A literature review of continuous user engagement towards Computerized Cognitive Behavioral Therapy (cCBT)

Cognitive Behavioral Therapy (CBT) is an essential approach in face-to-face sessions between patients and counsellors to address emotional and physical health. With the advancement of information technology, innovative forms of therapy, such as Computerized Cognitive Behavioral Therapy (cCBT), have been introduced. This study aimed to analyse user engagement with cCBT in healthcare, particularly mental health. Through the screening process, n = 14 quality articles were identified and included for review, as depicted in the PRISMA flow chart. A comprehensive study is needed to bridge the knowledge gap in this field. In this review, relevant literature was reviewed from eight major international databases, including PubMed/Medline, CINAHL, ERIC (EBSCO), Cochrane Library, Web of Science, Scopus, Association of Computing Machinery, and IEEE/IEE Electronic Library, focusing on user engagement in cCBT. The review found several key factors significantly affecting user engagement in cCBT, including access, attitude, remote delivery, and effectiveness and engagement. In addition, it was found that individual differences also influenced the continuity and effectiveness of user engagement in this therapy. The systematic review plays an important role in synthesizing the existing literature on user engagement in cCBT. It also critically explains how active user engagement can contribute to improved mental health outcomes in this technology-based intervention.

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