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4.PSY3PRAQuestionnaireVersion1.1200730CLEAN2.docx

PSY3RPA: Consumer’s Attitudes Towards Telehealth Psychology

Background Information

1. With which gender do you identify?

· Female

· Male

· Other (specify)

· Prefer not to say

2. Do you identify as gender diverse?

· No

· Yes, please specify ___________________________

3. Year of birth

4. What is your current postcode? ___________

5. Is English your first language? Yes/No

6. Relationship status

· Never married/defacto

· Married/defacto

· Separated/Divorced/Widowed

7. Are you of Aboriginal or Torres Strait Islander origin

· No

· Yes, Aboriginal

· Yes, Torres Strait Islander

8. Country of birth

Australia

England

New Zealand

India

Italy

Vietnam

Philippines

 Other, please specify ________________________________________________

9. If not Australia, year first arrived to live in Australia

10. Do you have children:  Yes

 No

11. Which of the following best describes the highest level of education you have completed?

 Left school before completing high/secondary school

Completed high/secondary school

Post-school Trade Certificate

Post-school Diploma

Post-school University Degree

12. Are you currently working

Yes, for payment

· Full time

· Part time (average weekly hours)

· Casual (average weekly hours)

Yes, unpaid work

Yes, but on leave

No

13. Do you have any physical health condition?

· No

· Yes (please describe): ________________________________

14. Do you have any mental health condition?

· No

· Yes (please describe): ________________________________

15. Compared to the average person your age, how would you rate your current:

Much worse

Worse

Same

Better

Much Better

a.

...physical health?

1

2

3

4

5

b.

... mental health?

1

2

3

4

5

16. Have you had treatment for mental health concerns from any of the following professionals

Prior to COVID19

During COVID19

 

Face to Face

Telehealth

Face to Face

Telehealth

Psychologist

Psychiatrist

Social Worker

Occupational Therapist

Mental Health Nurse

GP

Counsellor

Other, please specify

17. Have you had psychological treatment for any of the following in the past (Tick all that apply):

Prior to Covid 19

During Covid 19

 

Face to Face

Telehealth

Face to Face

Telehealth

Depression

Anxiety & phobias

Attention Deficit Hyperactivity Disorder (ADHD)

Eating Disorders

Post-Traumatic Stress Disorder (PTSD)

Couples therapy

Neuropsychological assessment

Personality disorders

Autism Spectrum Disorder (including Asperger’s)

Stress management

Family violence

Addiction

Other, please specify

 

Attitudes Towards Telehealth Psychology

Telehealth psychology is defined as the provision of psychological assessment and or treatment using telephone or videoconference consultations

1. Have you heard of telehealth psychology?

 No

 Yes, if yes, from (please tick all that apply)?

GP

 Other health professional

 Psychologist

 Other mental health professional

 Media (e.g., TV, radio, newsletter)

 Social media (e.g., Facebook, Instagram, Twitter)

 Family

 Friends

 Other, please explain

2. Had you heard of telehealth psychology before COVID 19?

 No

 Yes, if yes, from (please tick all that apply)?

GP

 Other health professional

 Psychologist

 Other mental health professional

 Media (e.g., TV, radio, newsletter)

 Social media (e.g., Facebook, Instagram, Twitter)

 Family

 Friends

3. Have you had face-to-face treatment for mental health concerns?

 Yes

 No, but I would consider it

 No, and I would not consider it

4. Are you aware that Medicare rebates are available for face to face treatment for mental health conditions?

 Yes

 No

5. Does the availability of a Medicare rebate make it more likely that you would access face to face treatment for a mental health condition?

 Yes

 No

6. Have you had telehealth treatment (delivered via videoconference or telephone) for mental health concerns?

 Yes

 No, but I would consider it

 No, and I would not consider it

7. 17. Are you aware that Medicare rebates are available for telehealth treatment (delivered via videoconference or telephone) for mental health conditions?

 Yes

 No

8. Does the availability of a Medicare rebate make it more likely that you would access telehealth treatment (delivered via videoconference or telephone) for a mental health condition?

