The effectiveness of telemedicine on stigmatization and treatment burden in patients with health compromising lifestyles and chronic diseases: A critically appraised topic

Obisike, Ebere Ellison

doi:10.23954/osj.v3i1.1413

Cited by 8 publications

(7 citation statements)

References 16 publications

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“…2,3 The principal advantage of telehealth is its ability to reduce access-to-care barriers such as limited health services in remote communities, 3,4 travel costs, 5,6 patients' functional limitations, 7,8 and stigma associated with certain types of care. 9,10 Since the outbreak of the COVID-19 pandemic, telehealth has additionally received widespread attention for its ability to facilitate an alternative avenue to care while reducing the risk of disease transmission. [11][12][13] Indeed, recent reports highlight the explosive expansion of telehealth services during COVID-19, [14][15][16][17] which has transformed health-care delivery across numerous systems.…”

Section: Introductionmentioning

confidence: 99%

Face-to-face versus Video Teleconference Group Cognitive Behavioural Therapy for Anxiety and Related Disorders: A Preliminary Comparison

et al. 2021

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Objective: Telehealth is being increasingly incorporated into the delivery of mental health care and has received widespread attention during the COVID-19 pandemic for its ability to facilitate care during physical distancing restrictions. Videoconferencing is a common telehealth modality for delivering psychotherapy and has demonstrated similar outcomes to those of face-to-face therapy. Cognitive behavioural therapy (CBT) is the most common psychotherapy evaluated across various telehealth modalities; however, studies on CBT delivered via videoconference, particularly in a group therapy format, are lacking. Further, little research exists on videoconference group CBT for anxiety disorders. Accordingly, the present study compared the outcomes of group CBT for anxiety and related disorders delivered via videoconference versus face-to-face. Method: Using a non-randomized design, data on attendance, dropout, clinical outcomes, and functional impairment were collected from 413 adult outpatients of a tertiary care anxiety disorders clinic who attended a CBT group for panic disorder/agoraphobia, social anxiety disorder, generalized anxiety disorder (GAD), or obsessive-compulsive disorder delivered either face-to-face (pre-COVID-19 pandemic) or via videoconference (since the onset of COVID-19 pandemic). Outcomes were assessed using well-validated self-report measures. Data were collected pre-treatment, across 12 weekly sessions, and post-treatment. Intent-to-treat analyses were applied to symptom outcome measures. Results: Face-to-face CBT conferred only a slight benefit over videoconference CBT for symptom outcomes across all groups, but when assessed individually, only the GAD group showed greater symptom improvement in the face-to-face format. Effect sizes for significant differences between the delivery formats were small. Participants in videoconference groups tended to have slightly higher attendance rates in some instances, whereas functional improvement and treatment dropout were comparable across the delivery formats. Conclusions: Results provide preliminary evidence that videoconference group CBT for anxiety and related disorders may be a promising and effective alternative to face-to-face CBT. Additional research is needed to establish equivalence between these delivery formats.

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Section: Introductionmentioning

confidence: 99%

Face-to-face versus Video Teleconference Group Cognitive Behavioural Therapy for Anxiety and Related Disorders: A Preliminary Comparison

et al. 2021

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“…Many men have a difficult time disclosing their private selves and can come into psychotherapy with reluctance and resistance [16]. Even as stigma for mental health treatment is being addressed in the media and mental healthcare is becoming more normalized in society, telemedicine can help lessen the initial barrier to treatment associated with stigma [17]. For people in need of psychotherapy with other conditions associated with high levels of shame such as trichotillomania, telemedicine can provide an effective alternative to in person treatment [18]- [21].…”

Section: Isolated Populationsmentioning

confidence: 99%

The Development of a Common Factors Based Virtual Reality Therapy System for Remote Psychotherapy Applications

