{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:44:14Z","timestamp":1785545054311,"version":"3.56.0"},"reference-count":63,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Hum Factors"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Emotional disorders (EDs) are the most prevalent mental disorders worldwide. Health services face significant difficulties in attending to the high demand and applying evidence-based psychological treatments. Combining the transdiagnostic approach with the group and blended formats could help the accessibility of treatment for ED. It is important to assess the feasibility and acceptability of new interventions from a qualitative perspective.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to explore the experiences and opinions of patients with ED who have received transdiagnostic cognitive behavioral therapy treatment in a group and blended format.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Two subsamples of participants were included: those who completed the intervention (n=18) and those who did not (n=4). The completers\u2019 subsample participated in focus groups, which were transcribed verbatim and subsequently analyzed using a consensus qualitative research methodology. The noncompleters subsample completed a brief online questionnaire. Key themes identified by 2 independent researchers were described and used as complementary to focus group findings. Results were reported following the COREQ (Consolidated Criteria for Reporting Qualitative Research) guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>After analyzing the focus group interviews using the consensus qualitative research method, 8 domains (or topic areas) were identified, namely experience with the online platform, configuration of the blended intervention, therapeutic content, experience with the group sessions via videoconference, role of the therapists, overall assessment of the blended treatment, elements that help maintain adherence, and suggestions for improvement. Overall, participants reported benefits from this type of intervention, expressed satisfaction with the treatment, and highlighted the perceived improvement and usefulness of what they learned. They also noted the good usability of the platform and the possibility of establishing a good therapeutic alliance in this format. Participants also pointed out unfavorable aspects and offered suggestions on possible areas for improvement. For noncompleters, various reasons for dropping out were identified: lack of treatment efficacy, intervention-related stress, difficulty in applying learned strategies, low involvement, lack of motivation, time constraints, or need for different types of help. Strategies to enhance adherence to treatment were also identified, such as changes in the format and configuration of the sessions, allowing more time to discuss individual problems or reducing the number of homework assignments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>These qualitative results support the feasibility, acceptability, and clinical utility of a blended group transdiagnostic intervention for the treatment of ED. This novel format could be a scalable and well-valued option within mental health services, although it can still be further optimized based on the results of this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/86016","type":"journal-article","created":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T18:43:16Z","timestamp":1783363396000},"page":"e86016-e86016","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Patients\u2019 Experiences in a Blended Transdiagnostic Group Treatment: Qualitative Study"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4304-8878","authenticated-orcid":false,"given":"Noelia","family":"Jim\u00e9nez-Orenga","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7715-0925","authenticated-orcid":false,"given":"Alba","family":"Fadrique-Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9250-8714","authenticated-orcid":false,"given":"Azucena","family":"Garc\u00eda-Palacios","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7293-318X","authenticated-orcid":false,"given":"Jorge","family":"Osma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4398-4014","authenticated-orcid":false,"given":"Amanda","family":"D\u00edaz-Garc\u00eda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6331-6078","authenticated-orcid":false,"given":"Juana","family":"Bret\u00f3n-L\u00f3pez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,7,6]]},"reference":[{"issue":"2","key":"R1","doi-asserted-by":"publisher","DOI":"10.1111\/cpsp.12278","article-title":"What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention","volume":"26","author":"Bullis","journal-title":"Clin Psychol Sci Pract"},{"key":"R2","unstructured":"World Health Organization. World Mental Health Today: Latest Data. World Health Organization; 2025:1-64. URL: https:\/\/iris.who.int\/server\/api\/core\/bitstreams\/31714489-1345-4439-8b37-6cbdc52e15ca\/content [Accessed 28-06-2026] ISBN: 978-92-4-011381-7"},{"key":"R3","unstructured":"Los trastornos de ansiedad tienen una prevalencia del 12,6% en la poblaci\u00f3n. Infocop. 