 Yes

 No

9. I believe telehealth treatment (delivered via videoconference or telephone) would be appropriate

I. For Individual Therapy

Not at all Completely

II. For Couple Therapy

Not at all Completely

III. For Family Therapy

Not at all Completely

IV. For Group Therapy

Not at all Completely

V. For Adult Therapy

Not at all Completely

VI. For Child Therapy

Not at all Completely

VII. For Adolescent Therapy

Not at all Completely

VIII. For Emergency Therapy (e.g., Lifeline)

Not at all Completely

IX. When delivered by telephone

Not at all Completely

X. When delivered by videoconference

Not at all Completely

XI. When delivered without any face to face therapy

Not at all Completely

XII. When delivered with some face to face therapy

Not at all Completely

10. Are you concerned about any of the following with respect to telehealth psychology

I. Using the technology

Not at all Completely

II. Privacy and security on the internet

Not at all Completely

III. Privacy and security where I am based for telehealth sessions

Not at all Completely

IV. Developing rapport with the clinician

Not at all Completely

V. Seeing my face on the screen

Not at all Completely

VI. Clinician seeing my home environment

Not at all Completely

VII. Effectiveness

Not at all Completely

VIII. Costs

Not at all Completely

IX. Medicare rebates

Not at all Completely

X. Private health insurance rebates

Not at all Completely

11. Do you see any of the following as potential benefits of telehealth psychology compared to face to face psychology

I. Easier to “attend” appointments

Not at all Completely

II. Easier to attend appointments more regularly

Not at all Completely

III. Easier to “open up” (feel comfortable talking) to the therapist

Not at all Completely

IV. Reduced travel costs

Not at all Completely

V. Less disruption to work/family commitments

Not at all Completely

VI. More flexibility with appointment times

Not at all Completely

VII. Ability to choose from a range of health professionals (including those based outside my local area)

Not at all Completely

VIII. Access to specialists (e.g., psychiatrist)

Not at all Completely

IX. Feeling more comfortable in my home environment

Not at all Completely

X. More convenient

Not at all Completely

12. I was considering trying telehealth psychology

a. before COVID-19 

Strongly Disagree Strongly Agree

b. during COVID-19

Strongly Disagree Strongly Agree

13. I was intending to try telehealth psychology

c. before COVID-19 

Strongly Disagree Strongly Agree

d. during COVID-19

Strongly Disagree Strongly Agree

14. I had used telehealth psychology

e. before COVID-19 

Strongly Disagree Strongly Agree

f. during COVID-19

Strongly Disagree Strongly Agree

15. I will use telehealth psychology during COVID-19

Strongly Disagree Strongly Agree

16. I will use telehealth psychology after COVID-19

Strongly Disagree Strongly Agree

17. If you are already using telehealth psychology will you continue to use telehealth psychology during COVID-19

Strongly Disagree Strongly Agree

18. If you are already using telehealth psychology will you continue to use telehealth psychology after COVID-19

Strongly Disagree Strongly Agree

19. How does telehealth psychology compare to face-to-face psychology?

Much better Much worse

a. Please provide more information:

Perceptions of Computerised Therapy – Patient

Directions Please answer the questions below based on your beliefs about telehealth psychology. Telehealth psychology involves the delivery of psychological treatment (i.e., sessions with a psychologist or other mental health professional) via videoconferencing (e.g., Facetime, Skype, Zoom etc) or telephone. If you have not heard of telehealth psychology before now, base your answers on what you expect to be true.

1. I know people who have

thought about using telehealth psychologyOB

2. I have heard of telehealth psychology before nowOB

3. I would feel more comfortable using telehealth psychology than other treatmentsRA

4. I like that telehealth psychology is more anonymousRA

5. Using telehealth psychology makes it easier to get therapyRA

6. I have a positive attitude

about telehealth psychologyCMPT

7. I want to try telehealth psychology before using it as treatmentTR

8. I have seen an ad

for telehealth psychologyOB

9. I have tried telehealth psychology programsTR

10. I plan to use telehealth psychology in the futureFU

11. Telehealth psychology would improve my mental healthRA

12. I could try Telehealth psychology before using it as treatmentTR

13. Using telehealth psychology fits with my lifestyleCMPT

14. Telehealth psychology is cheaper than other treatmentsRA

15. My doctor has told

me about telehealth psychologyOB

16. A telehealth psychology program would do what I want it to doCMPX

17. If I were to seek therapy

in the future, I would consider telehealth psychologyFU

18. There is enough therapist

contact in telehealth psychologyRA

19. I know how to find a telehealth psychology provider/clinicianTR

20. Learning to use a telehealth psychology program would be easy for meCMPX

21. It is easy to communicate with a therapist onlineCMPX

22. Using telehealth psychology

fits with my beliefs about therapyCMPT

23. My personal information would be

safe when using telehealth psychologyRA

24. I could see myself using telehealth psychologyCMPT

25. Using telehealth psychology fits well with the way I like to receive therapyCMPT

26. Using telehealth psychology would save more time than other treatmentsRA

27. It is easy to use telehealth psychologyCMPX

28. Telehealth psychology is advantageous.RA

29. I know people who

use telehealth psychologyOB

30. I know enough about computers/tablets/smartphones to use telehealth psychologyCMPX

Computer Use

1. Do you have access to the following in a private location suitable for telehealth psychology (please tick all that apply)

