Exploring participant experiences of an internet-delivered cognitive behavioural therapy programme for adults with neurological disorders: a qualitative analyses

Objective: Mental health concerns, such as depression and anxiety, are common among individuals living with neurological disorders (NDs). Internet-delivered cognitive behavioural therapy (iCBT) offers a promising, accessible treatment option, yet participant experiences with such interventions remain underexplored. This study explored user perspectives on the Wellbeing Neuro Course, an iCBT programme designed to address both mental health and functional challenges in adults with NDs. Method: Qualitative responses of 165 past iCBT participants (M = 54.0 years, SD = 12.1; 79.4% female) diagnosed with epilepsy (17.0%), multiple sclerosis (38.2%), acquired brain jury (23.6%) and/or Parkinson’s disease (21.2%) were analysed. Data were drawn from open-ended responses on the Treatment Satisfaction Questionnaire and analysed using NVivo to identify categories related to liked and disliked aspects of the Course, as well as suggestions for improvement. Results: Key categories included appreciation for Normalising Wellbeing Concerns and Related Psychological Skills Practice and the Practical and Relevant Core Skills. The most common criticisms related to Course Format, with suggestions focusing on improving Course Content and Delivery. Conclusion: Consultation feedback suggests future intervention refinements should prioritise enhancing the intervention delivery.