{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T06:27:45Z","timestamp":1787120865432,"version":"build-2736575974"},"reference-count":62,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T00:00:00Z","timestamp":1787097600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Therapist-guided internet-delivered cognitive behavioral therapy (guided iCBT) is an effective and scalable treatment for anxiety and depression. Central to this format is the expectation that patients work independently with therapeutic content. However, limited attention has been paid to how healthcare professionals and patients within guided iCBT understand the patient role.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study explores how healthcare professionals and patients understand the patient role in guided iCBT, using self-determination theory to examine how autonomy, competence, and relatedness shape experiences of the patient role.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A qualitative study was conducted in Norwegian specialist mental health services, where guided iCBT is delivered as part of routine care, combining interviews and observations with healthcare professionals (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f31) and free-text responses from patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f296). Healthcare professional data were analyzed using reflexive thematic analysis and patient responses using inductive qualitative content analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Healthcare professionals constructed an ideal of the \u201cmotivated and self-driven\u201d patient, reflecting an implicit norm of self-direction as a core expectation of the patient role. Patients varied in their ability to enact this role: some described themselves in ways that aligned with this expectation, emphasizing independence and skill use, while others experienced tensions between demands for autonomy, their perceived competence, and their need for structure and relational support. Although many patients reported gaining skills, the treatment was also described as demanding and, at times, overwhelming, with difficulties in participation frequently framed as personal failure, accompanied by self-criticism and guilt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Guided iCBT relies on an implicit expectation that patients will be self-directed, but patients\u2019 experiences vary depending on how well they can assume this role. From a self-determination theory perspective, autonomy may function not only as a supportive resource but also as a demand when support for competence and relatedness is insufficient. These findings highlight the importance of carefully structuring and supporting expectations of self-direction within guided iCBT.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1924186","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T05:47:12Z","timestamp":1787118432000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The self-directed patient in guided internet-delivered CBT: a qualitative study of patient role expectations"],"prefix":"10.3389","volume":"17","author":[{"given":"Beate","family":"Standal","sequence":"first","affiliation":[{"name":"Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen","place":["Bergen, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin Maria Francisca","family":"Kenter","sequence":"additional","affiliation":[{"name":"Research Centre for Digital Mental Health Services, Division of Psychiatry, Haukeland University Hospital","place":["Bergen, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika Knudsen","family":"Gullslett","sequence":"additional","affiliation":[{"name":"Norwegian Centre for E-health Research, University Hospital of Northern Norway","place":["Troms\u00f8, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tine","family":"Nordgreen","sequence":"additional","affiliation":[{"name":"Research Centre for Digital Mental Health Services, Division of Psychiatry, Haukeland University Hospital","place":["Bergen, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00f8rn","family":"Heggelund","sequence":"additional","affiliation":[{"name":"Department of Mental Health, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology","place":["Trondheim, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inger Lise","family":"Teig","sequence":"additional","affiliation":[{"name":"Department of Global Public Health and Primary Care, Faculty of Medicine, University of Bergen","place":["Bergen, Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,19]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"e36978","DOI":"10.2196\/36978","article-title":"Comparability of patients in trials of eHealth and face-to-face psychotherapeutic interventions for depression: a meta-synthesis","volume":"24","author":"Aemissegger","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1002\/wps.20610","article-title":"Internet-delivered psychological treatments: from innovation to implementation","volume":"18","author":"Andersson","year":"2019","journal-title":"World Psychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"915","DOI":"10.1001\/jamapsychiatry.2020.0940","article-title":"Effect of internet vs face-to-face cognitive behavior therapy for health anxiety: a randomized noninferiority clinical trial","volume":"77","author":"Axelsson","year":"2020","journal-title":"JAMA Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1111\/papt.12591","article-title":"Associations between treatment credibility, patient expectancies, working alliance and symptom trajectory in cognitive behaviour therapy for pathological health anxiety","volume":"98","author":"Axelsson","year":"2025","journal-title":"Psychol. Psychother. Theory Res. 