Internet interventions: Past, present and future ^☆

Abstract

Internet interventions have been around now for about 20 years. While the field still suffers from a scattered terminology a large number of programs and studies exist. In the present paper I present an overview of my experiences of studying internet-supported cognitive-behaviour therapy (ICBT), but also mention other approaches including the use of smartphones. The paper covers the history of ICBT, short-term effects in controlled trials for a range of conditions, long-term effects, comparisons against face-to-face therapy, effectiveness studies, prediction studies, how the treatment is perceived, critique, and finally future directions. I conclude that we have now reached a stage in which we have numerous evidence-based treatments and procedures, and increasingly internet interventions including ICBT are disseminated.

Highlights

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  The outcome of internet-delivered treatments is promising.

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  This paper is a personal reflection and review of the field that is now 20 years old.

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  Internet interventions work for many conditions, have long-term effects and can be as effective as face-to-face therapy.