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Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study
The sudden onset of COVID-19 forced mental health therapists to rapidly transition to telehealth services. While some therapists and organizations were able to achieve an expeditious transition, others struggled. Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, w...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462633/ https://www.ncbi.nlm.nih.gov/pubmed/36105665 http://dx.doi.org/10.1007/s43477-022-00057-0 |
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author | Rosas, Yessica Green Sigal, Marika Park, Alayna Barnett, Miya L. |
author_facet | Rosas, Yessica Green Sigal, Marika Park, Alayna Barnett, Miya L. |
author_sort | Rosas, Yessica Green |
collection | PubMed |
description | The sudden onset of COVID-19 forced mental health therapists to rapidly transition to telehealth services. While some therapists and organizations were able to achieve an expeditious transition, others struggled. Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, which outlines key phases that guide the implementation process, the current mixed methods study examined what factors predicted the transition to internet-based Parent–Child Interaction Therapy (iPCIT), a telehealth-delivered evidence-based practice (EBP). We investigated two areas related to the transition: (1) if PCIT therapists transitioned to provide iPCIT and (2) if they made this transition quickly. In Fall 2019, 324 therapists completed a survey about implementing PCIT. After stay-at-home orders, 223 of those therapists completed a follow-up survey about their transition to telehealth, organizational characteristics, their caseloads, and telehealth training. The majority of therapists (82%) transitioned to provide iPCIT, with 48% making the transition in less than a week. Open-ended responses indicated that therapists who did not transition-faced challenges related to limited client resources, a lack of training, and organizational delays. Qualitative findings informed predictors for two logistic regression models that are statistical models that predict the probability of an event occurring, with criterion variables (1) whether therapists transitioned to provide iPCIT and (2) whether they transitioned in less than a week. Results showed that caseload in Fall 2019 and receipt of iPCIT training were associated with iPCIT transition. Organizational setting, resiliency, and baseline caseload predicted rapid transition to iPCIT. Implications regarding supporting the implementation of telehealth delivery of EBPs are discussed. |
format | Online Article Text |
id | pubmed-9462633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-94626332022-09-10 Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study Rosas, Yessica Green Sigal, Marika Park, Alayna Barnett, Miya L. Glob Implement Res Appl Article The sudden onset of COVID-19 forced mental health therapists to rapidly transition to telehealth services. While some therapists and organizations were able to achieve an expeditious transition, others struggled. Using the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework, which outlines key phases that guide the implementation process, the current mixed methods study examined what factors predicted the transition to internet-based Parent–Child Interaction Therapy (iPCIT), a telehealth-delivered evidence-based practice (EBP). We investigated two areas related to the transition: (1) if PCIT therapists transitioned to provide iPCIT and (2) if they made this transition quickly. In Fall 2019, 324 therapists completed a survey about implementing PCIT. After stay-at-home orders, 223 of those therapists completed a follow-up survey about their transition to telehealth, organizational characteristics, their caseloads, and telehealth training. The majority of therapists (82%) transitioned to provide iPCIT, with 48% making the transition in less than a week. Open-ended responses indicated that therapists who did not transition-faced challenges related to limited client resources, a lack of training, and organizational delays. Qualitative findings informed predictors for two logistic regression models that are statistical models that predict the probability of an event occurring, with criterion variables (1) whether therapists transitioned to provide iPCIT and (2) whether they transitioned in less than a week. Results showed that caseload in Fall 2019 and receipt of iPCIT training were associated with iPCIT transition. Organizational setting, resiliency, and baseline caseload predicted rapid transition to iPCIT. Implications regarding supporting the implementation of telehealth delivery of EBPs are discussed. Springer International Publishing 2022-09-09 2022 /pmc/articles/PMC9462633/ /pubmed/36105665 http://dx.doi.org/10.1007/s43477-022-00057-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Rosas, Yessica Green Sigal, Marika Park, Alayna Barnett, Miya L. Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study |
title | Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study |
title_full | Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study |
title_fullStr | Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study |
title_full_unstemmed | Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study |
title_short | Predicting a Rapid Transition to Telehealth-Delivered Parent–Child Interaction Therapy Amid COVID-19: A Mixed Methods Study |
title_sort | predicting a rapid transition to telehealth-delivered parent–child interaction therapy amid covid-19: a mixed methods study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9462633/ https://www.ncbi.nlm.nih.gov/pubmed/36105665 http://dx.doi.org/10.1007/s43477-022-00057-0 |
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