title: The therapist's role in the implementation of internet-based cognitive behavioural therapy for patients with depression: study protocol.
abstract: BACKGROUND
  Internet-based Cognitive Behavioural Therapy (iCBT) for the treatment of depressive disorders is innovative and promising. Various studies have demonstrated large effect sizes up to 2.27, but implementation in routine practice lags behind. Mental health therapists play a significant role in the uptake of internet-based interventions. Therefore, it is interesting to study factors that influence the therapists in whether they apply internet-based therapy or not. This study, as part of the European implementation project MasterMind, aims to identity the factors that promote or hinder therapists in the use of iCBT in depression care.
  
  
  METHODS
  The uptake of iCBT by therapists in routine mental health care practice for the treatment of depression will be evaluated by a mixed method approach, to provide an understanding of the implementation factors (quantitative), and to ascertain the facilitating and hindering factors in the involvement of therapists in the implementation of iCBT (qualitative). The involvement of therapists in the implementation of iCBT is analysed following the RE-AIM framework on the five dimensions Reach, Efficacy/Effectiveness, Adoption, Implementation, and Maintenance. This enables us to evaluate the reach of therapists, the impact of iCBT on depression care, the extent to which therapists adopt iCBT, the extent to which iCBT is delivered as intended, and how iCBT can be maintained over time.
  
  
  CONCLUSIONS
  The results will provide valuable insight into the role of therapists in the implementation of iCBT for depression in secondary mental health care settings. They will result in concrete recommendations for how therapists can be facilitated in implementing and up-scaling iCBT for depression.
authors.affiliation: Department of Research & Innovation, GGZ inGeest, A.J. Ernststraat 1187, 1081 HL, Amsterdam, The Netherlands. m.mol@ggzingeest.nl.|EMGO Institute for Health Care and Research and Department of Psychiatry, VU University Medical Centre, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands. m.mol@ggzingeest.nl.
authors.forename: Mayke
authors.identifier: http://orcid.org/0000-0001-8568-8497
authors.initials: M
authors.lastname: Mol
authors.affiliation: Department of Research & Innovation, GGZ inGeest, A.J. Ernststraat 1187, 1081 HL, Amsterdam, The Netherlands.|EMGO Institute for Health Care and Research and Department of Psychiatry, VU University Medical Centre, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.
authors.forename: Els
authors.initials: E
authors.lastname: Dozeman
authors.affiliation: Department of Research & Innovation, GGZ inGeest, A.J. Ernststraat 1187, 1081 HL, Amsterdam, The Netherlands.|EMGO Institute for Health Care and Research and Department of Psychiatry, VU University Medical Centre, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.
authors.forename: Digna J F
authors.initials: DJ
authors.lastname: van Schaik
authors.affiliation: EMGO Institute for Health Care and Research and Department of Psychiatry, VU University Medical Centre, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.|Department of Clinical Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.
authors.forename: Christiaan P C D
authors.initials: CP
authors.lastname: Vis
authors.affiliation: Department of Research & Innovation, GGZ inGeest, A.J. Ernststraat 1187, 1081 HL, Amsterdam, The Netherlands.|EMGO Institute for Health Care and Research and Department of Psychiatry, VU University Medical Centre, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.|Department of Clinical Psychology, VU University Amsterdam, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.
authors.forename: Heleen
authors.initials: H
authors.lastname: Riper
authors.affiliation: Department of Research & Innovation, GGZ inGeest, A.J. Ernststraat 1187, 1081 HL, Amsterdam, The Netherlands.|EMGO Institute for Health Care and Research and Department of Psychiatry, VU University Medical Centre, Van der Boechorststraat 1, 1081 BT, Amsterdam, The Netherlands.
authors.forename: Jan H
authors.initials: JH
authors.lastname: Smit
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003863:Depression / Q000628:therapy*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D024382:Professional Role; D011568:Psychiatric Nursing; D011570:Psychiatry; D011584:Psychology; D036301:Qualitative Research; D017216:Telemedicine / Q000379:methods*; D055815:Young Adult
keywords: Blended treatment; Depression; E-mental health; Implementation; Internet-based cognitive behavioural therapy; Online treatment; Routine practice; Therapist’s role