{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T11:03:18Z","timestamp":1789383798413,"version":"build-2803163510"},"reference-count":44,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T00:00:00Z","timestamp":1785369600000},"content-version":"unspecified","delay-in-days":59,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Cogn. Psychother."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1352465826101337_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Since the COVID-19 pandemic, delivering psychotherapy via telehealth has become commonplace, including with dialectical behaviour therapy (DBT); however, there is minimal research examining the difference in engagement between in-person and telehealth DBT. A multi-component intervention, DBT addresses problems associated with emotion dysregulation across a range of diagnoses, including suicidal and self-harming behaviour. Comprehensive DBT includes weekly individual and group sessions, out-of-session skills coaching, and consultation team for therapists. The DBT-Linehan Board of Certification (LBC) certifies DBT programs that demonstrate fidelity to the evidence-based model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465826101337_as2\">\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>\n                      This paper presents data drawn from LBC-certified DBT programs on the delivery of the treatment via telehealth. Primary aims were to determine differences in DBT attendance or non-completion: (1) associated with the transition to telehealth and (2) between clients attending solely in-person\n                      <jats:italic>vs<\/jats:italic>\n                      telehealth.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465826101337_as3\">\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Data were analysed by cohort: (1) clients who started DBT in-person and transitioned to telehealth; (2) those who were seen solely in-person; and (3) those seen only via telehealth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465826101337_as4\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There was a lack of significant differences in missed sessions and treatment non-completion when comparing before and after the move to telehealth. Comparing solely in-person to telehealth, significant differences emerged with telehealth demonstrating fewer missed sessions as well as a lower rate of treatment non-completion. No differences were found when comparing adolescent and adult participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1352465826101337_as5\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Implications for telehealth delivery of DBT are provided, along with reflections on the potential impact of client characteristics that can inform future research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1352465826101337","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:14:36Z","timestamp":1785402876000},"page":"198-210","source":"Crossref","is-referenced-by-count":0,"title":["Engagement in dialectical behaviour therapy in LBC-certified DBT programs: comparison of in-person\n                    <i>vs<\/i>\n                    telehealth treatment delivery"],"prefix":"10.1017","volume":"54","author":[{"given":"Carla 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