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Excluding a study examining a CBT self-help intervention based on behavioural activation for armed forces veterans (Chapter 20; Farrand et al., 2019a), little research has examined the acceptability of written CBT self-help interventions (Lewis et al., 2012). However, good levels of acceptability have been demonstrated regarding the delivery of therapy over the telephone (Lovell et al., 2006; Ludman et al., 2007) and patients’ experience of cCBT for depression (Rost et al., 2017). However, methodological challenges arising from qualitative research in this area have been associated with difficulties defining user acceptance and variations in measurement (Rost et al., 2017). Furthermore, whilst some patients have expressed a preference for cCBT, the majority are generally ambivalent (Knowles et al., 2015). A complex relationship is therefore likely to exist between patients’ preferences expressed towards delivery format and support type (Bee et al., 2010). This has reinforced requirements to promote choice of support type within a stepped care model (Bower and Gilbody, 2005).