Demographic Predictors of Telehealth Use for Integrated Psychological Services in Primary Care During the COVID-19 Pandemic

Tobin, Erin T.; Hadwiger, Ashley; DiChiara, Alexander; Entz, Abigail; Miller-Matero, Lisa R

doi:10.1007/s40615-022-01334-2

Cited by 8 publications

(14 citation statements)

References 29 publications

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“…This finding replicates one past investigation that also found older age associated with RR use in naturalistic treatment over time (Lindgreen et al., 2021); while the authors suggest higher age may serve as a proxy for greater treatment motivation and engagement, this possibility cannot be tested directly in either sample. The need to clarify this result is further highlighted by past work in other forms of psychopathology suggesting that older age is associated with decreased engagement in mobile or virtual mental health services, although these findings have been mixed and positive findings have been most commonly found in veteran samples that may be older than our cohort (Bakker & Rickard, 2019; Connolly et al., 2022; Tobin et al., 2022; Valentine et al., 2020; Zeng et al., 2015). Overall, our sample had a younger mean age than might be expected in other cohorts of patients across psychopathologies.…”

Section: Discussionmentioning

confidence: 72%

Characterising use of recovery record among a large, transdiagnostic sample of adults with eating disorders across higher levels of care

Reilly,

Gorrell,

Johnson

et al. 2023

Euro Eating Disorders Rev

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ObjectiveSmartphone applications (i.e., apps) designed to target mental health symptoms have received increasing public and empirical attention, including in eating disorder|eating disorders (EDs) treatment. While some data have begun to characterise app users in non‐controlled settings, there is limited information on use of apps in higher levels of care (e.g., partial hospitalisation or residential treatment programs) for EDs.MethodThis study aimed to explore metrics of use while in treatment for a commonly used ED‐focused mobile app (Recovery Record) among individuals enroled in intensive outpatient, partial hospitalisation, residential, or inpatient treatments (N = 2042).ResultsResults indicated that older individuals and participants with binge eating disorder demonstrated more frequent app engagement compared to younger participants and other ED diagnoses, respectively. Individuals entering at intensive outpatient and partial hospitalisation levels of care, as well as those with routine discharges engaged more frequently with RR compared to individuals entering in inpatient or residential treatment, and those with non‐routine discharges.ConclusionsOur data provide initial descriptions of how RR may be used within higher levels of care for adults with EDs. Further work is needed to establish the benefit of these apps in clinical settings for EDs over and above standard treatment, better characterise for whom these apps provide benefit, and identify how best to tailor the experience to promote engagement across the full spectrum of ED patients.

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Section: Discussionmentioning

confidence: 72%

Characterising use of recovery record among a large, transdiagnostic sample of adults with eating disorders across higher levels of care

Reilly,

Gorrell,

Johnson

et al. 2023

Euro Eating Disorders Rev

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“…Patient use was examined in 10 studies [ 41 , 43 , 44 , 50 , 53 , 54 , 56 , 57 , 59 , 60 ], patient satisfaction in 7 studies [ 45 , 46 , 48 , 49 , 51 , 52 , 55 ], and both outcomes were observed in 3 studies [ 42 , 47 , 58 ]. Patient use was mostly defined as having at least 1 telemental health visit during the pandemic [ 43 , 44 , 53 , 54 , 56 , 58 - 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…In total, 11 studies examined the relationship between sex and patient use of telemental health services. Approximately half of these studies (n=6) did not find significant sex differences in use [ 43 , 50 , 53 , 54 , 56 , 59 ]. Nevertheless, 4 studies reported higher use rates in female participants [ 44 , 57 , 58 , 60 ].…”

Section: Resultsmentioning

confidence: 99%

“…A total of 13 studies examined the relationship between age and patient use of telemental health services. Nearly half of these studies (n=6) found a nonsignificant association of age with patient use [ 42 , 43 , 50 , 54 , 58 , 59 ]. In contrast, 1 study found that older age was positively associated with telemental health service use [ 60 ] and 3 studies found that older patients were more likely to use audio-only formats (eg, telephone services) compared with video formats [ 44 , 56 , 59 ].…”

Section: Resultsmentioning

confidence: 99%

“…Nearly half of these studies (n=6) found a nonsignificant association of age with patient use [ 42 , 43 , 50 , 54 , 58 , 59 ]. In contrast, 1 study found that older age was positively associated with telemental health service use [ 60 ] and 3 studies found that older patients were more likely to use audio-only formats (eg, telephone services) compared with video formats [ 44 , 56 , 59 ]. Nevertheless, 3 studies observed a negative association of age with telemental health service use [ 44 , 53 , 57 ].…”

Section: Resultsmentioning

confidence: 99%

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Determinants of Patient Use and Satisfaction With Synchronous Telemental Health Services During the COVID-19 Pandemic: Systematic Review

