Attitudinal Barriers Hindering Adoption of Telepsychiatry among Mental Healthcare Professionals: Israel as a Case-Study

Magal, Tamir; Negev, Maya; Kaphzan, Hanoch

doi:10.3390/ijerph182312540

Cited by 5 publications

(9 citation statements)

References 39 publications

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“…A questionnaire was developed, following a thorough literature review, as well as in-depth interviews with Israeli mental healthcare professionals regarding their attitudes toward telepsychiatry. 23 Based on interviewees’ own phrasing, we distilled 30 statements covering the following issues: efficacy, efficiency, quality of treatment, alliance formation, diagnosis, compensation, legality, limitations, and barriers. This questionnaire was first pilot-tested on a small control group, checking for clarity of language and ease of use.…”

Section: Methodsmentioning

confidence: 99%

“…A previous qualitative study among Israeli mental healthcare professionals found indications that positive attitudes toward telepsychiatry are indeed correlated with levels of experience with this method. 23 Therefore, the purpose of the current study has been to examine longitudinal changes in attitudes toward telepsychiatry throughout the evolution of the COVID-19 pandemic in Israel, and to assess whether distinct sub-groups within the local mental healthcare professionals were more susceptible to such change. Furthermore, the current study sought to elaborate on possible points of consensus among local professionals regarding telepsychiatry.…”

Section: Introductionmentioning

confidence: 99%

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Attitudes of psychiatrists toward telepsychiatry: A policy Delphi study

2023

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Objectives To delineate areas of consensus and disagreements among practicing psychiatrists from various levels of clinical experience, hierarchy and organizations, and to test their ability to converge toward agreement, which will enable better integration of telepsychiatry into mental health services. Methods To study attitudes of Israeli public health psychiatrists, we utilized a policy Delphi method, during the early stages of the COVID pandemic. In-depth interviews were conducted and analyzed, and a questionnaire was generated. The questionnaire was disseminated amongst 49 psychiatrists, in two succeeding rounds, and areas of consensus and controversies were identified. Results Psychiatrists showed an overall consensus regarding issues of economic and temporal advantages of telepsychiatry. However, the quality of diagnosis and treatment and the prospect of expanding the usage of telepsychiatry to normal circumstances—beyond situations of pandemic or emergency were disputed. Nonetheless, efficiency and willingness scales slightly improved during the 2nd round of the Delphi process. Prior experience with telepsychiatry had a strong impact on the attitude of psychiatrists, and those who were familiar with this practice were more favorable toward its usage in their clinic. Conclusions We have delineated experience as a major impact on the attitudes toward telepsychiatry and the willingness for its assimilation in clinical practice as a legitimate and trustworthy method. We have also observed that the organizational affiliation significantly affected psychiatrists’ attitude, when those working at local clinics were more positive toward telepsychiatry compared with employees of governmental institutions. This might be related to experience and differences in organizational environment. Taken together, we recommend to include hands-on training of telepsychiatry in medical education curriculum during residency, as well as refresher exercises for attending practitioners.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Attitudes of psychiatrists toward telepsychiatry: A policy Delphi study

2023

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“…Our overall findings are in alignment with previous studies of mental health providers’ attitudes toward video consultations. Similarly, the studies found that clinicians believed video consultations could be effective and useful, since it facilitated access and met patient demands, but also that the medium was more impersonal and made it more difficult to detect non-verbal cues ( 10 , 18 ). In general, the studies found that the overall attitudes were largely positive; providers were satisfied and favored the use of videoconferencing; and furthermore, the studies reported that the clinicians found it easy to use ( 10 ).…”

Section: Discussionmentioning

confidence: 96%

Factors that determine mental health professionals’ decision to support home-based video consultations – A qualitative study

