Key result
14-week iCBT yields low engagement in depressed or anxious post-MI patients, averaging ~0.8 completed modules.
Patients with recent myocardial infarction and depression/anxiety showed low engagement with internet-based cognitive behavioral therapy, highlighting the need to better tailor such interventions to user preferences and technical skills.
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Low iCBT engagement post-MI cautions against routine use without adaptation; challenges adherence assumptions and supports tailored designs in trials.
Wallin et al. (2018) studied Depression and anxiety after myocardial infarction (n=117). Internet-based cognitive behavioral therapy (iCBT) was evaluated on Treatment activity (completed modules, completed assignments, and therapist communication). Patients with a recent myocardial infarction and depression or anxiety showed low treatment activity in a 14-week iCBT intervention, completing a mean of only 0.76 modules.
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