Internettbaserte selvhjelpsverktøy mot depresjon: Utfordringer og strategier ved implementering

Abstract

Internet-based self-help programmes, based on cognitive behavioural therapy (iCBT), have over the past years been
introduced to increase access to treatment for depression. Research show that iCBT is equally effective as ordinary cognitive behavioural therapy (CBT) when offered with guidance and support by health personnel. The effectiveness is closely related to quality of implementation. Known barriers for
implementation in primary health care are challenges related to introducing new practices that are competing with already
existing routines, having sufficient time for training of health personnel that will include the new tools in their practice,
and lack of a systematic approach to implementation. The Norwegian Directorate of eHealth has recently initiated a new
portal for e-health tools in order to make such tools more accessible for users and health personnel, and to strengthen
implementation. Additionally, there will be a need for projects where implementation of iCBT in routine practice is monitored and assessed so that more systematic strategies for implementation can be developed. We also propose that the quality of implementation may be strengthened by providing
better training and follow-up of health personnel who are guiding users of the tools, to increase compliance and reduce
drop-out rates