2024. URL: https:\/\/www.infocop.es\/los-trastornos-de-ansiedad-tienen-una-prevalencia-del-126-en-la-poblacion-general\/?cn-reloaded=1 [Accessed 21-06-2025]"},{"issue":"2-3","key":"R4","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1016\/j.anyes.2017.10.003","article-title":"Impacto econ\u00f3mico y carga de los trastornos mentales comunes en Espa\u00f1a: una revisi\u00f3n sistem\u00e1tica y cr\u00edtica","volume":"23","author":"Ruiz-Rodr\u00edguez","journal-title":"Ansiedad y Estr\u00e9s"},{"issue":"1","key":"R5","doi-asserted-by":"publisher","first-page":"31","DOI":"10.5093\/anyes2021a5","article-title":"Situaci\u00f3n de la psicolog\u00eda cl\u00ednica en el Sistema Nacional de Salud (SNS) y perspectivas de crecimiento","volume":"27","author":"Fern\u00e1ndez-Garc\u00eda","journal-title":"Ansiedad y Estr\u00e9s"},{"issue":"2","key":"R6","doi-asserted-by":"publisher","first-page":"71","DOI":"10.55414\/ap.v40i2.1414","article-title":"Indicadores asistenciales y est\u00e1ndares de calidad asistencial para la psicolog\u00eda cl\u00ednica en los centros de salud mental del Sistema Madrile\u00f1o de Salud evaluados por sus profesionales","volume":"40","author":"Cu\u00e9llar Flores","journal-title":"Apunt Psic"},{"issue":"1","key":"R7","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1016\/j.beth.2016.09.004","article-title":"Current definitions of \u201cTransdiagnostic\u201d in treatment development: a search for consensus","volume":"48","author":"Sauer-Zavala","journal-title":"Behav Ther"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Barlow DH Farchione TJ Sauer-Zavala S et al. Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide. Oxford University Press; 2017. [doi: 10.1093\/med-psych\/9780190685973.001.0001] ISBN: 978-0-19-068599-7","DOI":"10.1093\/med-psych\/9780190685973.001.0001"},{"issue":"2","key":"R9","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1007\/s10862-009-9151-3","article-title":"Cognitive-behavior therapy (CBT) for panic disorder: relationship of anxiety and depression comorbidity with treatment outcome","volume":"32","author":"Allen","journal-title":"J Psychopathol Behav Assess"},{"issue":"2","key":"R10","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1002\/wps.21088","article-title":"Therapist-supported internet-based cognitive behaviour therapy yields similar effects as face-to-face therapy for psychiatric and somatic disorders: an updated systematic review and meta-analysis","volume":"22","author":"Hedman-Lagerl\u00f6f","journal-title":"World Psychiatry"},{"issue":"4","key":"R11","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-075796","article-title":"Internet-delivered transdiagnostic psychological treatments for individuals with depression, anxiety or both: a systematic review with meta-analysis of randomised controlled trials","volume":"14","author":"Kolaas","journal-title":"BMJ Open"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2017.09.001","article-title":"Dropping out of a transdiagnostic online intervention: a qualitative analysis of client\u2019s experiences","volume":"10","author":"Fern\u00e1ndez-\u00c1lvarez","journal-title":"Internet Interv"},{"issue":"7","key":"R13","doi-asserted-by":"publisher","DOI":"10.2196\/16228","article-title":"The acceptability and usability of digital health interventions for adults with depression, anxiety, and somatoform disorders: qualitative systematic review and meta-synthesis","volume":"22","author":"Patel","journal-title":"J Med Internet Res"},{"issue":"9","key":"R14","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6588","article-title":"Blending face-to-face and internet-based interventions for the treatment of mental disorders in adults: systematic review","volume":"19","author":"Erbe","journal-title":"J Med Internet Res"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2020.100329","article-title":"A blended cognitive behavioral intervention for patients with adjustment disorder with anxiety: a randomized controlled trial","volume":"21","author":"Leterme","journal-title":"Internet Interv"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.2196\/49660","article-title":"Blended psychological