What Makes Internet Therapy Work?

‘The web is not enough, it's a base’ – an explorative study of what needs a web-based support system for young carers must meet

“…Recent projects have concluded that telecare for older people does not suit all potential users and does not replace (local) care networks; furthermore, telecare has been shown to be dependent on mediating (local) human resources and trust [34,35]. In addition, human mediation has been described as crucial in psychotherapy via the web [36].…”

Internet-based guided self-help for posttraumatic stress disorder (PTSD): Randomized controlled trial

“…Little is known about the mechanisms of change associated with internet-based CBT (Andersson, Carlbring et al 2009, Kuester, Niemeyer et al 2016, Sijbrandij, Kunovski et al 2016. Further work is needed to determine the moderators and mediators of treatment-effect.…”

Web-Based Interventions for Depression in Individuals with Diabetes: Review and Discussion (Preprint)

“…This is a reflection of the small number of web-based depression interventions that offer this kind of support [50]. A meta-analysis on web-based interventions for diabetes management showed that online peer support was a successful approach [59], but in interventions for depression the evidence is limited and show inconsistent findings [65]. Future studies should bring new data in this subject.…”

“…Besides, as mentioned in the support section, different reviews have shown that guided treatments result in higher adherence rates than unguided treatments [49,59,74]. Nonetheless, a study that compared this treatments within the same trial, comparing the benefits of a 10-week web-based unguided self-help treatment for depression (n=25) with the same intervention complemented with weekly therapist support via e-mail, found no significant differences in participant's intervention completion (or symptom reduction) [75].…”

“…Likewise, meta-analysis of web-based interventions for diabetes management with the availability of a care manager in form of clinical researcher, physician and/or nurse appears to strengthen the intervention and increase compliance [59].…”