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Blended therapy was positively perceived among all respondents, especially to enhance the self-management of patients.
Then, participants were asked about possible benefits and drawbacks they experienced or would perceive from online or blended therapy.
When development and implementation has been taken into account, evidently, the (cost-) effectiveness of blended therapy should be studied as well (see e.g. Kooistra et al. [ 22]).
Our results show that both patients and therapists are positive about online and blended therapy and expect more benefits than drawbacks.
Needs and preferences of both patients and therapists were studied to gain insight into the optimal use of blended therapy in mental health care for depression.
Three mental health care institutions with interest in blended therapy, from different regions of the Netherlands, were involved in the study.
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Based on these reactions, it became clear that there is a need for flexible, non-standardized, scenarios for blended therapies, aimed at individual patients.
Relevant trends of these theories are the blended behaviour therapy [ 7], the emotionally focused therapy [ 8], and the solution focused therapy [ 9].
We thus hypothesize that blended cognitive behavioural therapy is more cost-effective than face-to-face cognitive behavioural therapy.
It is hypothesized that blended cognitive behavioural therapy for anxiety disorders is clinically as effective as face-to-face cognitive behavioural therapy, but that intervention costs may be reduced.
This trial will be one of the first to provide information on the cost-effectiveness of blended cognitive behavioural therapy for anxiety disorders in routine specialized mental health care settings, both from a societal and a health care perspective.
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