Abstract
Blended care (BC), combining face-to-face therapy with digital components, is gaining momentum in the field of mental health, yet lacks conceptual clarity. This perspective paper outlines a dimensional conceptualization of BC and introduces the B-FIT (Blend-Focus-Integration-Timing) framework. We highlight the need to refine the theoretical foundations of BC, strengthen the evidence base for its effectiveness, and integrate stakeholder perspectives to inform future research and support the successful implementation of BC.
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Acknowledgements
This work has not received any specific funding. L.V. is supported by the German Center for Mental Health (DZPG), funded by the Federal Ministry of Education and Research (Bundesministerium für Bildung und Forschung [BMBF]) and the Ministry of Bavaria (01EE2303A).
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L.L.B. and C.S. conceptualized the manuscript and the B-FIT framework. L.L.B., R.B., S.H., C.H., S.H.K., C.M., A.S.R., L.S.S., I.T., L.V., A.C.Z., and C.S. wrote the initial draft of the manuscript. L.L.B. and C.S. edited the initial draft. L.L.B., R.B., S.H., C.H., S.H.K., C.M., A.S.R., L.S.S., I.T., L.V., A.C.Z., and C.S. contributed to the final draft of the manuscript. L.L.B. and C.S. edited the final draft. Authors I.T., C.H., and C.M. designed the expert survey and C.H. conducted the qualitative analysis found in the supplementary material. All authors approved the final manuscript.
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A.C.Z. receives royalties for a digital health application (DiGA) for sexual dysfunction implemented in routine care in Germany. She reports having received fees for delivering presentations at scientific conferences and for producing expert videos for a digital health application (DiGA). I.T. reports having received fees for lectures/workshops in the e-mental-health and digital interventions context from professional associations and training institutes for psychotherapists. All other authors have no interests to disclose.
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Bielinski, L.L., Büscher, R., Hennemann, S. et al. The present and future of blended care: current research and introduction to the B-FIT framework. npj Digit. Med. (2026). https://doi.org/10.1038/s41746-026-02526-4
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DOI: https://doi.org/10.1038/s41746-026-02526-4


