Advancing equity in routine-care internet-delivered cognitive behaviour therapy: Representativeness, outcomes, engagement, and satisfaction☆☆☆
Alayna Gretton, Ram P Sapkota, Gladys O Orobosa, Blake F Dear, Nickolai Titov, Heather D Hadjistavropoulos · 2026
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Description
Alayna Gretton and co-authors audit who actually reaches online therapy in a Canadian province, in a 2026 study. Internet-delivered talk therapy promises to lower access barriers for depression and anxiety. Whether routine services reach underserved groups fairly was untested. The team compared over sixteen hundred clinic clients against census benchmarks for the province.
Men, less-educated clients, Indigenous and some racialized groups, newcomers, and rural residents were all underrepresented. Women and the highly educated were overrepresented. Symptoms still improved across every group during treatment. Lesson completion ran high overall, and satisfaction held broadly steady. The gaps sit at the front door, the study suggests, not in the therapy itself. Outreach is the equity frontier.
Catalog record
| CREATOR | Alayna Gretton, Ram P Sapkota, Gladys O Orobosa, Blake F Dear, Nickolai Titov, Heather D Hadjistavropoulos |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 84 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |