Therapist perceptions of the implementation of a new screening procedure using the ItFits-toolkit in an iCBT routine care clinic: A mixed-methods study using the consolidated framework for implementation research

Kristine Tarp*, Søren Lange Nielsen, Trine Theresa Holmberg, Caroline Høier Dalsgaard, Simone Borkner, Helene Skaarnes, Esben Kjems Jensen, Jordi Piera-Jiménez, Christiaan Vis, Kim Mathiasen

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

42 Downloads (Pure)

Abstract

Introduction: This study investigates the implementation of a new, more automated screening procedure using the ItFits-toolkit in the online clinic, Internet Psychiatry (iPsych) (www.internetpsykiatrien.dk), delivering guided iCBT for mild to moderate anxiety and depressive disorders. The study focuses on how the therapists experienced the process. Methods: Qualitative data were collected from semi-structured individual interviews with seven therapists from iPsych. The interviews were conducted using an interview guide with questions based on the Consolidated Framework for Implementation Research (CFIR). Quantitative data on the perceived level of normalization were collected from iPsych therapists, administrative staff, and off-site professionals in contact with the target demographic at 10-time points throughout the implementation. Results: The therapists experienced an improvement in the intake procedure. They reported having more relevant information about the patients to be used during the assessment and the treatment; they liked the new design better; there was a better alignment of expectations between patients and therapists; the patient group was generally a better fit for treatment after implementation; and more of the assessed patients were included in the program. The quantitative data support the interview data and describe a process of normalization that increases over time. Discussion: The ItFits-toolkit appears to have been an effective mediator of the implementation process. The therapists were aided in the process of change, resulting in an enhanced ability to target the patients who can benefit from the treatment program, less expenditure of time on the wrong population, and more satisfied therapists.

Original languageEnglish
Article number1104301
JournalFrontiers in Psychiatry
Volume14
Number of pages15
ISSN1664-0640
DOIs
Publication statusPublished - 6. Apr 2023

Bibliographical note

Publisher Copyright:
Copyright © 2023 Tarp, Nielsen, Holmberg, Dalsgaard, Borkner, Skaarnes, Jensen, Piera-Jiménez, Vis and Mathiasen.

Keywords

  • anxiety
  • CFIR
  • depression
  • iCBT
  • implementation
  • NPT
  • therapist perceptions

Fingerprint

Dive into the research topics of 'Therapist perceptions of the implementation of a new screening procedure using the ItFits-toolkit in an iCBT routine care clinic: A mixed-methods study using the consolidated framework for implementation research'. Together they form a unique fingerprint.

Cite this