TY - JOUR
AU - F. Fox
AU - D. Tallon
AU - R. Shafran
AU - P. Lanham
AU - C. Williams
AU - B. Jude
AU - N. Wiles
AU - D. Kessler
AU - K. Turner
A1 - 
AB - BACKGROUND: Integrating therapist-led sessions and Cognitive Behavioural Therapy (CBT) materials within one online platform may be effective for people with depression. A trial evaluating this mode of delivering CBT is being conducted. To maximize future trial recruitment and understand patients' views of health interventions, it is important to explore reasons for declining to participate. AIM: To explore patients' reasons for declining to participate in a trial of integrated online CBT for depression. DESIGN & SETTING: A mixed methods study collecting data from patients via questionnaires and telephone interviews at the three UK trial sites. METHOD: Individuals completed a short questionnaire about their reasons for not taking part in the trial. Telephone interviews further explored these reasons with a sub-group. Quantitative data were summarized using descriptive statistics. Qualitative interviews were analysed thematically. RESULTS: Of 1799 patients who responded to an invitation to participate in the trial, 40.3% declined contact. The most common reasons were not wanting: to take part in research (n=387); therapy provided online (n=284); to receive CBT (n=262). Qualitative interviews with 15 'decliners' highlighted that decisions related to perceptions of eligibility, previous experiences of CBT and uncertainty about receiving CBT online. Personal circumstances, depressive symptoms or other mental health issues were also barriers to participation. CONCLUSION: Reasons given by primary care patients for not taking part in a trial of integrated online CBT suggest that, at the point of recruitment, it is important to discuss the patient's perceptions of their eligibility and whether they would accept the intervention being evaluated.
AD - NIHR ARC West, Bristol, United Kingdom f.fox@bristol.ac.uk.; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.; Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.; Great Ormond Street Institute of Child Health, University College London, London, United Kingdom.; Public and Patient Involvement Representative, London, United Kingdom.; Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom.; Five Areas Ltd, Titan Enterprise Business Centre, West Dunbartonshire, United Kingdom.; UCL Division of Psychiatry, Maple House, London, United Kingdom.
AN - 39848704
BT - BJGP Open
C5 - HIT & Telehealth
DA - Jan 23
DO - 10.3399/bjgpo.2024.0272
DP - NLM
ET - 20250123
JF - BJGP Open
LA - eng
N2 - BACKGROUND: Integrating therapist-led sessions and Cognitive Behavioural Therapy (CBT) materials within one online platform may be effective for people with depression. A trial evaluating this mode of delivering CBT is being conducted. To maximize future trial recruitment and understand patients' views of health interventions, it is important to explore reasons for declining to participate. AIM: To explore patients' reasons for declining to participate in a trial of integrated online CBT for depression. DESIGN & SETTING: A mixed methods study collecting data from patients via questionnaires and telephone interviews at the three UK trial sites. METHOD: Individuals completed a short questionnaire about their reasons for not taking part in the trial. Telephone interviews further explored these reasons with a sub-group. Quantitative data were summarized using descriptive statistics. Qualitative interviews were analysed thematically. RESULTS: Of 1799 patients who responded to an invitation to participate in the trial, 40.3% declined contact. The most common reasons were not wanting: to take part in research (n=387); therapy provided online (n=284); to receive CBT (n=262). Qualitative interviews with 15 'decliners' highlighted that decisions related to perceptions of eligibility, previous experiences of CBT and uncertainty about receiving CBT online. Personal circumstances, depressive symptoms or other mental health issues were also barriers to participation. CONCLUSION: Reasons given by primary care patients for not taking part in a trial of integrated online CBT suggest that, at the point of recruitment, it is important to discuss the patient's perceptions of their eligibility and whether they would accept the intervention being evaluated.
PY - 2025
SN - 2398-3795
ST - Patients' reasons for declining a primary care trial online therapy: a mixed methods study
T1 - Patients' reasons for declining a primary care trial online therapy: a mixed methods study
T2 - BJGP Open
TI - Patients' reasons for declining a primary care trial online therapy: a mixed methods study
U1 - HIT & Telehealth
U3 - 10.3399/bjgpo.2024.0272
VO - 2398-3795
Y1 - 2025
ER -