Data_Sheet_1_Therapists’ experiences with providing guided internet-delivered cognitive behavioral therapy for patients with mild to moderate depression: a thematic analysis.docx

IntroductionGuided internet-delivered therapy has shown promising results for patients with mild to moderate depressive disorder, but several challenges with the format have been reported. The aim of this qualitative study was to investigate therapists’ experiences providing guided internet-delivered cognitive behavioral therapy for patients with mild to moderate depression.
Material and methodsTwelve therapists were interviewed, and the interviews were analyzed using reflexive thematic analysis.
Results and conclusionThree themes were created: (1) For the right person, at the right time. This theme is about therapists’ experiences appointing patients to the program. It is challenging to predict which patients will benefit from it, and it is not the right option for all patients. (2) It is not like chatting on Facebook. The second theme was about the experiences with demands on clinics, therapists and patients that must be considered. The internet-delivered treatment should not be viewed as a simple treatment option, and the value of having contact with the patients during treatment was emphasized. (3) It is like a railroad, but without the switches. This theme was about the experiences with how the treatment content was conveyed to the patients, how the therapists expressed concerns with the usability of the program and the reported need for more possibilities in tailoring treatment for each patient.

引言
指导性互联网交付疗法（Guided internet-delivered therapy）对轻度至中度抑郁障碍（mild to moderate depressive disorder）患者已展现出良好的应用前景，但该治疗形式也被报道存在多项挑战。本质性研究（qualitative study）旨在探究治疗师为轻度至中度抑郁症患者提供指导性互联网交付认知行为疗法（Cognitive Behavioral Therapy, CBT）的实践体验。

材料与方法
共访谈12名治疗师，并采用反身主题分析（Reflexive Thematic Analysis）对访谈资料进行分析。

结果与结论
本研究共提炼出三大主题：
（1）适配人群与时机。该主题聚焦治疗师为患者安排该治疗项目的实践体验：准确预判哪些患者可从中获益颇具难度，且该疗法并非适用于所有患者。
（2）绝非脸书（Facebook）式的闲聊。该主题围绕临床机构、治疗师与患者三方所需承担的实践要求展开：需明确互联网交付疗法并非简易的治疗选项，研究同时强调治疗期间与患者保持沟通的重要价值。
（3）如同缺乏道岔的铁路。该主题聚焦治疗内容向患者传递的实践体验：治疗师坦言对该治疗程序的易用性存有顾虑，同时提及亟需更多可针对每位患者定制治疗方案的空间。