Provision of Care by “Real World” Telemental Health Providers

Frontiers in Psychology

Nikolaos Kazantzis¹  Rajvi N. Thakkar²  Brian E. Bunnell³  Janelle Barrera³  Samantha R. Paige⁴  Dylan Turner⁴  Brandon M. Welch⁵ 

[1] Cognitive Behavior Therapy Research Unit, Institute for Social Neuroscience Psychology, Melbourne, VIC, Australia;Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, United States;Department of Psychiatry and Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, FL, United States;Doxy.me Research, Doxy.me, Inc., Rochester, NY, United States;Doxy.me Research, Doxy.me, Inc., Rochester, NY, United States;Doxy.me Research, Doxy.me, Inc., Rochester, NY, United States;Biomedical Informatics Center, College of Medicine, Medical University of South Carolina, Charleston, SC, United States;

关键词: telemedicine;    technology;    mobile health;    mental health;    health delivery;   

DOI  :  10.3389/fpsyg.2021.653652

来源: Frontiers

【 摘 要 】

Despite its effectiveness, limited research has examined the provision of telemental health (TMH) and how practices may vary according to treatment paradigm. We surveyed 276 community mental health providers registered with a commercial telemedicine platform. Most providers reported primarily offering TMH services to adults with anxiety, depression, and trauma-and stressor-related disorders in individual therapy formats. Approximately 82% of TMH providers reported endorsing the use of Cognitive Behavioral Therapy (CBT) in their remote practice. The most commonly used in-session and between-session (i.e., homework) exercises included coping and emotion regulation, problem solving, mindfulness, interpersonal skills, relaxation, and modifying and addressing core beliefs. CBT TMH providers had a higher odds of using in-session and homework exercises and assigning them through postal mail, email or fax methods, as compared to non-CBT TMH providers. TMH providers, regardless of treatment paradigm, felt that assigning homework was neither easy nor difficult and they believed their patients were somewhat-to-moderately compliant to their assigned exercises. CBT TMH providers also collected clinical information from their patients more often than non-CBT TMH providers. They reported being less satisfied with their method, which was identified most often as paper-based surveys and forms. Overall, TMH providers employ evidence-based treatments to their patients remotely, with CBT TMH providers most likely to do so. Findings highlight the need for innovative solutions to improve how TMH providers that endorse following the CBT treatment paradigm remotely assign homework and collect clinical data to increase their satisfaction via telemedicine.

【 授权许可】

CC BY