Neumann,

König,

Bokermann

et al. 2023

JMIR Ment Health

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Background Several recent studies examined patient use and satisfaction with synchronous telemental health services in response to the widespread implementation during the COVID-19 pandemic. However, a systematic review of recent literature on the determinants of these outcomes is missing. Objective The aim of this systematic review was to give an extensive overview of the literature on and highlight the influential determinants of patient use and satisfaction with synchronous telemental health services during the COVID-19 pandemic. Methods This review satisfied the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and was registered in PROSPERO. Peer-reviewed, quantitative studies that observed the determinants of patient use or satisfaction with synchronous telemental health services during the COVID-19 pandemic were included. PubMed, PsycInfo, and Web of Science database searches were conducted in August 2022 for English and German language studies published from 2020 onward. Key steps were performed by 2 reviewers. Determinants were synthesized into major categories informed by the dimensions of the widely used and established Unified Theory of Acceptance and Use of Technology. Results Of the 20 included studies, 10 studies examined determinants of patient use, 7 examined determinants of patient satisfaction, and 3 observed both outcomes. The quality of the studies was mainly good or fair. There was substantial heterogeneity in the study designs, methods, and findings. Sociodemographic characteristics and health-related determinants were mostly considered. Some of the major dimensions of the Unified Theory of Acceptance and Use of Technology were neglected in recent studies. Although most findings were mixed or nonsignificant, some indications for potential relationships were found (eg, for sex, age, and symptom severity). Conclusions The findings revealed potential target groups (eg, female and young patients with mild symptoms) for future postpandemic telemental health interventions. However, they also identified patient groups that were harder to reach (eg, older patients with severe symptoms); efforts may be beneficial to address such groups. Future quantitative and qualitative research is needed to secure and expand on recent findings, which could help improve services. Trial Registration PROSPERO CRD42022351576; https://tinyurl.com/yr6zrva5

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Evaluation of Implementation Strategies for Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Mindfulness-Based Stress Reduction (MBSR): a Systematic Review

et al. 2023

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Background Improving access to evidence-based psychotherapies (EBPs) is a Veterans Health Administration (VHA) priority. Cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and mindfulness-based stress reduction (MBSR) are effective for chronic pain and several mental health conditions. We synthesized evidence on implementation strategies to increase EBP access and use. Methods We searched MEDLINE, Embase, PsycINFO, and CINAHL from inception until March 2021 for articles on EBP implementation within integrated health systems to treat chronic pain or chronic mental health conditions. Reviewers independently screened articles, extracted results, coded qualitative findings, and rated quality using modified criteria from Newcastle–Ottawa (quantitative results) or Critical Appraisal Skills Programme (qualitative results). We categorized implementation strategies using the Expert Recommendations for Implementing Change (ERIC) framework and classified outcomes using RE-AIM domains (Reach, Effectiveness, Adoption, Implementation, Maintenance). Results Twelve articles (reporting results from 10 studies) evaluated CBT (k = 11) and ACT (k = 1) implementation strategies in large integrated healthcare systems. No studies evaluated MBSR implementation. Eight articles evaluated strategies within VHA. Six articles reported on national VHA EBP implementation programs; all involved training/education, facilitation, and audit/feedback. CBT and ACT implementation demonstrated moderate to large improvements in patient symptoms and quality of life. Trainings increased mental health provider self-efficacy in delivering EBPs, improved provider EBP perceptions, and increased provider EBP use during programs, but had unclear impacts on Reach. It was unclear whether external facilitation added benefit. Provider EBP maintenance was modest; barriers included competing professional time demands and patient barriers. Discussion Multi-faceted CBT and ACT implementation programs increased provider EBP Adoption but had unclear impacts on Reach. Future implementation efforts should further evaluate Reach, Adoption, and Maintenance; assess the added value of external facilitation; and consider strategies targeting patient barriers. Future work should use implementation frameworks to guide evaluations of barriers and facilitators, processes of change, and outcomes. Registration PROSPERO registration number CRD42021252038. Supplementary Information The online version contains supplementary material available at 10.1007/s11606-023-08140-4.

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Demographic Predictors of Telehealth Use for Integrated Psychological Services in Primary Care During the COVID-19 Pandemic

Cited by 8 publications

References 29 publications

Characterising use of recovery record among a large, transdiagnostic sample of adults with eating disorders across higher levels of care

Characterising use of recovery record among a large, transdiagnostic sample of adults with eating disorders across higher levels of care

Determinants of Patient Use and Satisfaction With Synchronous Telemental Health Services During the COVID-19 Pandemic: Systematic Review

Evaluation of Implementation Strategies for Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Mindfulness-Based Stress Reduction (MBSR): a Systematic Review

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