a) Telephone

· Yes, At home

· Yes, Out of home

· No

b) Computer/Tablet/Smart Phone

· Yes, At home

· Yes, Out of home

· No

c) Web camera on computer/Phone with camera

· Yes, At home

· Yes, Out of home

· No

d) Microphone on computer/tablet/phone

· Yes, At home

· Yes, Out of home

· No

e) Internet with connection speed that allows for videoconferencing

· Yes, At home

· Yes, Out of home

· No

f) Unlimited/generous internet data allowance (i.e., you don’t need to worry about using all your data allowance)

· Yes, At home

· Yes, Out of home

· No

g) Affordable internet access

· Yes, At home

· Yes, Out of home

· No

2. Do you feel confident with your ability to operate video conferencing

· Yes, high confidence

· Moderately confident

· No, low confidence

3. Generally what would best describe your attitude towards information and communication technology?

· Negative – avoidant and lacking confidence

· Positive – efficacious and confident

· Mixed attitudes

4. How frequent is your technology use

· High

· Moderate

· Low

Computer Anxiety Survey

Items are rated on a five-point scale from “Strongly Disagree” to “Strongly Agree”. There are three subscales; Anxiety/Tension, Confidence/Contentment, Computer Use.

1. I try to avoid using computers whenever possible

2. I wish that I could be as calm as others appear to be when they are working on a computer.

3. I feel tense whenever working on a computer.

4. I feel anxious whenever I am using computers.

5. I experience anxiety whenever I sit in front of a computer terminal.

6. I am frightened by computers.

7. I feel overwhelmed whenever I am working on a computer.

8. I worry about making mistakes on the computer

9. I am confidence about my ability to use computers.

10. I enjoy working with computers.

11. I feel relaxed when I am working on a computer.

12. I feel at ease with computers.

13. I feel confident when I am working on a computer

14. I feel comfortable with computers

15. I would like to continue working with computers in the future

16. I wish that computers were not as important as they are

Adm Policy Ment Health (2014) 41:104–113

113

1 3

1 3

Depression, Anxiety, Stress Scale

DASS21 Name: Date:

Please read each statement and circle a number 0, 1, 2 or 3 which indicates how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.

The rating scale is as follows:

0 Did not apply to me at all

1 Applied to me to some degree, or some of the time

2 Applied to me to a considerable degree, or a good part of time

3 Applied to me very much, or most of the time

1

I found it hard to wind down

0 1 2 3

2

I was aware of dryness of my mouth

0 1 2 3

3

I couldn't seem to experience any positive feeling at all

0 1 2 3

4

I experienced breathing difficulty (eg, excessively rapid breathing, breathlessness in the absence of physical exertion)

0 1 2 3

5

I found it difficult to work up the initiative to do things

0 1 2 3

6

I tended to over-react to situations

0 1 2 3

7

I experienced trembling (eg, in the hands)

0 1 2 3

8

I felt that I was using a lot of nervous energy

0 1 2 3

9

I was worried about situations in which I might panic and make a fool of myself

0 1 2 3

10

I felt that I had nothing to look forward to

0 1 2 3

11

I found myself getting agitated

0 1 2 3

12

I found it difficult to relax

0 1 2 3

13

I felt down-hearted and blue

0 1 2 3

14

I was intolerant of anything that kept me from getting on with what I was doing

0 1 2 3

15

I felt I was close to panic

0 1 2 3

16

I was unable to become enthusiastic about anything

0 1 2 3

17

I felt I wasn't worth much as a person

0 1 2 3

18

I felt that I was rather touchy

0 1 2 3

19

I was aware of the action of my heart in the absence of physical exertion (eg, sense of heart rate increase, heart missing a beat)

0 1 2 3

20

I felt scared without any good reason

0 1 2 3

21

I felt that life was meaningless

0 1 2 3

Web Screening Questionnaire for Common Mental Disorders (WSQ)

Sub- scale

From

1

Circle a number from the scale below to show how much you are troubled by feeling miserable or depressed:

Depres.

