Better than expected: client and clinician experiences of videoconferencing therapy (VT) during the COVID-19 pandemic

Dowling, Daniel; Martland, Natasha; King, Sophie; Nguyen, Jen; Neely, Elizabeth B.; Ball, Jack; Grant, Nina; Dom, Gabriele; McNulty, Nicholas

doi:10.1017/s1754470x22000125

Cited by 3 publications

(3 citation statements)

References 38 publications

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“…This could include a more tailored approach for each client, with their individual living situation and environment being considered, as proposed by Vuillier et al (2021). A recent mixed methods study also demonstrated that videoconferencing influences the content of sessions (Dowling et al, 2022). For example, the software enabled interactive writing and allowed clients to share their homework, but experiments and other active components employed in cognitive behavioural therapy were not as easily facilitated.…”

Section: Discussionmentioning

confidence: 99%

Section: Limitations and Implications For Future Researchmentioning

confidence: 99%

See 1 more Smart Citation

Clients' experiences of online therapy in the early stages of a COVID‐19 world: A scoping review

Kessel

Pont

Gasteiger

et al. 2022

Couns and Psychother Res

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The emergence of the COVID-19 pandemic in 2019 forced an abrupt shift in the modality through which psychotherapy was delivered and online therapy became the only viable option for clients. Research regarding experiences of online therapy during the early stages of the COVID-19 pandemic is minimal, however, and has largely focussed on therapists' experiences of delivering online treatment, as opposed to clients' expe-van KESSEL et al.

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Section: Discussionmentioning

confidence: 99%

Section: Limitations and Implications For Future Researchmentioning

confidence: 99%

Clients' experiences of online therapy in the early stages of a COVID‐19 world: A scoping review

Kessel

Pont

Gasteiger

et al. 2022

Couns and Psychother Res

View full text Add to dashboard Cite

show abstract

“…Unique challenges of COVID-19 have been due to the high contagiousness of the virus which necessitated social isolation. Due to these repercussions, services have had to vary the way they offer therapy for example offering therapy remotely as opposed to the traditional face-to-face [ 1 , 2 ]. The pandemic has also exposed the preexisting health inequalities related to sociodemographic variables.…”

Section: Introductionmentioning

confidence: 99%

How has our primary-care NHS-IAPT provision for PTSD adapted to the pandemic? A service evaluation of recovery pre-COVID-19 and peri-COVID-19

Skilbeck,

Antonie,

Crane

2024

BMC Prim. Care

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Background Mental health issues have been an ongoing major cause of global disability exacerbated by the COVID-19 pandemic. The unique challenges have been the high contagiousness of COVID-19 and atypical PTSD presentations e.g., ICU-PTSD. This has led to increased demand on mental health services which have had to vary their provision for example working remotely vs. the traditional face-to-face. The pandemic has also exposed the preexisting health inequalities related to sociodemographic variables. In the UK, NHS-IAPT is the main primary-care provider which has suffered these repercussions. Research from COVID-19 and previous viral outbreaks has estimated an increase in the prevalence of PTSD. Although services have been urged to monitor their provision, research on PTSD remains scanty. The current NHS-IAPT service was concerned about these ramifications of the pandemic and also wished to address the gap in the research. The aim was to conduct an evaluation of the impact of the COVID-19 on PTSD recovery. The first question evaluated the impact, and the second question evaluated the associated variables. Methods The study employed a quantitative data analysis method. Data were extracted and analysed from the electronic database, IAPTus. The study evaluated PTSD recovery rates during pre-pandemic and peri-pandemic periods. The comparisons determined the impact of the pandemic as well as what recovery variables were significant. The data were analysed statistically using both descriptive statistics and inferential statistics (t-test and Chi-square). The data were analyzed in reference to the national NHS-IAPT standards via NHS-Digital. Results The findings suggest that the pandemic had no significant impact on overall PTSD recovery rates, which also aligned with the national standards. These recovery rates fell below the target national standard of 50% regardless of the pandemic. Several client, service and treatment variables were shown to be associated with PTSD recovery rates. Conclusions This evaluation highlights a pre-existing problem around the persistently low PTSD recovery rates. It also identifies variables that warrant further research in order to improve PTSD service-provision and mitigate any long-term pandemic impacts. This study also provides information for other services wishing to enhance their PTSD recovery rates.

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Should face-to-face in-person therapy be preserved for some clients with anxiety? Evaluation of Anxiety UK's psychological therapy services before and during the COVID-19 pandemic

Paton,

Bee,

Bosanquet

et al. 2024

BJPsych open

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Background The COVID-19 pandemic initiated a mass switch to psychological therapy being delivered remotely, including at Anxiety UK, a national mental health charity. Understanding the impact of this forced switch could raise implications for the provision of psychological therapies going forwards. Aims To understand whether the forced switch to remote therapy had any impact on outcomes, and if certain groups should continue to be routinely offered certain delivery modalities in future. Method Data were available for 2323 individuals who accessed Anxiety UK services between January 2019 and October 2021. Demographic data, baseline and discharge anxiety and depression symptoms, and mode of therapy delivery were available. Regression models were built to model (a) the mode of therapy delivery received pre-pandemic using logistic regression, and (b) outcomes pre- and post-pandemic onset within demographic groups. Results No statistically significant changes in baseline anxiety symptoms, demographics or outcomes were observed before and after the onset of the COVID-19 pandemic. Pre-pandemic, males were more likely to receive online video therapy than telephone therapy (Relative Risk Ratio (RRR) 1.42, [1.01, 1.99]), while older clients were less likely to receive online video therapy (RRR 0.98, [0.97, 0.99]). However, no differences in outcomes were observed post-pandemic onset within these groups, with only the number of sessions of therapy being a significant predictor of outcomes. Conclusions Anxiety UK services remained effective throughout the pandemic. We observed no evidence that any demographic group had worse outcomes following the forced switch to remote therapy.

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Better than expected: client and clinician experiences of videoconferencing therapy (VT) during the COVID-19 pandemic

Cited by 3 publications

References 38 publications

Clients' experiences of online therapy in the early stages of a COVID‐19 world: A scoping review

Clients' experiences of online therapy in the early stages of a COVID‐19 world: A scoping review

How has our primary-care NHS-IAPT provision for PTSD adapted to the pandemic? A service evaluation of recovery pre-COVID-19 and peri-COVID-19

Should face-to-face in-person therapy be preserved for some clients with anxiety? Evaluation of Anxiety UK's psychological therapy services before and during the COVID-19 pandemic

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