Telepsychiatry in the Post-COVID-19 Era: Moving Backwards or Forwards?

Colle, Romain; Tayeb, Abd El Kader Ait; Larminat, Delphine de; Commery, Line; Boniface, B.; Chappell, Kenneth; Lasica, Pierre Alexandre; Gressier, Florence; Mecifi, Rima; Rotenberg, Samuel; Rigal, Adrien; Zitoun, Sarah; Gasnier, Matthieu; Mezzacappa, Antonia; Nicolicea, Cerasella; Chaneac, Edouard; Martin, Séverine; Choucha, Walid; Hardy, Patrick; Schouman-Claeys, É.

doi:10.1159/000511024

Cited by 10 publications

(4 citation statements)

References 6 publications

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“…Given the COVID-19 pandemic, two-thirds of patients indicate a desire to continue virtual (online) psychotherapy in future and prefer telemedicine over traditional office visits [ 53 ].…”

Section: Therapeuticsmentioning

confidence: 99%

A Review of the Current Status of Clinical Management of COVID-19 in the Elderly

Zhao

2021

Med Sci Monit

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The high infectivity and severity of SARS-CoV-2 infection (COVID-19), and our limited understanding of the biology of the novel coronavirus, as well as the lack of an effective treatment for COVID-19, have created a global pandemic. Those most likely to become seriously ill with COVID-19 are adults, especially the elderly and those who are already weak or sick. At present, a specific drug for treatment of COVID-19 has not been developed. This, combined with the typical coexistence of a variety of chronic diseases in elderly patients, makes treatment challenging at present. In addition, for elderly patients, COVID-19 isolation measures during the epidemic can easily lead to psychological problems. Thus, how to manage elderly patients has become a focus of social attention in the current circumstances. This article reviews the effects of COVID-19 and makes management suggestions for elderly patients during this epidemic period. In addition to the elderly, critically ill people are also highly susceptible to this novel coronavirus. For elderly COVID-19 patients, antiviral therapy, immune regulation, and even auxiliary respiratory therapy can be given after a comprehensive evaluation of the disease. With the approval and use of COVID-19 vaccines, it is reasonable to expect that we can conquer SARS-CoV-2.

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“…Given the COVID-19 pandemic, two-thirds of patients indicate a desire to continue virtual (online) psychotherapy in future and prefer telemedicine over traditional office visits [ 53 ].…”

Section: Therapeuticsmentioning

confidence: 99%

A Review of the Current Status of Clinical Management of COVID-19 in the Elderly

Zhao

2021

Med Sci Monit

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“…The results help to further our understanding of the efficacy of psychological interventions targeting loneliness and, more specifically, suggest that ICBT is a valid option to consider for this population. With remote health care alternatives increasingly viewed as a viable option among clinicians and patients alike [45], expanding the current treatments with an intervention for loneliness is a relevant and accessible option for an underserved group.…”

Section: Discussionmentioning

confidence: 99%

Therapist-Guided Internet-Based Treatments for Loneliness: A Randomized Controlled Three-Arm Trial Comparing Cognitive Behavioral Therapy and Interpersonal Psychotherapy

Käll

Bäck

Welin

et al. 2021

Psychother Psychosom

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Introduction: Chronic loneliness has been linked to many adverse outcomes, including mental health problems. Psychological treatment of loneliness can be effective, but the evidence base is limited. Objective: To investigate the efficacy of 2 internet-based interventions based on cognitive behavioral therapy (ICBT) and interpersonal psychotherapy (IIPT) relative to a wait-list control group and each other. Methods: A total of 170 participants were recruited and randomized to either 9 weeks of ICBT (n = 68), IIPT (n = 68), or a wait-list condition (n = 34). The primary outcome was loneliness, measured using the UCLA Loneliness Scale before, during, and after treatment. Secondary measures of psychiatric disorders and quality of life were administered before and after treatment. Follow-up was conducted 4 months after the treatment had ended. Primary outcome data were analyzed using growth curve modeling. Secondary outcomes were analyzed using robust regression models. The trial was preregistered (ClinicalTrials.gov ID: NCT03807154). Results: The ICBT condition had a significantly greater impact on loneliness compared to the wait-list and IIPT conditions. Effect sizes were moderate to large (Cohen d = 0.71) compared to the wait-list and moderate (d = 0.53) compared to IIPT. The IIPT condition did not differ significantly from the wait-list. Both active treatments led to significant increases in quality of life. Only the ICBT group had significantly lower symptoms of depression and generalized anxiety compared to the wait-list group. Treatment gains were maintained but not improved at follow-up. Conclusions: ICBT can be an efficacious option for alleviating loneliness. The IIPT intervention was not as effective.

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“…NICE Clinical guidance for mild to moderate depression and anxiety recommends telephone delivery for low intensity psychological interventions such as guided self-help [ 14 , 15 ]. The use of the telephone as a modality to deliver psychological interventions started in the twentieth century and increased during the recent global Covid-19 pandemic; early indications are that telephone delivery will continue at a comparable, if not greater, pace [ 16 , 17 ]. This means that the development of a sustainable intervention to improve the quality and engagement of psychological treatment delivered by telephone remains relevant [ 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Enhancing the quality of psychological interventions delivered by telephone in mental health services: increasing the likelihood of successful implementation using a theory of change

et al. 2023

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Background The implementation of new and complex interventions in mental health settings can be challenging. This paper explores the use of a Theory of Change (ToC) for intervention design and evaluation to increase the likelihood of complex interventions being effective, sustainable, and scalable. Our intervention was developed to enhance the quality of psychological interventions delivered by telephone in primary care mental health services. Methods A ToC represents how our designed quality improvement intervention targeting changes at service, practitioner, and patient levels was expected to improve engagement in, and the quality of, telephone-delivered psychological therapies. The intervention was evaluated following implementation in a feasibility study within three NHS Talking Therapies services through a qualitative research design incorporating semi-structured interviews and a focus group with key stakeholders (patients, practitioners, and service leads) (N = 15). Data were analysed using the Consolidated Framework for Implementation Research (CFIR) and the ToC was examined and modified accordingly following the findings. Results CFIR analysis highlighted a set of challenges encountered during the implementation of our service quality improvement telephone intervention that appeared to have weakened the contribution to the change mechanisms set out by the initial ToC. Findings informed changes to the intervention and refinement of the ToC and are expected to increase the likelihood of successful future implementation in a randomised controlled trial. Conclusions Four key recommendations that could help to optimise implementation of a complex intervention involving different key stakeholder groups in any setting were identified. These include: 1-developing a good understanding of the intervention and its value among those receiving the intervention; 2-maximising engagement from key stakeholders; 3-ensuring clear planning and communication of implementation goals; and 4-encouraging the use of strategies to monitor implementation progress.

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Telepsychiatry in the Post-COVID-19 Era: Moving Backwards or Forwards?

Cited by 10 publications

References 6 publications

A Review of the Current Status of Clinical Management of COVID-19 in the Elderly

A Review of the Current Status of Clinical Management of COVID-19 in the Elderly

Therapist-Guided Internet-Based Treatments for Loneliness: A Randomized Controlled Three-Arm Trial Comparing Cognitive Behavioral Therapy and Interpersonal Psychotherapy

Enhancing the quality of psychological interventions delivered by telephone in mental health services: increasing the likelihood of successful implementation using a theory of change

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