therapy for the treatment of psychological disorders in adult patients: systematic review and meta-analysis","volume":"13","author":"Ferrao Nunes-Zlotkowski","journal-title":"Interact J Med Res"},{"issue":"11","key":"R17","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0259493","article-title":"Acceptability, effectiveness and cost-effectiveness of blended cognitive-behavioural therapy (bCBT) versus face-to-face CBT (ftfCBT) for anxiety disorders in specialised mental health care: a 15-week randomised controlled trial with 1-year follow-up","volume":"16","author":"Romijn","journal-title":"PLoS One"},{"key":"R18","unstructured":"Burlingame GM Strauss B Joyce AS . Change mechanisms and effectiveness of small group treatment. In: Lambert MJ , editor. Bergin and Garfield\u2019s Handbook of Psychotherapy and Behavior Change. 6th ed. John Wiley & Sons; 2013:640-689. URL: https:\/\/www.researchgate.net\/profile\/Bernhard-Strauss\/publication\/303105298_Change_mechanisms_and_effectiveness_of_small_group_treatments\/links\/5774fe3308aeb9427e257e36\/Change-mechanisms-and-effectiveness-of-small-group-treatments.pdf [Accessed 28-06-2026]"},{"issue":"2","key":"R19","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1176\/appi.psychotherapy.20200031","article-title":"Recent developments in group psychotherapy research","volume":"74","author":"Rosendahl","journal-title":"Am J Psychother"},{"key":"R20","unstructured":"Psychotherapy: understanding group therapy. American Psychological Association. 2019. URL: https:\/\/www.apa.org\/topics\/psychotherapy\/group-therapy [Accessed 21-06-2025]"},{"issue":"2","key":"R21","volume":"54","author":"Pappas","journal-title":"Monit Psychol"},{"issue":"26","key":"R22","doi-asserted-by":"publisher","first-page":"22462","DOI":"10.1007\/s12144-022-03365-8","article-title":"Long-term cost-effectiveness of group unified protocol in the Spanish public mental health system","volume":"42","author":"Peris-Baquero","journal-title":"Curr Psychol"},{"key":"R23","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2021.100363","article-title":"Blended transdiagnostic group CBT for emotional disorders: a feasibility trial protocol","volume":"23","author":"D\u00edaz-Garc\u00eda","journal-title":"Internet Interv"},{"key":"R24","doi-asserted-by":"crossref","unstructured":"Creswell JW Plano Clark VL . Designing and Conducting Mixed Methods Research. 3rd ed. SAGE Publications; 2018. [doi: 10.1111\/j.1753-6405.2007.00096.x]","DOI":"10.1111\/j.1753-6405.2007.00096.x"},{"issue":"1","key":"R25","doi-asserted-by":"publisher","first-page":"79","DOI":"10.3390\/ijerph19010079","article-title":"\u201cFamily Connections\u201d, a DBT-based program for relatives of people with borderline personality disorder during the COVID-19 pandemic: a focus group study","volume":"19","author":"Fern\u00e1ndez-Felipe","journal-title":"Int J Environ Res Public Health"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2018.01.003","article-title":"Patient\u2019s experience with blended video- and internet based cognitive behavioural therapy service in routine care","volume":"12","author":"Etzelmueller","journal-title":"Internet Interv"},{"issue":"3","key":"R27","doi-asserted-by":"publisher","DOI":"10.2196\/mental.9613","article-title":"Patients\u2019 experiences of web- and mobile-assisted group therapy for depression and implications of the group setting: qualitative follow-up study","volume":"5","author":"Schuster","journal-title":"JMIR Ment Health"},{"key":"R28","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2020.100326","article-title":"Advantages and disadvantages of online and blended therapy: replication and extension of findings on psychotherapists\u2019 appraisals","volume":"21","author":"Schuster","journal-title":"Internet Interv"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2018.01.002","article-title":"Barriers and facilitators for the implementation of blended psychotherapy for depression: a qualitative pilot study of therapists\u2019 perspective","volume":"12","author":"Titzler","journal-title":"Internet Interv"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.1016\/j.invent.2025.100823","article-title":"Feasibility, acceptability, and preliminary efficacy of a blended transdiagnostic group CBT for the treatment of emotional disorders","volume":"40","author":"Jim\u00e9nez-Orenga","journal-title":"Internet Interv"},{"key":"R31","unstructured":"Krueger RA Casey MA . Focus Groups: A Practical Guide for Applied Research. 