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Patient Experiences of Web-Based Cognitive Behavioral Therapy for Heart Failure and Depression: Qualitative Study
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in East Östergötland, Department of Internal Medicine in Norrköping.ORCID iD: 0000-0001-7431-2873
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Australian Catholic Univ, Australia.ORCID iD: 0000-0002-4197-4026
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Karolinska Inst, Sweden.ORCID iD: 0000-0003-4753-6745
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2018 (English)In: Journal of Medical Internet Research, ISSN 1438-8871, E-ISSN 1438-8871, Vol. 20, no 9, article id e10302Article in journal (Refereed) Published
Abstract [en]

Background: Web-based cognitive behavioral therapy (wCBT) has been proposed as a possible treatment for patients with heart failure and depressive symptoms. Depressive symptoms are common in patients with heart failure and such symptoms are known to significantly worsen their health. Although there are promising results on the effect of wCBT, there is a knowledge gap regarding how persons with chronic heart failure and depressive symptoms experience wCBT. Objective: The aim of this study was to explore and describe the experiences of participating and receiving health care through a wCBT intervention among persons with heart failure and depressive symptoms. Methods: In this qualitative, inductive, exploratory, and descriptive study, participants with experiences of a wCBT program were interviewed. The participants were included through purposeful sampling among participants previously included in a quantitative study on wCBT. Overall, 13 participants consented to take part in this study and were interviewed via telephone using an interview guide. Verbatim transcripts from the interviews were qualitatively analyzed following the recommendations discussed by Patton in Qualitative Research amp; Evaluation Methods: Integrating Theory and Practice. After coding each interview, codes were formed into categories. Results: Overall, six categories were identified during the analysis process. They were as follows: "Something other than usual health care," "Relevance and recognition," "Flexible, understandable, and safe," "Technical problems," "Improvements by real-time contact," and "Managing my life better." One central and common pattern in the findings was that participants experienced the wCBT program as something they did themselves and many participants described the program as a form of self-care. Conclusions: Persons with heart failure and depressive symptoms described wCBT as challenging. This was due to participants balancing the urge for real-time contact with perceived anonymity and not postponing the work with the program. wCBT appears to be a valuable tool for managing depressive symptoms.

Place, publisher, year, edition, pages
JMIR PUBLICATIONS, INC , 2018. Vol. 20, no 9, article id e10302
Keywords [en]
cognitive therapy; content analysis; depression; heart failure; internet; patient experience; telehealth
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-151795DOI: 10.2196/10302ISI: 000444499200001PubMedID: 30185405OAI: oai:DiVA.org:liu-151795DiVA, id: diva2:1253314
Note

Funding Agencies|Swedish Research Council [2015-02600]; Region Ostergotland, Sweden [LIO-531701, LIO-629211]; Medical Research Council of Southeast Sweden [FORSS-470121]; Swedish Heart and Lung Association [E082/14, E 087/13]; A-L and A Andersson Foundation for psychiatric research [LIO 5611101]

Available from: 2018-10-04 Created: 2018-10-04 Last updated: 2019-06-27

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Johansson, Peter

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Division of Nursing ScienceFaculty of Medicine and Health SciencesDepartment of Internal Medicine in NorrköpingPsychologyFaculty of Arts and Sciences
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