BACKGROUND Although Internet-based interventions (IBIs) have been around for two decades, uptake has been slow. Increasing the acceptability of IBIs among end users may increase uptake. In this study, we explored the factors that shape acceptability of IBIs for problem gambling from the perspective of clients and clinicians. Findings from this qualitative study of focus groups informed the design and implementation of an IBI for problem gambling. METHODS Using a semi-structured interview guide, we conducted three focus groups with clients experiencing gambling problems (total n = 13) and two with clinicians providing problem gambling treatment (total n = 21). Focus groups were audio recorded, transcribed verbatim, and analyzed using a two-part inductive-deductive approach to thematic analysis. RESULTS Although both user groups reported similar experiences, each group also had unique concerns. Clinician perspectives were more homogeneous reflective of healthcare professionals sharing the same practice and values. Clinicians were more concerned about issues relating to the dissemination of IBIs into clinical settings, including the development of policies and protocols and the implications of IBIs on the therapeutic relationship. In comparison, client narratives were more heterogeneous descriptive of diverse experiences and individual preferences, such as the availability of services on a 24-h basis. There was consensus among clients and clinicians on common factors influencing acceptability: access, usability, high quality technology, privacy and security, and the value of professional guidance. CONCLUSIONS Acceptability is an important factor in the overall effectiveness of IBIs. Gaining an understanding of how end users perceive IBIs and why they choose to use IBIs can be instrumental in the successful and meaningful design, implementation, and evaluation of IBIs.

中文翻译：

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基于互联网的问题赌博干预措施的可接受性：与客户和临床医生进行的焦点小组的定性研究。

背景技术尽管基于互联网的干预措施（IBI）已经存在了二十年，但采用速度却很慢。提高最终用户对IBI的接受度可能会增加摄取量。在这项研究中，我们从客户和临床医生的角度探讨了影响IBI接受问题赌博的因素。焦点小组定性研究的结果为问题赌博的IBI设计和实施提供了依据。方法我们使用半结构化访谈指南，对三个遇到赌博问题的客户进行了焦点小组讨论（总计n = 13），对两个临床医生进行了问题赌博治疗的客户进行了小组讨论（总计n = 21）。对焦点小组进行录音，逐字记录，并使用分为两部分的归纳演绎方法进行主题分析。结果尽管两个用户组都报告了相似的经历，但每个组也有独特的担忧。临床医生的观点更为一致，反映出具有相同实践和价值观的医疗保健专业人员。临床医生更加关注与将IBI传播到临床环境有关的问题，包括政策和协议的制定以及IBI对治疗关系的影响。相比之下，客户叙述则更多样化地描述了各种经历和个人喜好，例如24小时制的服务可用性。客户和临床医生在影响可接受性的常见因素上达成共识：访问，可用性，高质量技术，隐私和安全性以及专业指导的价值。结论可接受性是IBI整体有效性的重要因素。理解最终用户如何看待IBI以及他们为什么选择使用IBI有助于成功，有意义地设计，实施和评估IBI。