press - 23 Mar 2023
EventSociety for Academic Primary Care: Primary Care Mental Health Conference - Bristol, United Kingdom
Duration: 16 May 2023 → …


ConferenceSociety for Academic Primary Care
Abbreviated titleSAPC Primary Care Mental Health Conference
Country/TerritoryUnited Kingdom
Period16/05/23 → …


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