Advances in Psychotherapy for Older Adults Using Video-to-Home Treatment

Freytag, Jennifer; Touchett, Hilary; Bryan, Jennifer L.; Lindsay, Jan A.; Gould, Christine E.

doi:10.1016/j.ypsc.2022.03.004

Cited by 3 publications

(2 citation statements)

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“…To explore potential cultural and ethnic differences in VTH use, we broadened the Black veteran subgroup and stratified by Hispanic or non-Hispanic ethnicity (Guajardo et al, 2023). We chose continuous age to investigate generational variations in adoption of VTH for mental health care (Freytag et al, 2022). We selected rurality due to the unique challenges faced by individuals living in rural areas, such as increased travel distances and insufficient technological infrastructure, potentially hindering the rapid adoption of VTH as a care modality (Hogan et al, 2022).…”

Section: Methodsmentioning

confidence: 99%

“…Because Hispanic Americans are 40% more likely to live in a multigenerational home, there may have been more in-home support for older Black Hispanic veterans to connect with their provider (Nielsen, 2020). Leadership should provide clinical infrastructure to support providers in implementing strategies to address barriers to VTH use with older adults, as Freytag et al (2022) highlighted, to prevent older Black veterans from being left behind in adopting VTH.…”

Section: Agementioning

confidence: 99%

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Black veteran use of video telehealth for mental health care.

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Ecker,

Amspoker

et al. 2024

Psychological Services

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Black veterans experience disparities in mental health (MH) care access and are disproportionately affected by COVID-19. Video telehealth to home (VTH) may reduce disparities by addressing barriers, particularly with pandemic-related shifts to remotely delivered care. Considering potential needs for tailored implementation across racial/ethnic groups, we examined differences in VTH use by non-Hispanic Black veterans versus all other races/ethnicities and among Black (Hispanic and non-Hispanic) veterans by age, rurality, and gender during the pandemic. We extracted a cohort of Veterans Health Administration-enrolled veterans receiving at least one MH encounter between October 2019 and September 2020 (n = 1,627,791) from electronic health records. Multilevel linear growth curve models examined the percentage of VTH use for non-Hispanic Black versus other races/ethnicities before and after pandemic onset. Black veteran-only subgroup analyses examined differences by ethnicity in percentage of VTH MH encounters since pandemic onset by age, rurality, and gender, using regression and analysis of covariance models. Despite significant increases in VTH during the pandemic, on average, VTH use was consistently lower for non-Hispanic Black veterans across both periods. During the pandemic, differences in VTH use between non-Hispanic Black and non-Black veterans accelerated over time. VTH use was greater during the pandemic for Black veterans who were Hispanic, younger, urban, and female. Adoption of VTH for MH was low for non-Hispanic Black veterans before COVID-19 and during COVID-19 compared to non-Black groups. Future VTH research and implementation efforts should question why adoption remains low, work to meet cultural needs, and promote equitable adoption for Black veterans. Impact StatementThis study suggests that video telehealth is essential in providing equitable access to mental health care. However, the rapid virtualization of health care demonstrates that non-Hispanic Black veterans are at continued risk of not benefitting from this care modality. Black veterans may benefit from community outreach or tailored approaches to increase video telehealth to home (VTH).

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Section: Methodsmentioning

confidence: 99%

Section: Agementioning

confidence: 99%