Acceptability, satisfaction and perceived efficacy of “Space from Depression” an internet-delivered treatment for depression

• Similar to previous research on internet-delivery the majority of respondents reported satisfaction (68%) with their intervention.
• Respondents reported efficacy and empowerment and domains including key CBT techniques, strategies and lifestyle changes.
• Similar to previous research, flexibility and accessibility help to overcome barriers, accommodate individual needs and increase autonomy.
• Digital access and computer literacy are barriers for underrepresented groups including older adults and those of low socio-economic status.
• Support is important, but more tailored feedback may be helpful. Implications include supporter training and governance issues.

BackgroundThere are clear advantages to internet-delivered interventions for depression. Users' perspectives on the acceptability, satisfaction, and efficacy of an internet-delivered treatment for depression can inform future developments in the area.MethodsRespondents (n = 281) were participants in an 8 week supported internet-delivered Cognitive Behaviour Therapy treatment for depressive symptoms. Self-report online questionnaires gathered quantitative and qualitative data on the user experience.Principle findingsMost respondents were satisfied with the programme (n = 191), felt supported (n = 203), reported positive gains and impact resulting from use of the programme, and perceived these to be likely to be lasting effects (n = 149). Flexibility and accessibility were the most liked aspects. A small number of respondents felt their needs were not met by the intervention (n = 64); for this group suggestions for improvements centred on the programme's structure and how supporter feedback is delivered.ConclusionResults will deepen the understanding of users' experience and inform the development and implementation of evidence-based internet-delivered interventions.