8. Making and Keeping the Connection: Improving Consumer Attitudes and Engagement in E-Mental Health Interventions

Casey, Leanne M.; Clough, Bonnie A.

doi:10.1515/9783110473780-010

“…Although effective, uptake of e-mental health services remains low [ 10 , 11 ]. For example, in a systematic review of computerized cognitive behavioral therapy (cCBT), Waller and Gilbody [ 12 ] reported that only 38% of those recruited into cCBT intervention trials began treatment (median rate), and individuals in cCBT treatments were almost twice as likely to drop out of the intervention as those in active control conditions.…”

Section: Introductionmentioning

confidence: 99%

Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey

March¹,

Day²,

Ritchie³

et al. 2018

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BackgroundDespite evidence that e-mental health services are effective, consumer preferences still appear to be in favor of face-to-face services. However, the theory of planned behavior (TPB) suggests that cognitive intentions are more proximal to behavior and thus may have a more direct influence on service use. Investigating individual characteristics that influence both preferences and intentions to use e-mental health services is important for better understanding factors that might impede or facilitate the use of these services.ObjectiveThis study explores predictors of preferences and intentions to access e-mental health services relative to face-to-face services. Five domains were investigated (demographics, technology factors, personality, psychopathology, and beliefs), identified from previous studies and informed by the Internet interventions model. We expected that more participants would report intentions to use e-mental health services relative to reported preferences for this type of support and that these 5 domains would be significantly associated with both intentions and preferences toward online services.MethodsA mixed sample of 308 community members and university students was recruited through social media and the host institution in Australia. Ages ranged between 17 and 68 years, and 82.5% (254/308) were female. Respondents completed an online survey. Chi-square analysis and t tests were used to explore group differences, and logistic regression models were employed to explore factors predicting preferences and intentions.ResultsMost respondents (85.7%, 264/308) preferred face-to-face services over e-mental health services. Relative to preferences, a larger proportion of respondents (39.6%, 122/308) endorsed intentions to use e-mental health services if experiencing mental health difficulties in the future. In terms of the 5 predictor domains, 95% CIs of odds ratios (OR) derived from bootstrapped standard errors suggested that prior experience with online services significantly predicted intentions to use self-help (95% CI 2.08-16.24) and therapist-assisted (95% CI 1.71-11.90) online services in future. Being older predicted increased intentions to use therapist-assisted online services in future (95% CI 1.01-1.06), as did more confidence using computers and the Internet (95% CI 1.06-2.69). Technology confidence was also found to predict greater preference for online services versus face-to-face options (95% CI 1.24-4.82), whereas higher doctor-related locus of control, or LOC (95% CI 0.76-0.95), and extraversion (95% CI 0.88-1.00) were predictive of lower likelihood of preferring online services relative to face-to-face services.ConclusionsDespite generally low reported preferences toward e-mental health services, intentions to access these services are higher, raising the question of how to best encourage translation of intentions into behavior (ie, actual use of programs). Strategies designed to ease people into new Internet-based mental health programs (to enhance confidence and familiar...

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“…Such initiatives have resulted in the emergence of a number of successful nationwide online services, including ReachOut.com, e-couch, and BluePages, among others (Christensen et al, 2014). Despite this success and the online services providing larger scale and cheaper access to people struggling with mental health issues, a perception continues that face-to-face mental health services provide more effective and better quality support to people (Casey & Clough, 2016;March et al, 2018). The in-person model is regarded as preferable because it is perceived as more trustworthy and allows for a greater level of engagement (March et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…This constantly expanding branch of therapy-also referred to as online counseling, Web counseling, Internet psychotherapy, and other terms in different contexts (Barak, Klein, & Proudfoot, 2009;Kyrios & Thomas, 2014;Patrick, 2007)-in contrast to face-to-face therapy, utilizes technology as an integral component in the therapeutic process. This area operates with diverse modalities (Barak, Hen, Boniel-Nissim, & Shapira, 2008;Casey & Clough 2016;Lal & Adair, 2014;Short & Thomas, 2015) and entails therapy enacted through both real-time communication via chat rooms and/or video conferencing (synchronous communication) and time-delayed communication, such as through e-mail or message interfaces (asynchronous communication). Further, online therapy has led to models referred to as "therapist-less therapy" (Short & Thomas, 2015, p. 36), which can include custom-designed apps and websites used to guide clients (or users) through a series of resources and activities, some of which track and respond to progress.…”

Section: Introductionmentioning

confidence: 99%

Utilizing Digital Tools to Support Face-to-Face Care: Examining Uptake Within the Practices of Australian Psychologists

Kerr¹,

Houten²

2020

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Societal adoption of mobile phones and other digital devices, and the resulting widespread digital literacy, allows for new possibilities in approaching and supporting faceto-face therapy. In this study, we examined the application of digital communication tools and media within therapeutic care by 33 psychologists across Australia. Uses of digital technologies were analyzed with a focus on both the approaches applied within face-to-face therapy sessions and those occurring as an adjunct to these sessions. In contrast to online counseling, established upon a foundation of digital technologies, the study results indicate that the use of technology in face-to-face therapy is still emerging but growing in scope and implementation. Areas of key and unique uptake by practitioners are identified, along with possibilities for future application. In outlining contemporary practices, a typology for the utilization of digital tools is presented, offering a practical framework for therapists to extend face-to-face care via information and communication technologies.

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“…Such initiatives have resulted in the emergence of a number of successful nationwide online services, including ReachOut.com, e-couch, and BluePages, among others (Christensen et al, 2014). Despite this success and the online services providing larger scale and cheaper access to people struggling with mental health issues, a perception continues that face-to-face mental health services provide more effective and better quality support to people (Casey & Clough, 2016;March et al, 2018). The in-person model is regarded as preferable because it is perceived as more trustworthy and allows for a greater level of engagement .…”

Section: Introductionmentioning

confidence: 99%

“…This constantly expanding branch of therapy-also referred to as online counseling, Web counseling, Internet psychotherapy, and other terms in different contexts (Barak, Klein, & Proudfoot, 2009;Kyrios & Thomas, 2014;Patrick, 2007)-in contrast to face-to-face therapy, utilizes technology as an integral component in the therapeutic process. This area operates with diverse modalities (Barak, Hen, Boniel-Nissim, & Shapira, 2008;Casey & Clough 2016;Lal & Adair, 2014;Short & Thomas, 2015) and entails therapy enacted through both real-time communication via chat rooms and/or video conferencing (synchronous communication) and time-delayed communication, such as through e-mail or message interfaces (asynchronous communication). Further, online therapy has led to models referred to as "therapist-less therapy" (Short & Thomas, 2015, p. 36), which can include custom-designed apps and websites used to guide clients (or users) through a series of resources and activities, some of which track and respond to progress.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2020

Human Technology

0

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8. Making and Keeping the Connection: Improving Consumer Attitudes and Engagement in E-Mental Health Interventions

Abstract: E-mental health services are internet-based treatment options

Cited by 11 publications

References 32 publications

Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey

Attitudes Toward e-Mental Health Services in a Community Sample of Adults: Online Survey

Utilizing Digital Tools to Support Face-to-Face Care: Examining Uptake Within the Practices of Australian Psychologists

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