Table 4.

Client feedback on whether internet-delivered cognitive behavioral therapy (ICBT) works or is helpful based on semistructured interview data (n=26).

Category and subcategory			Example quote		Clients, n (%)
Yes, ICBT works or is helpful					23 (88)
	Accessible and convenient	“It’s better than having to go in person because it’s more flexible. And what I love about it, there are people working and spouses of people working in these kinds of careers that are in isolated places—I’ve been there. [Laughs] This is so great. I think it’s so needed. I mean, there has not been anything like this that I know of, until now. So, I think it has the potential to be something pretty impactful and pretty helpful to spouses of public safety personnel for sure.”		13 (50)
	Makes a difference in SSOsa lives by providing information and skills for enhancing well-being and normalizing mental health challenges	“I think, because I just needed a little bit more support in managing my symptoms, that the program was really great because it taught me some new tricks and ways to manage and address what’s causing my symptoms that I could easily do from home.”		10 (38)
	Is needed and important for SSOs	“I almost wish that every spouse of a first responder had to take this. I think it, whether they have had any trauma just to even prepare them for this could happen to you.”		5 (19)
	Provides a first step toward getting help	“I think it’s, I want to say it’s like a gateway course. It’s probably like a gateway help. Helps the scenario. Where you know, you got to start somewhere and physically go to see somebody might be too much for some individuals.”		4 (15)
Yes, with improvements			“Yeah, yeah, no, I think it’s a, I think it’s a valuable tool, definitely a valuable tool. Just streamlined, maybe streamlined, I think you could probably streamline it in places.”		2 (8)
Unsure			“I’m not sure, I think I have to withhold my answer to that, because I’m not progressing through it as fast as I was hoping and I don’t know if it’s because it’s just really not, it’s not meeting my challenges, I guess. But nor does face-to-face counselling.”		1 (4)

^aSSO: spouse and significant other.