The role of explicit learning of treatment content in internet-based cognitive-behavioural treatment (ICBT) is an emerging field of research. The objective of this study was to explore clients experiences of their ICBT treatment for depression with a focus on knowledge gain and usage of knowledge learned during treatment. A strategic sample of ten adolescents, aged between 15 and 19 years, who had received ICBT for major depression within a clinical controlled trial were recruited for the study. Semi-structured interviews were conducted 6 months following trial completion. Data were transcribed and analysed using thematic analysis. The participants had a general adherence rate of 6–8 opened modules out of 8 possible. Two main themes were identified; “Active agents of CBT” and “Passive agents of CBT”, with each theme consisting of three and two sub-themes. Active agents of CBT reflect a tendency to specifically remember and actively apply specific CBT principles in present life situations. Passive agents of CBT reflect a tendency to remember CBT treatment principles vaguely and express a passive or reactive usage of learned therapy content. The findings suggest that young clients can remember and apply CBT principles 6 months after their treatment. However, while experiencing benefits of treatment, clients recall and application of treatment strategies vary. The study emphasizes the importance of exploring client recall of CBT components and how valuable it is to explicitly remember contents of a treatment in order to improve and maintain improvement. Further studies on the role of knowledge and memory of ICBT for adolescent populations are warranted.

中文翻译：

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在基于互联网的CBT治疗青少年抑郁症过程中获得的知识获取和知识使用-一项定性研究。

在基于Internet的认知行为治疗（ICBT）中显式学习治疗内容的作用是一个新兴的研究领域。这项研究的目的是探讨客户对抑郁症的ICBT治疗的经验，重点是在治疗过程中获得的知识和知识的使用。招募了10名年龄在15至19岁之间，并在临床对照试验中因严重抑郁而接受ICBT的青少年的战略样本用于研究。在试验完成后的6个月内进行了半结构式访谈。使用主题分析记录和分析数据。参加者在8个可能的模块中的总依从率是6-8个打开的模块。确定了两个主要主题；“ CBT的主动代理”和“ CBT的被动代理”，每个主题都包含三个和两个子主题。CBT的积极推动者反映出一种趋势，即在当前生活中特别记住并积极应用特定的CBT原则。CBT的被动因素反映出一种趋势，即人们会模糊地记住CBT的治疗原则，并表示对所学治疗内容的被动或被动使用。研究结果表明，年轻患者在治疗后6个月可以记住并应用CBT原则。但是，尽管体验到治疗的好处，但客户回忆和治疗策略的应用却有所不同。这项研究强调了探索客户对CBT成分的召回的重要性，以及明确记住治疗内容以改善和保持改善的价值。