Patient Perceptions of Telemental Health: Systematic Review of Direct Comparisons to In-Person Psychotherapeutic Treatments

Jenkins‐Guarnieri, Michael A.; Pruitt, Larry D.; Luxton, David D.; Johnson, Kristine

doi:10.1089/tmj.2014.0165

Cited by 175 publications

(131 citation statements)

References 49 publications

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“…Importantly, this is the first study to demonstrate that intervention fidelity and counselor’s adherence to MI principles – as indexed by both patient ratings and independent coding of audio recorded sessions, respectively – are not compromised when the MI is delivered by video conference. This finding is consistent with a relatively small body of literature suggesting that the therapeutic alliance achieved in telemental health is comparable to the alliance achieved through in-person intervention (see Jenkins-Guarnieri, et al, 2015, for review). The current study advances this literature by focusing specifically on brief MI (i.e., versus multi-session individual or group intervention programs), but more so by employing a formal coding system (i.e., the MISC) to measure specific counselor behaviors that provide the foundation for the therapeutic alliance based on the theory of motivational interviewing (Miller & Rollnick, 2013).…”

Section: Discussionsupporting

confidence: 88%

“…Telecommunication technology has been employed to deliver interventions for a wide range of mental health disorders in a variety of health care settings, with clinical outcomes comparable to in-person treatment (see Hilty, Liu, Marks, & Callahan, 2003; Hilty et al, 2013, for reviews). Furthermore, telemental health interventions have received favorable satisfaction ratings from both patients and providers (see Jenkins-Guarnieri, Pruitt, Luxton & Johnson, 2015, for review), supporting the general acceptability of the approach.…”

Section: Introductionmentioning

confidence: 92%

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Using video conferencing to deliver a brief motivational intervention for alcohol and sex risk to emergency department patients: a proof-of-concept pilot study

Celio

Mastroleo

DiGuiseppi

et al. 2017

Addiction Research & Theory

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Brief motivational intervention (MI) is an efficacious approach to reduce heavy drinking and associated sexual risk behavior among Emergency Department (ED) patients, but the intensity of demands placed on ED staff makes the implementation of in-person MIs logistically challenging. This proof-of-concept pilot study examined the acceptability and logistic feasibility of using video-conferencing technology to deliver an MI targeting heavy drinking and risky sexual behavior to patients in an ED setting. Rigorous screening procedures were employed to ensure that the pilot sample represents the target portion of ED patients who would benefit from this multi-target MI. Mixed qualitative and quantitative data from a sample of seven ED patients (57% Female; Mage = 35 years) who received MI by video conference consistently demonstrated high levels of satisfaction, engagement, and acceptability. The observed completion rate supports logistic feasibility, and patient feedback identified methods to improve the experience by using high-definition hardware, ensuring stronger network connectivity, and effectively communicating information regarding protection of privacy. Post-intervention patient ratings and independent ratings of the audio-recorded sessions (using the Motivational Interviewing Skills Coding system) were very high, suggesting that intervention fidelity and MI adherence was not compromised by delivery modality. Collectively, these data suggest video conferencing is a viable technology that can be employed to implement brief evidence-based MIs in ED settings.

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Section: Discussionsupporting

confidence: 88%

Section: Introductionmentioning

confidence: 92%

Using video conferencing to deliver a brief motivational intervention for alcohol and sex risk to emergency department patients: a proof-of-concept pilot study

Celio

Mastroleo

DiGuiseppi

et al. 2017

Addiction Research & Theory

View full text Add to dashboard Cite

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“…17 As a result, much knowledge about patient experiences with video visits is limited to specific disease-related applications and to use in rural settings. [18][19][20] Video visits are increasingly used in other settings, including primary care, but there are limited data on patient experiences with primary care video visits. One study tested video visits with patients communicating via webcam with their primary care physician while sitting in an adjacent room, followed immediately by an in-person visit.…”