2022

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IntroductionUsing videoconferencing for consulting with patients in the mental health services has been shown in interventions to be similarly effective as when meeting in person. In practice, it often makes more sense to use video consultations with patients in a more flexible way than interventions permit. The aim of this study was to investigate what constitutes a professional video consultation from the perspectives of mental health professionals and explore what is of importance for the establishment and realization of video consultations in practice.Materials and methodsA Grounded Theory methodology approach based on Corbin and Strauss was used. Data collection consisted of participant observations of introductory events followed by individual interviews with mental health professionals who had used video consultations with patients.FindingsMental health professionals believed that a professional video consultation was one that was not inferior to an in-person consultation but offered something else, such as more and easier access, accommodating patients’ needs and wishes. At the same time, it should not interfere with the treatment quality, e.g., by hampering communication and therapeutic tasks. The expected treatment quality was based on an individual assessment of the patient and varied from clinician to clinician. The implementation process and support which the organization provided affected the clinicians’ attitudes as well as the clinicians’ experiences and hence how the clinicians assessed the quality of the service.ConclusionPerceived usefulness, patient demands, and close IT support will positively impact the establishment and realization of video consultations whereas high workload and technical problems would hamper it.

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“…Traditional inpatient psychotherapy and consultation played a kind of social role -forcing the patient to leave his home, interact with other people and spend time in a stationary conversation with another human being. In a study by Magal et al [63], respondents expressed concern that using video conferencing at home exacerbates patients' social isolation. This is important given the current times, in which many people are struggling with loneliness, compounded by the COVID 19 pandemic.…”

Section: Social Isolationmentioning

confidence: 99%

“…W badaniu Magal i wsp. [63] ankietowani wyrazili zaniepokojenie, że korzystanie z wideokonferencji w domu pogłębia izolację społeczną pacjentów. Jest to ważne ze względu na obecne czasy, w których wiele osób zmaga się z problemem samotności, dodatkowo potęgowanym przez pandemię COVID19.…”

Section: Izolacja Społecznaunclassified

Are we ready for Telepsychiatry? Benefits and challenges of digital psychotherapy

KISTER

Jakub

Dybała

et al. 2023

Curr Probl Psychiatry

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Background: Telemedicine is one of the most modern and fastest-growing branches of medicine. The most common form is video consultation. We distinguish between synchronous and asynchronous telepsychiatry. This study aims to show the benefits of using telepsychiatry services, the challenges it poses to users, and to evaluate its use against traditional therapy. Materials and methods: A review of literature from 1956-2023 in EMBASE, OpenKnowledge and PubMed databases was conducted. Keywords used were: telepsychiatry, teletherapy, and digital psychiatry. Ninety-eight articles were included. Discussion: Telepsychiatry is an opportunity for regions affected by medical staff shortages. It bypasses cultural barriers, the problem of traveling and reduces the cost of medical point-of-service. Telepsychiatry is an opportunity for patients who do not use psychiatrists due to discrimination in a conservative society. Groups that may find it challenging include the elderly, the blind, and the deaf. Creating a healthy therapeutic alliance through a screen can be impossible, making it difficult to achieve successful therapy. A barrier to developing telepsychiatry is the need for more guidelines for dealing with medical errors. Conclusions: Telemedicine can help in accessing specialized care regardless of location. Telepsychiatry provides a safe and anonymous environment for patients reluctant to receive inpatient therapy. The effectiveness of online therapy is primarily debated. Telepsychiatry should be limited to follow-up consultations and well-known patients - it is a form of complementing the diagnosis and treatment process. The authors point to the need for developing specific guidelines for conducting teletherapy with particular attention to the problem of suicide. Keywords: telepsychiatry, teletherapy, digital psychiatry.

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Attitudinal Barriers Hindering Adoption of Telepsychiatry among Mental Healthcare Professionals: Israel as a Case-Study

Cited by 5 publications

References 39 publications

Attitudes of psychiatrists toward telepsychiatry: A policy Delphi study

Attitudes of psychiatrists toward telepsychiatry: A policy Delphi study

Factors that determine mental health professionals’ decision to support home-based video consultations – A qualitative study

Are we ready for Telepsychiatry? Benefits and challenges of digital psychotherapy

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