Patients’ reasons for declining a primary care trial online therapy: a mixed-methods study

Fiona Fox; Debbie Tallon; Roz Shafran; Paul Lanham; Christopher Williams; Berry Jude; Nicola Wiles; David Kessler; Katrina Turner

doi:10.3399/BJGPO.2024.0272

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Patients’ reasons for declining a primary care trial online therapy: a mixed-methods study

Fiona Fox, Debbie Tallon, Roz Shafran, Paul Lanham, Christopher Williams, Berry Jude, Nicola Wiles, David Kessler and Katrina Turner

BJGP Open 2025; 9 (3): BJGPO.2024.0272. DOI: https://doi.org/10.3399/BJGPO.2024.0272

Fiona Fox

1 NIHR ARC West, Bristol, UK

2 Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK

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For correspondence: f.fox{at}bristol.ac.uk

Debbie Tallon

3 Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK

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Roz Shafran

4 Great Ormond Street Institute of Child Health, University College London, London, UK

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Paul Lanham

5 Public and Patient Involvement Representative, London, UK

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Christopher Williams

6 Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK

7 Five Areas Ltd, Titan Enterprise Business Centre, West Dunbartonshire, UK

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Berry Jude

8 UCL Division of Psychiatry, Maple House, London, UK

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Nicola Wiles

3 Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK

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David Kessler

3 Centre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK

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Katrina Turner

2 Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK

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Patients’ reasons for declining a primary care trial online therapy: a mixed-methods study

Fiona Fox, Debbie Tallon, Roz Shafran, Paul Lanham, Christopher Williams, Berry Jude, Nicola Wiles, David Kessler, Katrina Turner

BJGP Open 2025; 9 (3): BJGPO.2024.0272. DOI: 10.3399/BJGPO.2024.0272

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Patients’ reasons for declining a primary care trial online therapy: a mixed-methods study

Fiona Fox, Debbie Tallon, Roz Shafran, Paul Lanham, Christopher Williams, Berry Jude, Nicola Wiles, David Kessler, Katrina Turner

BJGP Open 2025; 9 (3): BJGPO.2024.0272. DOI: 10.3399/BJGPO.2024.0272

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Keywords

depression
cognitive behavioural therapy
randomised controlled trials
Mental health
primary health care

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