Table 3.

Characteristics of the inner setting influencing implementation.

Theme	Example quote
Facilitators
Internal communication	I sometimes received emails from colleagues: “would you like to see this patient? Would he/she be someone for ICBT?” (R8)
Support from management and board of directors	The organisation is supporting us. They acknowledge the somatic issues, that it is a specialization that needs attention. So the organisation is facilitating. (R10)
Promotion of ICBT in treatment team	I named the program very frequently during meetings, during treatment indication meetings or other team meet-ups (R8)
Involvement of the right people	I know that in [city] maybe not the right people were sent to the training. There are a couple of informal leaders in that team, and those were not at the training. The difficulty is in choosing the right representative from a treatment team. (R1)
Barriers
Lack of support from the team and management	You're working in a team, but the rest of the team does not know about the program. So I cannot go to anyone with questions. (R2)
General workload of therapists	I find the workload too heavy, so I had difficulty finding time to keep up with the program. I also need to reach my other targets. So I feel like such an extra task feels unwelcome, something I lack the time and space for. (R12)
Internal developments and organization	The misfortune of this project is that it started at an unfortunate moment. It started in the period that we were transitioning and new teams were formed (R1)