An international survey examining the impact of the COVID-19 pandemic on telehealth use among mental health professionals

Montoya, Madeline I; Kogan, Cary S.; Rebello, Tahilia J.; Sadowska, Karolina; Garcia-Pacheco, José A; Khoury, Brigitte; Kulygina, Maya; Matsumoto, Chihiro; Robles, Rebeca; Huang, Jingjing; Andrews, Howard; Ayuso-Mateos, José Luís; Denny, Keith; Gäebel, Wolfgang; Gureje, Oye; Kanba, Shigenobu; Maré, Karen; Medina‐Mora, María Elena; Pike, Kathleen M.; Roberts, Michael C.; Sharan, Pratap; Stein, Dan J.; Stroup, T. Scott; Zhao, Min; Reed, Geoffrey M.

doi:10.1016/j.jpsychires.2022.01.050

Cited by 33 publications

(26 citation statements)

References 34 publications

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“…Accessibility encompasses aspects of the treatment, such as shorter waiting times (Zopf et al 2012) and simpler admission and discharge processes (Otani et al 2003). Past research has emphasized the importance of providing effective telehealth services for patient satisfaction (Miziara et al 2022;Montoya et al 2022;Skime et al 2022). Availability consists of such indicators as adequate numbers of nurses, physicians, and equipment (Batbaatar et al 2017).…”

Section: Literature Reviewmentioning

confidence: 99%

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Health Services and Patient Satisfaction in IRAN during the COVID-19 Pandemic: A Methodology Based on Analytic Hierarchy Process and Artificial Neural Network

Khansari

Arbabi

Jamshidi

et al. 2022

JRFM

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The aim of this study is to identify and classify the most important factors affecting patient satisfaction in the COVID-19 pandemic crisis considering economic effects. This is an analytical study using the analytic hierarchy process (AHP) method and ANN-MLP (Artificial neural network based on multilayer perceptron model as a supervised learning algorithm) as an innovative methodology. The questionnaire was completed by 72 healthcare experts (N = 72). The inter-class correlation (ICC) coefficient value was confirmed in terms of consistency to determine sampling reliability. The findings show that interpersonal care and organizational characteristics have the greatest and least influence, respectively. Furthermore, the observations confirm that the highest and lowest effective sub-criteria, respectively, are patient safety climate and accessibility. Based on the study’s objective and general context, it can be claimed that private hospitals outperformed public hospitals in terms of patient satisfaction during the COVID-19 pandemic. Focusing on performance sensitivity analysis shows that, among the proposed criteria to achieve the study objective, the physical environment criterion had the highest difference in private and public hospitals, followed by the interpersonal care criterion. Furthermore, we used a multilayer perceptron algorithm to assess the accuracy of the model and distinguish private and public hospitals as a novelty approach. Overfitting results in finding an MLP model which is reliable, and the accuracy of the model is acceptable.

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Section: Literature Reviewmentioning

confidence: 99%

“…AccessAccessibility(Montoya et al 2022;Otani et al 2003;Zopf et al 2012) Availability(Batbaatar et al 2017;Oppel et al 2017) Affordability(Saad Andaleeb 1998;Xiao and Barber 2008) …”

mentioning

confidence: 99%

Health Services and Patient Satisfaction in IRAN during the COVID-19 Pandemic: A Methodology Based on Analytic Hierarchy Process and Artificial Neural Network

Khansari

Arbabi

Jamshidi

et al. 2022

JRFM

View full text Add to dashboard Cite

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“…One study found that, on average, mental health clinicians experienced a moderate level of anxiety about using telehealth during the pandemic and that those who had not previously used telehealth had higher levels of anxiety than those who had (Doorn et al, 2021 ). A large international survey found the majority of mental health clinicians during the pandemic were concerned with technical issues, quality of care, and responding to crises (Montoya et al, 2022 ). Another large survey found about 28% of mental health clinicians had negative feelings about telehealth prior to the pandemic and that these feelings decreased significantly after migrating to telehealth (Doran & Lawson, 2021 ).…”

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confidence: 99%

Overcoming Clinician Technophobia: What We Learned from Our Mass Exposure to Telehealth During the COVID-19 Pandemic