SQ

Hardly at Slightly disturbing/ Definitely Markedly Very severely all not really disabling disturbing/ disturbing/ disturbing/

disabling disabling disabling

(0)  (1)  (2)  (3)  (4)  (5)  (6)  (7)  (8) 

2

Do you experience a loss of interest and/or pleasure in most things, like work, hobbies and Yes (1)  No (0) 

other things you usually enjoy?

Depres.

CIDI

3

During the past two weeks, how often have you been bothered by the following problem: Having trouble relaxing?

GAD

GAD-7

Not at all Several days More than half the days Nearly every day

(0)  (1)  (2)  (3) 

4

A panic attack is a sudden rush of fear or discomfort accompanied by at least 4 of the symptoms listed below. In order to qualify as a sudden rush, the symptoms must peak within 10 minutes.

Symptoms are: rapid or pounding heartbeat, sweating, trembling/shaking, breathlessness, feeling of choking, chest pain/discomfort, nausea, dizziness/faintness, feelings or unreality, numbness/tingling, chills or hot flashes, fear of losing control or going crazy, fear of dying.

If you have had any panic attacks during the past week, how distressing (uncomfortable, frightening) were they while they were happening? If you did not have any panic attacks but did have limited symptoms attacks, answer for the

limited symptom attacks.

Panic

PDSS- SR

Not at all distressing, or no panic Mildly Moderately Severely Extremely or limited symptom attacks distressing (not distressing (intense, distressing distressing

during the past week too intense) but still manageable) (very intense) (extreme distress

during all attacks)

(0)  (1)  (2)  (3)  (4) 

5

Do you avoid public places from which a quick escape may be difficult or do you endure this Yes (1)  No (0) 

with clear suffering or anxiety? (e.g. public transport, shops/town centers, queues, cinema,

unfamiliar buildings, distance from home).

AGO

SQ

6

Are you either extremely anxious or do you avoid specific objects or situations? Yes (1)  No (0) 

Specific

Phobia

SQ

7

Are you scared of: animals (e.g. dogs, spiders, snakes, cats, birds, mice, insects) or Yes (1)  No (0) 

medical issues (e.g. blood, dentist, injection, surgery, hospital, doctor) or

specific situations (e.g. bus, crowded shop, tunnel elevator, airplane, bridge or car driving)

Specific Phobia

VU

8

Have you avoided social situations for fear that attention might be on you? Yes (1)  No (0) 

Social

Phobia

MINI

9

Are you fearful or embarrassed being watched, being the focus of attention, or fearful of being Yes (1)  No (0) 

humiliated? (This includes situations like speaking in public, eating in public with others,

writing while someone watches, or being in social situations).

Social Phobia

MINI

10

Did your symptoms start after having experienced, witnessed or had to deal with an extremely Yes (1)  No (0) 

traumatic event that included actual or threatened death or serious injury to you or someone

else? (e.g. serious accident, sexual or physical assault, a terrorist attack, being held hostage, kidnapping, hold-up, fire, discovering a body, unexpected death, war, natural disaster…)

PTSD

MINI

11

Have you ever experienced a traumatic event? Yes (1)  No (0) 

PTSD

SQ

12

Obsessions are recurrent thoughts, impulses or images that are unwanted, distasteful, inappropriate, intrusive or distressing (e.g. the idea of hurting your children although you know you never want to do that). How much time did

you spend on obsessions in the past week?

OCD

ybocs

0 hr/day or no obsessions 0-1 hr/day 1-3 hr/day 3-8 hr/day >8 hr/day

(0)  (1)  (2)   (3)  (4)

13

How many drinks containing alcohol do you have on a typical day when you are drinking?

Alcohol

audit

None 1-2 3-4 5-6 7-9 10 or more

(0)  (1)  (2)  (3)  (4)  (5) 

14

How often do you have six or more drinks on one occasion?

Alcohol

audit

Never Less than monthly Monthly Weekly Daily or nearly daily

(0)  (1)  (2)  (3)  (4) 

15

Has the idea of harming yourself or taking your own life, recently come into your mind?