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Affect. Disord."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"e68165","DOI":"10.2196\/68165","article-title":"Effectiveness of general practitioner referral versus self-referral pathways to guided internet-delivered cognitive behavioral therapy for depression, panic disorder, and social anxiety disorder: naturalistic study","volume":"12","author":"Bjarke","year":"2025","journal-title":"JMIR Mental Health"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref11","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic Analysis: a Practical Guide","author":"Braun","year":"2022"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"100983","DOI":"10.1016\/j.invent.2026.100983","article-title":"Therapists\u2019 time allocation in guided digital mental health interventions \u2013 a scoping review and case study","volume":"45","author":"Brunner","year":"2026","journal-title":"Internet Interv."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"761","DOI":"10.1093\/shm\/hks018","article-title":"The death of the sick role","volume":"25","author":"Burnham","year":"2012","journal-title":"Soc. Hist. 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Med."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.invent.2018.01.003","article-title":"Patient's experience with blended video- and internet based cognitive behavioural therapy service in routine care","volume":"12","author":"Etzelmueller","year":"2018","journal-title":"Internet Interv."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/16506073.2025.2565674","article-title":"Understanding the unwanted: a mixed-methods study on negative effects in an internet-based intervention for depression","author":"Fenski","year":"2025","journal-title":"Cogn. Behav. Ther."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"792","DOI":"10.1002\/capr.12465","article-title":"A qualitative study of university students' experience of internet-based CBT for depression","volume":"21","author":"Gericke","year":"2021","journal-title":"Couns. Psychother. Res."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurse Educ. Today"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1007\/s10488-023-01301-x","article-title":"Patients\u2019 and therapists\u2019 experiences of standardized group cognitive behavioral therapy: needs for a personalized approach","volume":"51","author":"Gryesten","year":"2024","journal-title":"Adm. Policy Ment. Health Ment. Health Serv. Res."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"944","DOI":"10.1007\/s10597-018-0286-0","article-title":"Patient perspectives on strengths and challenges of therapist-assisted internet-delivered cognitive behaviour therapy: using the patient voice to improve care","volume":"54","author":"Hadjistavropoulos","year":"2018","journal-title":"Community Ment. Health J."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1002\/cpp.2014","article-title":"Therapeutic alliance in internet-delivered cognitive behaviour therapy for depression or generalized anxiety","volume":"24","author":"Hadjistavropoulos","year":"2017","journal-title":"Clin. Psychol. Psychother."},{"key":"ref25","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","year":"2023","journal-title":"World Psychiatry"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"100595","DOI":"10.1016\/j.invent.2022.100595","article-title":"Transdiagnostic internet-delivered cognitive behaviour therapy: feasibility of a motivational interviewing resource","volume":"31","author":"Horse","year":"2023","journal-title":"Internet Interv."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"e73067","DOI":"10.2196\/73067","article-title":"Costs and outcomes of a therapist-guided internet-delivered cognitive behavioral therapy: multicenter observational study","volume":"27","author":"Khan","year":"2025","journal-title":"J. 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Internet Res."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.invent.2017.05.004","article-title":"Adherence to a web-based pre-treatment for phobias in outpatient clinics","volume":"9","author":"Kok","year":"2017","journal-title":"Internet Interv."