5th ed. SAGE; 2015. URL: https:\/\/tinyurl.com\/3p826j7p [Accessed 28-06-2026] ISBN: 978-1-4833-6524-4"},{"issue":"4","key":"R32","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1177\/0011000097254001","article-title":"A guide to conducting consensual qualitative research","volume":"25","author":"Hill","journal-title":"Couns Psychol"},{"issue":"2","key":"R33","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1037\/0022-0167.52.2.196","article-title":"Consensual qualitative research: an update","volume":"52","author":"Hill","journal-title":"J Couns Psychol"},{"issue":"6","key":"R34","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"issue":"4","key":"R35","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1080\/16506073.2018.1533577","article-title":"Working alliance as a predictor of change in depression during blended cognitive behaviour therapy","volume":"48","author":"Vernmark","journal-title":"Cogn Behav Ther"},{"issue":"6","key":"R36","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1080\/10447310802205776","article-title":"An empirical evaluation of the System Usability Scale","volume":"24","author":"Bangor","journal-title":"Int J Hum-Comput Interact"},{"issue":"15","key":"R37","doi-asserted-by":"publisher","first-page":"4145","DOI":"10.1080\/10447318.2023.2209840","article-title":"Psychometric properties of the Spanish full and short forms of the System Usability Scale (SUS): detecting the effect of negatively worded items","volume":"40","author":"Castilla","journal-title":"Int J Hum-Comput Interact"},{"issue":"3","key":"R38","doi-asserted-by":"publisher","first-page":"1623","DOI":"10.1007\/s10899-024-10318-2","article-title":"A self-applied psychological treatment for gambling-related problems via the internet: a pilot, feasibility study","volume":"40","author":"Diaz-Sanahuja","journal-title":"J Gambl Stud"},{"key":"R39","author":"Rachyla","journal-title":"Annu Rev Cybertherapy Telemed"},{"issue":"3","key":"R40","doi-asserted-by":"publisher","DOI":"10.2196\/24387","article-title":"Barriers to and facilitators of user engagement with digital mental health interventions: systematic review","volume":"23","author":"Borghouts","journal-title":"J Med Internet Res"},{"issue":"1","key":"R41","doi-asserted-by":"publisher","DOI":"10.1136\/bmjment-2023-300670","article-title":"Digital mental health: challenges and next steps","volume":"26","author":"Smith","journal-title":"BMJ Ment Health"},{"issue":"5","key":"R42","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.1468","article-title":"Security considerations for e-mental health interventions","volume":"12","author":"Bennett","journal-title":"J Med Internet Res"},{"issue":"1","key":"R43","doi-asserted-by":"publisher","DOI":"10.2196\/mental.4534","article-title":"Mixing online and face-to-face therapy: how to benefit from blended care in mental health care","volume":"3","author":"Wentzel","journal-title":"JMIR Ment Health"},{"issue":"3","key":"R44","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1080\/10503307.2021.1939190","article-title":"Effectiveness of the Unified Protocol for transdiagnostic treatment of emotional disorders in group format in Spain: results from a randomized controlled trial with 6-months follow-up","volume":"32","author":"Osma","journal-title":"Psychother Res"},{"issue":"5","key":"R45","doi-asserted-by":"publisher","DOI":"10.2196\/11860","article-title":"Effects, adherence, and therapists\u2019 perceptions of web- and mobile-supported group therapy for depression: mixed-methods study","volume":"21","author":"Schuster","journal-title":"J Med Internet Res"},{"issue":"6","key":"R46","doi-asserted-by":"publisher","first-page":"840","DOI":"10.1016\/j.beth.2014.07.001","article-title":"A longitudinal study of experiential avoidance in emotional disorders","volume":"45","author":"Spinhoven","journal-title":"Behav Ther"},{"issue":"2","key":"R47","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1080\/23794925.2017.1290511","article-title":"Using research-informed pedagogical practices to maximize learning in youth cognitive behavioral therapy","volume":"2","author":"Reid","journal-title":"Evid Based Pract Child Adolesc Ment Health"},{"issue":"1","key":"R48","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1111\/hex.13377","article-title":"Tailored patient therapeutic educational interventions: a patient-centred communication model","volume":"25","author":"Ricci","journal-title":"Health Expect"},{"issue":"2","key":"R49","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8090","article-title":"Telehealth interventions delivering home-based support group videoconferencing: systematic review","volume":"20","author":"Banbury","journal-title":"J Med Internet Res"},{"key":"R50","unstructured":"Yalom ID Leszcz M . The Theory and Practice of Group Psychotherapy. 