E-Therapy Provides Implementation Benchmarks for CAMHS
A systematic review (search through June 6, 2025) of 50 studies (2007–2025) examined barriers, facilitators, and implementation outcomes for internet-delivered therapist-guided therapy in outpatient CAMHS. Using CFIR and Proctor's taxonomy, authors report pooled outcomes: ~20% dropout (95% CI 14%–27%), 68% module completion (60%–75%), mean therapist time 24 minutes/week, and high patient satisfaction (~76%, 95% CI 62%–87%). Findings identify modifiable service-level enablers—leadership, technical stability, structured patient flow, and therapist training—to support scale-up.
Key Points
- 1Pooled outcomes show ~20% dropout, 68% module completion, 24 min weekly therapist time
- 2Highlights organizational and therapist-level determinants that significantly shape e-therapy uptake and fidelity
- 3Recommends prioritizing leadership anchoring, technical stability, structured flow, and therapist training for scale-up
Scoring Rationale
Strong, actionable systematic review with pooled benchmarks and CFIR synthesis; limited to CAMHS scope reduces generalizability.
Sources
Public references used for this report.
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