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e26842","DOI":"10.2196\/26842","article-title":"Youths\u2019 and parents\u2019 experiences and perceived effects of internet-based cognitive behavioral therapy for anxiety disorders in primary care: mixed methods study","volume":"4","author":"Lilja","year":"2021","journal-title":"JMIR Pediatrics and Parenting"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"614","DOI":"10.1080\/16506073.2025.2542364","article-title":"Absolute and relative rates of treatment non-initiation, dropout, and attrition in internet-based and face-to-face cognitive-behavioral therapy: a meta-analysis of randomized controlled trials","volume":"55","author":"Linardon","year":"2025","journal-title":"Cogn. Behav. Ther."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.invent.2015.04.002","article-title":"Who seeks ICBT for depression and how do they get there? Effects of recruitment source on patient demographics and clinical characteristics","volume":"2","author":"Lindner","year":"2015","journal-title":"Internet Interv."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"256","DOI":"10.1057\/sth.2013.10","article-title":"The digitally engaged patient: self-monitoring and self-care in the digital health era","volume":"11","author":"Lupton","year":"2013","journal-title":"Soc. Theory Health"},{"key":"ref34","doi-asserted-by":"crossref","DOI":"10.4324\/9781315648835","volume-title":"Digital Health: Critical and Cross-Disciplinary Perspectives","author":"Lupton","year":"2017"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1037\/bul0000334","article-title":"Digital interventions for the treatment of depression: a meta-analytic review","volume":"147","author":"Moshe","year":"2021","journal-title":"Psychol. Bull."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"100274","DOI":"10.1016\/j.invent.2019.100274","article-title":"Effectiveness of guided internet-delivered treatment for major depression in routine mental healthcare - an open study","volume":"18","author":"Nordgreen","year":"2019","journal-title":"Internet Interv."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.invent.2018.05.003","article-title":"The effectiveness of guided internet-based cognitive behavioral therapy for social anxiety disorder in a routine care setting","volume":"13","author":"Nordgreen","year":"","journal-title":"Internet Interv."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1080\/16506073.2017.1348389","article-title":"The implementation of guided internet-based cognitive behaviour therapy for panic disorder in a routine-care setting: effectiveness and implementation efforts","volume":"47","author":"Nordgreen","year":"","journal-title":"Cogn. Behav. Ther."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1080\/17437199.2020.1718529","article-title":"A meta-analysis of self-determination theory-informed intervention studies in the health domain: effects on motivation, health behavior, physical, and psychological health","volume":"15","author":"Ntoumanis","year":"2021","journal-title":"Health Psychol. Rev."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1111\/j.1939-0025.1951.tb00003.x","article-title":"Illness and the role of the physician: a sociological perspective","volume":"21","author":"Parsons","year":"1951","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"e13","DOI":"10.1017\/S1754470X18000284","article-title":"Patient experience of supported computerized CBT in an inner-city IAPT service: a qualitative study","volume":"12","author":"Perera-Delcourt","year":"2019","journal-title":"Cogn. Behav. Ther."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1016\/j.socscimed.2018.07.043","article-title":"Between empowerment and self-discipline: governing patients' conduct through technological self-care","volume":"213","author":"Petrakaki","year":"2018","journal-title":"Soc. Sci. Med."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"e40637","DOI":"10.2196\/40637","article-title":"Internet-delivered cognitive behavioral therapy for postsecondary students: randomized factorial trial for examining motivational interviewing and booster lessons","volume":"24","author":"Peynenburg","year":"2022","journal-title":"J. Med. Internet Res."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/S2215-0366(24)00404-8","article-title":"Efficacy and effectiveness of therapist-guided internet versus face-to-face cognitive behavioural therapy for depression via counterfactual inference using naturalistic registers and machine learning in Finland: a retrospective cohort study","volume":"12","author":"Rosenstr\u00f6m","year":"2025","journal-title":"Lancet Psychiatry"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1080\/16506073.2015.1008033","article-title":"Negative effects of internet interventions: a qualitative content analysis of patients' experiences with treatments delivered online","volume":"44","author":"Rozental","year":"2015","journal-title":"Cogn. Behav. Ther."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"1557","DOI":"10.1111\/j.1467-6494.2006.00420.x","article-title":"Self-regulation and the problem of human autonomy: does psychology need choice, self-determination, and will?","volume":"74","author":"Ryan","year":"2006","journal-title":"J. Pers."