Exploring experiences with an internet-delivered ACT intervention among individuals with a personal history of depression: A thematic analysis

This qualitative study explored the experiences of individuals testing a novel internet-delivered acceptance and commitment therapy program (iACT) for patients with mild and moderate depressive disorder. Twelve participants, consisting of one male and 11 females with a history of depression but not currently depressed were recruited. Individual semi-structured interviews were conducted after 14 days of access to the iACT without therapist guidance. By using reflexive thematic analysis three key themes reflecting important aspects of the participants' experiences were created. ‘Theme 1: I would have been too ill to benefit from the program’ points to generally positive sentiments about the program among participants but raised concerns about treatment adherence during a depressive episode. ‘Theme 2: It has the potential to fill gaps in healthcare services’ highlighted the program's perceived role as a supplement to current health services rather than as a standalone intervention. ‘Theme 3: It is not perfect for anyone’ underscored the participants different views on how their personal needs would be met by this program and the lack of tailoring to individual preferences. These findings provide valuable insights for refining future internet-delivered intervention development targeting patients with depression or other mental health challenges.