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Table 1 Benefits and drawbacks of blended (online) therapy for depression according to therapists and patients (phase 1)

From: Blending online therapy into regular face-to-face therapy for depression: content, ratio and preconditions according to patients and therapists using a Delphi study

 

Therapists (n = 12)

Patients (n = 8)

Statements

(totally) agree a

(totally) disagree a

(totally) agree a

(totally) disagree a

Self-management

 Convenient to always have access to therapy content

92 (11)

8 (1)

100 (8)

0 (0)

 Encourages patients to take more responsibility for (succeeding of) therapy

83 (10)

17 (2)

100 (8)

0 (0)

 Therapy blends more into the patients’ home/private situation

92 (11)

8 (1)

88 (7)

13 (1)

 Sessions can be completed in own time

92 (11)

0 (0)

80 (6)

13 (1)

 Sessions can be completed in own pace

83 (10)

17 (2)

80 (6)

25 (2)

 Patients have to travel less

67 (8)

25 (3)

80 (6)

13 (1)

Patient-provider relationship

 Ability to see a patient/therapist face-to-face

83 (10)

0 (0)

100 (8)

0 (0)

 Therapy structure becomes more transparent

58 (7)

17 (2)

50 (4)

38 (3)

 Could provide better tailoring to the individual patient

33 (4)

17 (2)

88 (7)

13 (1)

 Patient-therapist bonding could weaken

25 (3)

50 (6)

50 (4)

50 (4)

 Using online sessions is too impersonal

0 (0)

67 (8)

13 (1)

50 (4)

Changes in face-to-face sessions

 Face-to-face sessions can be optimally used, due to preparation in the online environment

75 (9)

8 (1)

88 (7)

13 (1)

 Difficulties or indistinct matters could be more difficult to discuss

25 (3)

58 (7)

50 (4)

50 (4)

Possible drawbacks

 It is not suitable for every patient

92 (11)

0 (0)

88 (7)

13 (1)

 It could cause interpretation problems due to the lack of non-verbal communication

75 (9)

0 (0)

80 (6)

25 (2)

 Therapists might need to invest much time to read all the online assignments

33 (4)

42 (5)

25 (2)

63 (5)

 Patients could misuse or overuse the online environment

25 (3)

58 (7)

50 (4)

50 (4)

 Personally, I lack the Internet skills

0 (0)

67 (8)

0 (0)

88 (7)

  1. a% (n); answer categories were: (1) totally agree; (2) agree; (3) disagree; (4) totally disagree; blank responses are not shown in Table.