6th ed. Basic Books; 2020. URL: https:\/\/tinyurl.com\/yk6yx2ku [Accessed 28-06-2026] ISBN: 978-1-5416-1756-8"},{"issue":"2","key":"R51","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1080\/13284207.2022.2041363","article-title":"Patient acceptability of group transdiagnostic cognitive behavior therapy for the treatment of anxiety disorders in community-based care: a qualitative study","volume":"26","author":"Huynh","journal-title":"Clinical Psychologist"},{"issue":"3","key":"R52","doi-asserted-by":"publisher","first-page":"205","DOI":"10.5944\/rppc.vol.17.num.3.2012.11840","article-title":"Transdiagnostic group CBT for anxiety disorder: efficacy, acceptability, and beyond","volume":"17","author":"Norton","journal-title":"Rev Psicopatolog\u00eda Psicol Cl\u00ednica"},{"issue":"2","key":"R53","doi-asserted-by":"publisher","first-page":"389","DOI":"10.1002\/capr.12538","article-title":"Videoconferencing versus face\u2010to\u2010face psychotherapy: insights from patients and psychotherapists about comparability of therapeutic alliance, empathy and treatment characteristics","volume":"23","author":"Leuchtenberg","journal-title":"Couns Psychother Res"},{"issue":"4","key":"R54","doi-asserted-by":"publisher","DOI":"10.2196\/17330","article-title":"Patients\u2019 perspective on mental health specialist video consultations in primary care: qualitative preimplementation study of anticipated benefits and barriers","volume":"22","author":"Bleyel","journal-title":"J Med Internet Res"},{"issue":"3","key":"R55","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1258\/jtt.2010.100318","article-title":"Therapeutic videoconferencing interventions for the treatment of long-term conditions","volume":"17","author":"Steel","journal-title":"J Telemed Telecare"},{"issue":"1","key":"R56","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1186\/s12913-014-0544-y","article-title":"Video-confidence: a qualitative exploration of videoconferencing for psychiatric emergencies","volume":"14","author":"Trondsen","journal-title":"BMC Health Serv Res"},{"issue":"6","key":"R57","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0218117","article-title":"What format of treatment do patients with emotional disorders prefer and why? Implications for public mental health settings and policies","volume":"14","author":"Osma","journal-title":"PLoS One"},{"issue":"5","key":"R58","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1080\/10503307.2015.1119908","article-title":"The therapeutic alliance in internet interventions: a narrative review and suggestions for future research","volume":"27","author":"Berger","journal-title":"Psychother Res"},{"issue":"2","key":"R59","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1037\/a0027924","article-title":"Videoconferencing psychotherapy: a systematic review","volume":"9","author":"Backhaus","journal-title":"Psychol Serv"},{"issue":"6","key":"R60","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1002\/cpp.2315","article-title":"Working alliance and outcome effectiveness in videoconferencing psychotherapy: a systematic review and noninferiority meta\u2010analysis","volume":"25","author":"Norwood","journal-title":"Clin Psychology and Psychoth"},{"issue":"6","key":"R61","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1111\/ajr.12149","article-title":"Therapeutic alliance in videoconferencing psychotherapy: a review","volume":"22","author":"Simpson","journal-title":"Aust J Rural Health"},{"issue":"2","key":"R62","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1007\/s13142-016-0453-1","article-title":"Conceptualising engagement with digital behaviour change interventions: a systematic review using principles from critical interpretive synthesis","volume":"7","author":"Perski","journal-title":"Transl Behav Med"},{"issue":"2","key":"R63","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1037\/ccp0000775","article-title":"Engagement with homework in an internet-delivered therapy predicts reduced anxiety and depression symptoms: a latent growth curve analysis","volume":"91","author":"Sapkota","journal-title":"J Consult Clin Psychol"}],"container-title":["JMIR Human Factors"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/humanfactors.jmir.org\/2026\/1\/e86016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T22:25:39Z","timestamp":1785536739000},"score":1,"resource":{"primary":{"URL":"https:\/\/humanfactors.jmir.org\/2026\/1\/e86016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,6]]},"references-count":63,"URL":"https:\/\/doi.org\/10.2196\/86016","relation":{},"ISSN":["2292-9495"],"issn-type":[{"value":"2292-9495","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,6]]},"article-number":"v13i2e86016"}}