Suicide

SQ

Definitely not Has crossed my mind but I would I seriously considered it but I I would do it given the not do it stopped myself opportunity

(0)  (1)  (2)  (3) 

Items are averaged according to which subscale they belong. Subscales are labeled as follows: RA relative advantage subscale, CMPT com- patibility subscale, CMPX complexity subscale, OB observability subscale, TR trialability subscale, FU future use intentions subscale

*WSQ cut-off scores: Depression: Q1≥ 5 & Q2=1; GAD: Q3≥2; Panic: Q4 ≥1; Panic with Ago Q4 ≥1 & Q5=1; Ago: Q5=1; Specific phobia: Q6 or Q7=1; Social phobia: Q8=1 & Q9=1; PTSD: Q10=1 or Q11=1; OCD: Q12≥1; Alcohol Abuse/Dependence : Q13≥2 & Q14≥3 ; Suicide : Q15=3 (exclusion)

University of Rhode Island Change Assessment Scale (URICA) Psychotherapy Version

Each statement below describes how a person might feel when starting therapy or approaching problems in their lives. Please indicate the extent to which you tend to agree or disagree with each statement. In each case, make your choice in terms of how you feel right now, not what you have felt in the past or would like to feel. For all statements that refer to your “problem”, answer in terms of problems related to why you are in therapy. The words “here” and “this place” refer to your treatment center.

THERE ARE FIVE POSSIBLE RESPONSES TO EACH OF THE ITEMS IN THE QUESTIONNAIRE:

1=Strongly Disagree 2=Disagree 3=Undecided 4=Agree

5=Strongly Agree

CIRCLE THE NUMBER THAT BEST DESCRIBES HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT.

Strongly

Disagree

Disagree

Undecided

Agree

Strongly

Agree

1. As far as I’m concerned, I don’t have any problems that need changing.

1

2

3

4

5

2. I think I might be ready for some self-improvement.

1

2

3

4

5

3. I am doing something about the problems that had been bothering me.

1

2

3

4

5

4. It might be worthwhile to work on my problem.

1

2

3

4

5

5. I’m not the problem one. It doesn’t make much sense for me to be here.

1

2

3

4

5

6. It worries me that I might slip back on a problem I have already changed, so I am here to seek help.

1

2

3

4

5

7. I am finally doing some work on my problems.

1

2

3

4

5

8. I’ve been thinking that I might want to change something about myself.

1

2

3

4

5

Strongly

Disagree

Disagree

Undecided

Agree

Strongly

Agree

9. I have been successful in working on my problem but I’m not sure I can keep up the effort on my own.

1

2

3

4

5

10. At times my problem is difficult, but I’m working on it.

1

2

3

4

5

11. Trying to change is pretty much a waste of time for me because the problem doesn’t have to do with me.

1

2

3

4

5

12. I’m hoping this place will help me to better understand myself.

1

2

3

4

5

13. I guess I have faults, but there’s nothing that I really need to change.

1

2

3

4

5

14. I am really working hard to change.

1

2

3

4

5

15. I have a problem and I really think I should work on it.

1

2

3

4

5

16. I’m not following though with what I had already changed as well as I had hoped, and I’m here to prevent a relapse of the problem.

1

2

3

4

5

17. Even though I’m not always successful in changing, I am at least working on my problem.

1

2

3

4

5

18. I thought once I had resolved the problem I would be free of it, but sometimes I still find myself struggling with it.

1

2

3

4

5

19. I wish I had more ideas on how to solve my problem.

1

2

3

4

5

20. I have started working on my problems but I would like help.

1

2

3

4

5

21. Maybe this place will be able to help me.

1

2

3

4

5

Strongly

Disagree

Disagree

Undecided

Agree

Strongly

Agree

22. I may need a boost right now to help me maintain the changes I’ve already made.

1

2

3

4

5

23. I may be part of the problem, but I don’t really think I am.

1

2

3

4

5

24. I hope that someone here will have some good advice for me.

1

2

3

4

5

25. Anyone can talk about changing; I’m actually doing something about it.

1

2

3

4

5

26. All this talk about psychology is boring. Why can’t people just forget about their problems?

1

2

3

4

5

27. I’m here to prevent myself from having a relapse of my problem.

1

2

3

4

5

28. It is frustrating, but I feel I might be having a recurrence of a problem I thought I had resolved.

1

2

3

4

5

29. I have worries but so does the next person. Why spend time thinking about them?

1

2

3

4

5

30. I am actively working on my problem.

1

2

3

4

5

31. I would rather cope with my faults than try to change them.

1

2

3

4

5

32. After all I had done to try and change my problem, every now and then it comes back to haunt me.

1

2

3

4

5