Impact of an acceptance facilitating intervention on psychotherapists' acceptance of blended therapy

PLoS One. 2020 Aug 12;15(8):e0236995. doi: 10.1371/journal.pone.0236995. eCollection 2020.

Abstract

Blended therapy is a new approach combining advantages of face-to-face psychotherapy and Internet- and mobile-based interventions. Acceptance is a fundamental precondition for its implementation. The aim of this study was to assess 1) the acceptance of psychotherapists towards blended therapy, 2) the effectiveness of an acceptance facilitating intervention (AFI) on psychotherapists' acceptance towards blended therapy and 3) to identify potential effect moderators. Psychotherapists (N = 284) were randomly assigned to a control (CG) or an intervention group (IG). The IG received a short video showing an example of blended therapy, the CG an attention placebo video. Both groups received a reliable online questionnaire assessing acceptance, effort expectancy, performance expectancy, facilitating conditions, social influence and internet anxiety. Between group differences were examined using t-tests and Mann-Whitney tests. Exploratory analysis was conducted to identify moderators. Psychotherapists in CG showed mixed baseline acceptance towards blended therapy (low = 40%, moderate = 33%, high = 27%). IG showed significantly higher acceptance compared to CG (d = .27, pone-sided = .029; low = 24%, moderate = 47%, high = 30%). Bootstrapped confidence intervals were overlapping. Performance expectancy (d = .35), effort expectancy (d = .44) and facilitating conditions (d = .28) were significantly increased (p < .05). No effects on social influence and internet anxiety were found (p>.05). Exploratory analysis indicated psychodynamic oriented psychotherapists profiting particularly from the AFI. Blended therapy is a promising approach to improve healthcare. Psychotherapists show mixed acceptance, which might be improvable by AFIs, particularly in subpopulations of initially rather skeptical psychotherapists. Forthcoming studies should extend the present study by shifting focus from attitudes to the impact of different forms of AFIs on uptake.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Female
  • Germany
  • Humans
  • Male
  • Mental Disorders / therapy
  • Middle Aged
  • Outcome Assessment, Health Care
  • Professional-Patient Relations
  • Psychotherapy / education
  • Psychotherapy / methods*
  • Psychotherapy, Psychodynamic / methods
  • Random Allocation
  • Surveys and Questionnaires
  • Telemedicine / methods*
  • Video Recording

Grants and funding

The authors received no specific funding for this work.