Section: Introductionmentioning

confidence: 99%

Patient Perceptions of Telehealth Primary Care Video Visits

et al. 2017

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PURPOSE Telehealth is a care delivery model that promises to increase the flexibility and reach of health services. Our objective is to describe patient experiences with video visits performed with their established primary care clinicians. METHODSWe constructed semistructured, in-depth qualitative interviews with adult patients following video visits with their primary care clinicians at a single academic medical center. Data were analyzed with a content analysis approach. RESULTS:Of 32 eligible patients, 19 were successfully interviewed. All patients reported overall satisfaction with video visits, with the majority interested in continuing to use video visits as an alternative to in-person visits. The primary benefits cited were convenience and decreased costs. Some patients felt more comfortable with video visits than office visits and expressed a preference for receiving future serious news via video visit, because they could be in their own supportive environment. Primary concerns with video visits were privacy, including the potential for work colleagues to overhear conversations, and questions about the ability of the clinician to perform an adequate physical examination.CONCLUSIONS Primary care video visits are acceptable in a variety of situations. Patients identified convenience, efficiency, communication, privacy, and comfort as domains that are potentially important to consider when assessing video visits vs in-person encounters. Future studies should explore which patients and conditions are best suited for video visits. INTRODUCTIONT elemedicine, or telehealth, includes telecommunication via a variety of platforms designed to enhance patient-centered health care.1-3 Telehealth in its many forms offers conveniences including increased care accessibility, decreased transportation barriers, and patient empowerment. [4][5][6][7][8] Studies of video visits have demonstrated these benefits in specialty settings including wound care, prenatal genetic screening, family planning, cardiovascular care, and home care. [9][10][11][12][13][14][15] One study of patient experiences with video visits in rural areas found that they were associated with decreased travel costs and lost time/wages, increased access to social support, and better ability to tailor care delivery to patient and family needs. 16Because of these benefits, video visits are being adopted in a variety of settings. Uptake in the United States has occurred most rapidly where reimbursement is favorable. Medicare reimburses for video visits in health professional shortage areas and for specific approved services.17 As a result, much knowledge about patient experiences with video visits is limited to specific disease-related applications and to use in rural settings. [18][19][20] Video visits are increasingly used in other settings, including primary care, but there are limited data on patient experiences with primary care video visits. One study tested video visits with patients communicating via webcam with their primary care physician w...

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“…In fact, multiple studies suggest that psychiatrists and patients do not find that virtual meetings impede empathic connection (Jenkins-Guarnieri et al, 2015;Agha et al, 2009;Rowe et al, 2008). Nevertheless, clinicians practising telepsychiatry should be alert to the concerns van Wynsberghe and Gastmans raise.…”

Section: Providing Competent Safe Carementioning

confidence: 99%

A framework of ethics for telepsychiatry practice

Sabin

Skimming

2015

International Review of Psychiatry

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Psychiatrists who provide telepsychiatric services must uphold the standards of ethics and professionalism expected in in-person interactions. Psychiatrists' fundamental ethical responsibilities do not change when they take up a new form of practice. But as in other areas of medicine, the introduction of a new technology - here, Internet use and videoconferencing - raises new ethical challenges, requiring a fresh look at clinical practice and social issues such as equitable access. This review discusses these new challenges under six headings: providing competent, safe care, ensuring informed consent, promoting privacy and confidentiality, managing boundaries, encouraging continuity of care, and addressing health equity. Ethical guidelines for in-person practice have emerged from decades of clinical discussion and carefully observed treatment in the office and hospital setting. New observations, clinical reports, and shared discussion and learning must do the same for telepsychiatry in the years to come.

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Patient Perceptions of Telemental Health: Systematic Review of Direct Comparisons to In-Person Psychotherapeutic Treatments

Abstract: We discuss implications for providing psychotherapeutic treatments via TMH and review practice recommendations for assuring and enhancing satisfaction with TMH services.

Cited by 175 publications

References 49 publications

Using video conferencing to deliver a brief motivational intervention for alcohol and sex risk to emergency department patients: a proof-of-concept pilot study

Using video conferencing to deliver a brief motivational intervention for alcohol and sex risk to emergency department patients: a proof-of-concept pilot study

Patient Perceptions of Telehealth Primary Care Video Visits

A framework of ethics for telepsychiatry practice

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