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Aim: The prevalence of mental health difficulties and the demand for psychological support for students in higher education (HE) appear to be increasing. Online therapy is a widely accessible resource that could provide effective support; however, little is known about such provision. The aim of this study was therefore to answer the research question 'What factors serve to influence higher education students' levels of engagement with online therapy?' Method: A systematic review of qualitative scholarly and peer‐reviewed literature was conducted across 10 databases. Six papers met the inclusion criteria, were assessed for quality and were analysed using thematic synthesis. Findings: Factors that serve to motivate HE students to engage with online therapy included the perception that it might enhance the quality of the therapeutic relationship, that it would facilitate more autonomy in the work, and that it might enable them to be anonymous and avoid face‐to‐face contact. In contrast, demotivating factors were primarily practical in nature. Fitting therapeutic work into their busy lives, technological challenges and persisting mental health stigma proved important factors. Conclusion: This review synthesises the reasons why HE students might engage with or withdraw from online therapy. It highlights that students appear to view online therapy positively, but they can be inhibited by both personal and practical issues. Therapeutic services therefore need to ensure that information about the work they offer online is clear and transparent and that the platforms they work on are secure and stable. Finally, the need for further research, to keep abreast of technological developments, is recommended. [ABSTRACT FROM AUTHOR]