Table 2.
Therapist experiences (category system).
| Main theme Subtheme |
N therapists (%) |
|---|---|
| Expectations/reasons for participation | |
| • Useful for patients in daily life | 4 (50) |
| • No specific expectations | 3 (37.5) |
| • Positive expectations toward format: Complements FTF | 3 (37.5) |
| • Positive expectations toward format: Being able to outsource elements of FTF | 2 (25) |
| • Patients learn skills | 2 (25) |
| Previous experiences with BT | |
| • No previous experience | 6 (75) |
| • Disorder specific experiences | 2 (25) |
| IBI: Exercises | |
| • Exercises not helpful | 2 (25) |
| • Exercises positive/helpful | 1 (12.5) |
| IBI: Content and structure | |
| • Structure positive | 5 (62.5) |
| • Thematic focus positive | 4 (50) |
| • No changes needed | 4 (50) |
| • Tempo and duration not suitable | 2 (25) |
| • Not enough support in the IBI | 2 (25) |
| • Too little content on emodiversity | 1 (12.5) |
| • Too little content on connection between emotion, cognition, and behavior | 1 (12.5) |
| IBI: Appealing design | 3 (37.5) |
| Emotion & emotion regulation | |
| • Patients gain awareness toward emotions & emotion regulation | 3 (37.5) |
| • Patients learn new strategies for emotion regulation/better influence own emotions | 3 (37.5) |
| • Emotion regulation needs more time | 3 (37.5) |
| • No influence on emotion regulation | 2 (25) |
| • Patients show increased acceptance of emotions | 1 (12.5) |
| Therapist information | |
| • Therapist material: Good content | 6 (75) |
| • Therapist material: Appealing design and structure | 5 (62.5) |
| • Therapist material: Too little information | 5 (62.5) |
| • Personal access to IBI needed | 4 (50) |
| • Information about patient progress in IBI needed | 4 (50) |
| • Therapist material: Was not used or used too little | 2 (25) |
| • Therapist material: Too much information | 2 (25) |
| • Therapist material: Nothing missing | 1 (12.5) |
| Symptomatology | |
| • Positive influence on symptoms | 3 (37.5) |
| • Too early to tell if there is symptom change | 2 (25) |
| • No symptom changes observed | 1 (12.5) |
| Therapeutic relationship | |
| • No influence on therapeutic relationship | 5 (62.5) |
| • Relationship strengthened due to broader therapy offer | 3 (37.5) |
| • Negative influence due to increased workload for patients | 2 (25) |
| • Negative influence because only available for patients in the outpatient clinic | 1 (12.5) |
| • Less time needed for building of therapeutic relationship | 1 (12.5) |
| • More relationship credit available for interventions in session | 1 (12.5) |
| • Positive influence on therapeutic relationship since patients have more resources | 1 (12.5) |
| • More contact with patients | 1 (12.5) |
| Blended format | |
| • IBI and FTF not integrated enough | 7 (87.5) |
| • IBI transforms FTF | 7 (87.5) |
| - IBI enables new elements in FTF sessions | 3 (37.5) |
| - IBI allows outsourcing of elements from FTF sessions | 4 (50) |
| - IBI allows certain topics to be discussed earlier in FTF sessions | 3 (37.5) |
| • No influence on session structure | 6 (75) |
| • Patients integrated intervention into FTF | 6 (75) |
| • Enables work independent of time and place for patient/useful in daily life | 6 (75) |
| • Therapists integrated intervention into FTF | 4 (50) |
| • Generally a positive experience | 4 (50) |
| • IBI and FTF complement each other | 4 (50) |
| • Flexible timing of intervention desired | 2 (25) |
| • IBI does not replace FTF | 1 (12.5) |