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1037\/0708-5591.49.1.14","article-title":"Facilitating optimal motivation and psychological well-being across life\u2019s domains","volume":"49","author":"Ryan","year":"2008","journal-title":"Can. Psychol."},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.1521\/978.14625\/28806","volume-title":"Self-Determination Theory: Basic Psychological Needs in Motivation, Development, and Wellness","author":"Ryan","year":"2017"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"101860","DOI":"10.1016\/j.cedpsych.2020.101860","article-title":"Intrinsic and extrinsic motivation from a self-determination theory perspective: definitions, theory, practices, and future directions","volume":"61","author":"Ryan","year":"2020","journal-title":"Contemp. Educ. Psychol."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"990833","DOI":"10.3389\/fpsyg.2023.990833","article-title":"What I missed from my online therapist: a survey-based qualitative investigation of patient experiences of therapist contact in guided internet interventions","volume":"14","author":"Sayar","year":"2023","journal-title":"Front. Psychol."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"e71852","DOI":"10.2196\/71852","article-title":"Therapists\u2019 role in patient adherence to internet-based cognitive behavioral therapy: qualitative study","volume":"27","author":"Seittu","year":"2025","journal-title":"J. Med. Internet Res."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"1012","DOI":"10.1037\/pspi0000459","article-title":"Interpersonal supports for basic psychological needs and their relations with motivation, well-being, and performance: a meta-analysis","volume":"127","author":"Slemp","year":"2024","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"100394","DOI":"10.1016\/j.invent.2021.100394","article-title":"Brief online motivational interviewing pre-treatment intervention for enhancing internet-delivered cognitive behaviour therapy: a randomized controlled trial","volume":"25","author":"Soucy","year":"2021","journal-title":"Internet Interv."},{"key":"ref52","first-page":"e94640","article-title":"Therapists\u2019 professional roles in guided internet-delivered cognitive behavioral therapy in specialized mental health care: an interview and observational study with health care professionals","volume-title":"Journal of Medical Internet Research","author":"Standal","year":"2026"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1080\/16506073.2017.1347195","article-title":"Increased skills usage statistically mediates symptom reduction in self-guided internet-delivered cognitive-behavioural therapy for depression and anxiety: a randomised controlled trial","volume":"47","author":"Terides","year":"2018","journal-title":"Cogn. Behav. Ther."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"e4","DOI":"10.1017\/S1754470X20000033","article-title":"IAPT and the internet: the current and future role of therapist-guided internet interventions within routine care settings","volume":"13","author":"Thew","year":"2020","journal-title":"Cognit. Behav. Ther."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"e10885","DOI":"10.1371\/journal.pone.0010885","article-title":"Characteristics of adults with anxiety or depression treated at an internet clinic: comparison with a national survey and an outpatient clinic","volume":"5","author":"Titov","year":"","journal-title":"PLoS One"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"938","DOI":"10.3109\/00048674.2010.493859","article-title":"Randomized controlled trial of internet cognitive behavioural treatment for social phobia with and without motivational enhancement strategies","volume":"44","author":"Titov","year":"","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1192\/bjp.2026.10653","article-title":"Impact of support levels on effectiveness and drop-out of internet-based interventions for depression: network meta-analysis","author":"Tong","year":"2026","journal-title":"Br. J. Psychiatry"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"20552076241287059","DOI":"10.1177\/20552076241287059","article-title":"From research to routine care: a historical review of internet-based cognitive behavioral therapy for adult mental health problems in Sweden","volume":"10","author":"Vernmark","year":"2024","journal-title":"Digital Health"},{"key":"ref59","volume-title":"Communities of Practice: Learning, Meaning, and Identity","author":"Wenger","year":"1999"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"100801","DOI":"10.1016\/j.invent.2025.100801","article-title":"Patient experiences of internet-based enhanced cognitive behavior therapy for eating disorders","volume":"39","author":"Wiberg","year":"2025","journal-title":"Internet Interv."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1080\/10503307.2024.2325510","article-title":"Interpersonal factors in internet-based cognitive behavioral therapy for depression: attachment style and alliance with the program and with the therapist","volume":"35","author":"Zalaznik","year":"2025","journal-title":"Psychother. 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