I agree with most of this tbh, I am probably stretching with the generalisability of the findings. What I was roughly trying to get at was:
The U.S. is a uniquely tractable market for out-of-pocket teletherapy due to the reasons you listed above
BetterHelp are really, really struggling to acquire new customers in spite of this
On balance, we can surmise that they’ve probably hit some kind of inherent ceiling in the acceptability of teletherapy rather than an issue with access
So we can extrapolate this ceiling to other populations where we might be interested in delivering a more cost-competitive or free teletherapy intervention
(Even without that specific extrapolation it was useful for me to just see what [mental health prevalence] × [internet access] looked like globally)
But I don’t think I did a great job of communicating that as the through-line.
I agree with most of this tbh, I am probably stretching with the generalisability of the findings. What I was roughly trying to get at was:
The U.S. is a uniquely tractable market for out-of-pocket teletherapy due to the reasons you listed above
BetterHelp are really, really struggling to acquire new customers in spite of this
On balance, we can surmise that they’ve probably hit some kind of inherent ceiling in the acceptability of teletherapy rather than an issue with access
So we can extrapolate this ceiling to other populations where we might be interested in delivering a more cost-competitive or free teletherapy intervention
(Even without that specific extrapolation it was useful for me to just see what [mental health prevalence] × [internet access] looked like globally)
But I don’t think I did a great job of communicating that as the through-line.