TY  - JOUR
AU  - IJzerman, Renée V H
AU  - van der Vaart, Rosalie
AU  - Evers, Andrea W M
PY  - 2019
DA  - 2019/08/09
TI  - Internet-Based Cognitive Behavioral Therapy Among Psychologists in a Medical Setting: A Survey on Implementation
JO  - J Med Internet Res
SP  - e13432
VL  - 21
IS  - 8
KW  - eHealth
KW  - chronic care
KW  - self-management
KW  - implementation
KW  - psychologists
KW  - UTAUT
AB  - Background: Internet-based cognitive behavioral therapy (iCBT) is an effective treatment for patients with a chronic somatic illness to improve self-management skills and to learn to adjust to their chronic disease and its impact on daily life. However, the implementation of iCBT in clinical practice is challenging. Objective: This study aimed to examine the current degree of implementation of iCBT among psychologists in a medical setting and discover determinants influencing the implementation of iCBT among nonusers. Methods: A Web-based survey, based on the Unified Theory of Acceptance and Use of Technology (UTAUT), was distributed among psychologists in a medical setting. The survey included questions regarding the current use of iCBT, intention to use iCBT in the future, and operationalized concepts of the UTAUT constructs, that is, performance expectancy (PE), effort expectancy (EE), social influence (SI), and facilitating conditions (FC). Results: In total, 107 (24.8%) psychologists completed the survey. Of them, 16.8% have access to iCBT, 15.9% currently use iCBT, and 21.5% are expected to use iCBT within the next year. The constructs PE, EE, and SI together significantly influenced behavioral intention (BI; mean 3.9 [SD=0.8]) among nonusers (R2=0.490; F4.85=20.405; P<.001). Conclusions: In spite of an average to high BI, the current implementation of iCBT is rather low among psychologists in a medical setting. Further research should focus on reducing the gap between intention to use and actual use by focusing on influencing the predictive UTAUT constructs. 
SN  - 1438-8871
UR  - https://www.jmir.org/2019/8/e13432/
UR  - https://doi.org/10.2196/13432
UR  - http://www.ncbi.nlm.nih.gov/pubmed/31400101
DO  - 10.2196/13432
ID  - info:doi/10.2196/13432
ER  -