Sherrill

Wiese

Abdullah

et al. 2022

J. technol. behav. sci.

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Mental health clinicians have migrated to telehealth during the COVID-19 pandemic and have reported their use of telehealth may be permanent. Understanding how stakeholders overcame hesitancy regarding the use of telehealth can potentially reveal how stakeholders can adopt future clinical technologies. The exposure therapy conceptual framework provides one explanation of how mental health clinicians can face their concerns about technologies that promise to improve clinical outcomes and worker well-being. We review available literature published since the start of the pandemic on the extent to which clinicians migrated to telehealth and their reactions to their transitions. In particular, we review available literature that describes negative attitudes and worries by clinicians as one of many barriers of telehealth implementation. We introduce the perspective that the necessary transition to telehealth at the start of the pandemic functioned as an exposure exercise that changed many clinicians’ cognitive and emotional reactions to the use of telehealth technologies. Next, we provide guidance on how clinicians can continue taking an exposure approach to learning emerging technologies that are safe and can benefit all stakeholders. Clinicians can now reflect on how they overcame hesitancy regarding telehealth during the pandemic and identify how to build on that new learning by applying strategies used in exposure therapy. The future of clinical work will increasingly require mental health clinicians to better serve their patient populations and enhance their own well-being by overcoming technophobia , a broad term for any level of hesitancy, reluctance, skepticism, worry, anxiety, or fear of implementing technology.

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“…Though providers undergo training in educational programs, during licensure obtainment, and continuing education, most focus on in-person engagement and service delivery as opposed to telehealth and virtual forms of service delivery. An international survey ( n = 1206) across 100 countries revealed that approximately 49.1% of clinicians reported that they had not received any training in teletherapy (i.e., telephone and videoconference; [ 42 ]. In the United States, studies prior to the COVID-19 pandemic show approximately 25% of clinicians used telehealth with a lack of available training being cited as a barrier [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Mental health provider perspectives of the COVID-19 pandemic impact on service delivery: a focus on challenges in remote engagement, suicide risk assessment, and treatment of psychosis

Bornheimer

Verdugo

Holzworth

et al. 2022

BMC Health Serv Res

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Background The COVID-19 pandemic has been impacting the need, utilization, and delivery of mental health services with greater challenges being faced by clients and providers. With many clients facing reduced access to services and social isolation, a focus on suicide risk assessment and prevention is critical. Concern is particularly increased for clients with schizophrenia spectrum disorders given data show suicide rates are disproportionately high for those with psychosis in comparison to the general population. Provider perspectives of challenges in service delivery are needed to inform efforts to improve access, feasibility, and quality of mental health care throughout the evolving pandemic. This study explored mental health provider perspectives of client challenges in service utilization and provider challenges in service delivery, including remote engagement, suicide risk assessment, and treatment of psychosis. Methods Data were collected from social work mental health providers (n = 12) in United States community mental health setting. Providers consented to participate and responded to questions about service delivery experiences in late 2020 and in relation to COVID-19. Demographic and practice-related provider data were explored descriptively using SPSS and qualitative data using open coding and grounded theory methods in Dedoose. Results Among the 9 providers who engaged in remote service delivery, 7 (77.8%) experienced challenges in remote engagement with clients and 8 (88.9%) experienced challenges in treatment of psychosis. Among the 7 providers who engaged in remote suicide assessment, 4(57%) experienced challenges. Qualitative themes emerged including logistic (e.g., technology access and use), engagement (e.g., virtual rapport-building and limited remote services), and clinical (e.g., difficulty assessing suicide risk, internal stimuli, abnormal involuntary movement, and affect) challenges in service delivery. Conclusions Provider perspectives are essential to inform efforts to build resources and problem-solve challenges and barriers that both providers and clients face throughout various shifts in mental health service delivery. Findings emphasize the need to troubleshoot client access to technology, bolster support for providers to prevent burnout, and greater provider training to improve skills in remote engagement, assessment, and treatment, particularly in relation to psychosis and suicide prevention. Study implications are not only critical for the evolving COVID-19 pandemic, but also in preparation for ongoing shifts in service delivery as technology evolves.

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An international survey examining the impact of the COVID-19 pandemic on telehealth use among mental health professionals

Cited by 33 publications

References 34 publications

Health Services and Patient Satisfaction in IRAN during the COVID-19 Pandemic: A Methodology Based on Analytic Hierarchy Process and Artificial Neural Network

Health Services and Patient Satisfaction in IRAN during the COVID-19 Pandemic: A Methodology Based on Analytic Hierarchy Process and Artificial Neural Network

Overcoming Clinician Technophobia: What We Learned from Our Mass Exposure to Telehealth During the COVID-19 Pandemic

Mental health provider perspectives of the COVID-19 pandemic impact on service delivery: a focus on challenges in remote engagement, suicide risk assessment, and treatment of psychosis

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