The Evolution of Research Procedures for Internet-Based Interventions in Switzerland: Challenges and Recommendations

Abstract

The number of Internet-based interventions (IBIs) are rapidly increasing – particularly since the advent of the COVID-19 pandemic – partly because of increased technological possibilities and the population’s access to these technologies, as well as the limited availability of face-to-face psychotherapies (known as the treatment gap). Research is necessary to ensure the security and validity of such interventions. This implies significant changes in procedure not only in research, but also in the corresponding legal and ethical frameworks. The current paper highlights four main issues researchers in clinical psychology are currently facing in Switzerland in relation to these adaptations: 1) the question whether IBIs should be considered to be medical devices, 2) the discrepancies between outdated policies, current practices and new technological possibilities, 3) the unsuitability of mandatory training for the specific challenges faced by IBI psychology researchers, and 4) the heterogeneity of ethical practices throughout the country. These issues have substantial financial and temporal consequences. We conclude by discussing recommendations and possible solutions in order to improve the conditions for IBI researchers.