Tacca

Kerr

Friis

2022

2022 IEEE Conference on Virtual Reality and 3D User Interfaces Abstracts and Workshops (VRW)

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Mental health disorders such as depression and anxiety affect one in five adults in the United States. According to the 2019 National Survey on Drug Use and Health (NSDUH), non-serious mental illnesses are found in 30.6% of young adults aged 18-25 years old and 25.3% of adults aged 26-49 years old. In 2020, the NSDUH found that only 44.8% of all adults living with non-serious mental illnesses sought treatment [1]. In 2020 and 2021 with the rise of the COVID-19 pandemic, 41.5% of US adults reported to have been struggling symptoms of an anxiety of depressive disorder [2]. With this added burden, the increase in social isolation during the pandemic, and unknown long term psychological effects of the past year and a half, the need for an effective remote psychotherapy treatment is even more evident. The objective of this research is to address the growing need for a remote psychotherapy solution that is both accessible for isolated patients and effective. One approach to therapeutic healing that is standard in counseling psychology is the use of psychotherapy based on common factors theory. This theory poses that there are several common factors that need to be addressed for healing to occur. This research focuses on two of the common factors that are most difficult to reproduce in remote psychotherapy: the therapeutic alliance and the therapeutic environment [3]- [5]. We hypothesize that the use of a virtual reality (VR) and neurofeedback based psychotherapy system specifically designed based on common factors theory will lead to better performance in the therapeutic alliance between therapists and patients and ultimately, better outcomes for remote psychotherapy patients. The following specific aims address this hypothesis: Specific Aim 1: Design and Develop a Common Factors Based Virtual Reality Therapy for Remote Psychotherapy Applications. A full common factors based VR psychotherapy systemI would like to thank the Madison and Lila Self Graduate Fellowship for funding me in my graduate career, without which none of this research would be possible. I have had some of my most memorable experiences, meaningful friends, and useful tools for personal growth as a result of this fellowship. Thank you.I would like to thank my wonderful parents, who have loved me unconditionally since I was a baby. I know how much you love me every single day and I'm so grateful that I was able to be raised by you and that you shaped me into the person I've become. I love you both so much. I would like to thank my twin brother Josh, my best friend since birth. We've spent most of our lives together, every good thing and every bad thing, I'm so glad we get to go through life side by side. Even though we don't live together anymore, every time we're back together, it's like nothing ever changed, I'm so grateful for that. I'd like to thank my older brothers, Mike and Nick, for vii being the best role models I could ask for. I always wanted to be just like you both and I'm so grateful that I had you guys to guide me through life. My sister-...

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“…Therefore, TPIs not only provide immediate access to evidence-based treatment during a crisis (Kruse et al, 2017; Lin & Yue, 2022), but they also can help manage other psychiatric disorders that most suicidal attempters also have (Nock et al, 2008). TPI can increase help-seeking by providing anonymity and confidentiality (Kruse et al, 2017; Obisike, 2018), lower cost (Butler & Yellowlees, 2012; Elford et al, 2001; Fortney et al, 2011; Hubley et al, 2016; Modai et al, 2006), and acceptable efficacy to reduce suicidal risk (Cedereke et al, 2002; Hubley et al, 2016). On the other hand, the growing use of technologies since the COVID-19 pandemic showed a promising future use of telehealth, especially for reaching rural communities with limited access to mental health care (Lin & Yue, 2022; Pfender, 2020).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of telehealth interventions in suicide prevention: A systematic review and meta-analysis

Shoib,

Shaheen,

Anwar

et al. 2023

Int J Soc Psychiatry

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Background: Suicidal attempt is a significant risk factor for future attempts, with the highest risk during the first-year post-suicide. Telepsychiatry has shown promise by providing easy access to evidence-based interventions during mental health crises. Aims: investigation the effectiveness of telehealth interventions in suicide prevention Methods: Four electronic databases (PubMed, Scopus, Web of Science, and Ovid) were systematically searched for studies on patients undergoing telepsychiatry intervention (TPI) up to June 2022. Following PRISMA guidelines, a systematic review and meta-analysis were conducted to investigate the effectiveness of telehealth interventions in suicide prevention. Continuous data were pooled as standardised mean difference (SMD), and dichotomous data were pooled as risk ratio using the random effects model with the corresponding 95% confidence intervals (CI). Results: Sixteen studies were included in the review. Most studies were case-control and randomised controlled trials conducted in Europe and North America. The findings of the studies generally showed that TPIs are effective in reducing suicide rates (odds ratio = 0.68; 95% CI [−0.47, 0.98], p = .04) and suicidal reattempts. The interventions were also found to be well-accepted, with high retention rates. Conclusion: Our results suggest that TPIs are well-accepted and effective in reducing suicide rates and reattempts. It is recommended to maintain telephone follow-ups for at least 12 months. Further research is needed to understand the potential of telepsychiatry in suicide prevention fully.

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The effectiveness of telemedicine on stigmatization and treatment burden in patients with health compromising lifestyles and chronic diseases: A critically appraised topic

Cited by 8 publications

References 16 publications

Face-to-face versus Video Teleconference Group Cognitive Behavioural Therapy for Anxiety and Related Disorders: A Preliminary Comparison

Face-to-face versus Video Teleconference Group Cognitive Behavioural Therapy for Anxiety and Related Disorders: A Preliminary Comparison

The Development of a Common Factors Based Virtual Reality Therapy System for Remote Psychotherapy Applications

The effectiveness of telehealth interventions in suicide prevention: A systematic review and meta-analysis

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