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Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021

The COVID-19 pandemic accelerated adoption of telemental health (TMH). Providers with limited TMH experience faced challenges during the rapid switch to remote patient care. We investigated TMH providers’ perceptions about remote care one year into the pandemic according to when providers adopted te...

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Autores principales: Wilczewski, Hattie, Paige, Samantha R., Ong, Triton, Barrera, Janelle F., Soni, Hiral, Welch, Brandon M., Bunnell, Brian E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9013879/
https://www.ncbi.nlm.nih.gov/pubmed/35444579
http://dx.doi.org/10.3389/fpsyt.2022.855138
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author Wilczewski, Hattie
Paige, Samantha R.
Ong, Triton
Barrera, Janelle F.
Soni, Hiral
Welch, Brandon M.
Bunnell, Brian E.
author_facet Wilczewski, Hattie
Paige, Samantha R.
Ong, Triton
Barrera, Janelle F.
Soni, Hiral
Welch, Brandon M.
Bunnell, Brian E.
author_sort Wilczewski, Hattie
collection PubMed
description The COVID-19 pandemic accelerated adoption of telemental health (TMH). Providers with limited TMH experience faced challenges during the rapid switch to remote patient care. We investigated TMH providers’ perceptions about remote care one year into the pandemic according to when providers adopted telemedicine (i.e., before vs. after March 2020) and how much of their caseloads were served remotely (i.e., < 50% vs. ≥ 50%). Between February–March 2021, 472 TMH providers completed a cross-sectional, web-based survey that measured perceived benefits and satisfaction with telemedicine, therapeutic alliance, patient-centered communication, eHealth literacy, multicultural counseling self-efficacy, and facilitating factors of using telemedicine. Providers who began using telemedicine before the pandemic reported having better training, task-related therapeutic alliance with patients, and ability to conduct multicultural interventions, assessments, and session management. Providers who served ≥ 50% of their caseload remotely reported greater satisfaction with their practice, stronger beliefs about the benefits of telemedicine, and greater perceived effects of telemedicine on alleviating the impact of COVID-19. There were no differences in reports of patient-centered communication nor eHealth literacy. In conclusion, providers who adopted TMH more recently may require additional training and support to successfully establish a working alliance with their patients, especially with multicultural aspects of care.
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spelling pubmed-90138792022-04-19 Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021 Wilczewski, Hattie Paige, Samantha R. Ong, Triton Barrera, Janelle F. Soni, Hiral Welch, Brandon M. Bunnell, Brian E. Front Psychiatry Psychiatry The COVID-19 pandemic accelerated adoption of telemental health (TMH). Providers with limited TMH experience faced challenges during the rapid switch to remote patient care. We investigated TMH providers’ perceptions about remote care one year into the pandemic according to when providers adopted telemedicine (i.e., before vs. after March 2020) and how much of their caseloads were served remotely (i.e., < 50% vs. ≥ 50%). Between February–March 2021, 472 TMH providers completed a cross-sectional, web-based survey that measured perceived benefits and satisfaction with telemedicine, therapeutic alliance, patient-centered communication, eHealth literacy, multicultural counseling self-efficacy, and facilitating factors of using telemedicine. Providers who began using telemedicine before the pandemic reported having better training, task-related therapeutic alliance with patients, and ability to conduct multicultural interventions, assessments, and session management. Providers who served ≥ 50% of their caseload remotely reported greater satisfaction with their practice, stronger beliefs about the benefits of telemedicine, and greater perceived effects of telemedicine on alleviating the impact of COVID-19. There were no differences in reports of patient-centered communication nor eHealth literacy. In conclusion, providers who adopted TMH more recently may require additional training and support to successfully establish a working alliance with their patients, especially with multicultural aspects of care. Frontiers Media S.A. 2022-04-04 /pmc/articles/PMC9013879/ /pubmed/35444579 http://dx.doi.org/10.3389/fpsyt.2022.855138 Text en Copyright © 2022 Wilczewski, Paige, Ong, Barrera, Soni, Welch and Bunnell. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Wilczewski, Hattie
Paige, Samantha R.
Ong, Triton
Barrera, Janelle F.
Soni, Hiral
Welch, Brandon M.
Bunnell, Brian E.
Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021
title Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021
title_full Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021
title_fullStr Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021
title_full_unstemmed Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021
title_short Perceptions of Telemental Health Care Delivery During COVID-19: A Cross-Sectional Study With Providers, February-March 2021
title_sort perceptions of telemental health care delivery during covid-19: a cross-sectional study with providers, february-march 2021
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9013879/
https://www.ncbi.nlm.nih.gov/pubmed/35444579
http://dx.doi.org/10.3389/fpsyt.2022.855138
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