Fiona Davies|Lisa Beatty|Lisa Beatty|Brodie Clark|Phyllis Butow|Joanne Shaw
Implementing Web-Based Therapy in Routine Mental Health Care: Systematic Review of Health Professionals’ Perspectives
University of Sydney|University of Sydney|Flinders University|University of Sydney|University of Sydney|University of Sydney
background webbased therapies hold great promise increase accessibility reduce costs delivering mental health care however uptake routine settings low objective objective review summarize known health care professionals perceptions barriers facilitators implementation webbased psychological treatments routine care adults health care settings methods searched 5 major databases medline embase psycinfo cinahl cochrane library qualitative quantitative mixedmethods studies exploring health professionals views computer internetbased psychological treatment programs coded included articles risk bias extracted data using prepiloted extraction sheet results identified 29 eligible articles 14 qualitative 11 quantitative 4 mixed methods identified following themes patient factors health professional factors therapeutic relationship therapy factors organizational system factors models care health professionals supported webbased therapies patients relatively straightforward lowrisk diagnoses strong motivation engagement high computer literacy access low need tailored content perceived flexibility timing location advantages webbased therapy preferred blended therapy facilitate rapport allow active monitoring followup patients emphasized need targeted training organizational support manage changed workflows health professionals concerned confidentiality security client data webbased programs suggesting clear transparent protocols need place reassure health professionals willing refer conclusions without health professionals support many people access webbased therapies increase uptake important ensure health professionals receive education familiarization training support incorporating webbased therapies practice design systems support health professionals new way working patients addressing concerns trial registration prospero crd42018100869 httpstinyurlcomy5vaoqsk