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RPBWk2VideoTherapyWhatdoConsumersThinkAbout.pdf

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27/07/2020

Video Therapy! What do Consumers Think About Telehealth Psychology?

A/Prof Leah Brennan

[email protected]

Using Zoom

• Please • Mute your microphone (when not speaking)

• Press and hold the space bar to unmute to speak • Turn your video on • Turn of all other applications (including email and social media)

• Say “hi” in chat at the start of each session • This is how we note attendance

• Asking questions • Interrupt – that is my preference • “Put your hand up” • Use the chat feature

• Please make suggestions if there are other features of Zoom you think would be helpful

• Reminder • “Students are expected to participate in group discussions and they will be assessed accordingly”

LMS

• Please • ask all questions via the LMS forum so that everyone receives an answer to all questions • generate and contribute to discussions • email me any other articles of resources you think would be helpful to upload • ask questions early rather than worry about them

• Any other suggestions re how we can best use LMS?

• We also have a MS Teams group, so please email me if you are new to the group and I can add you

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Today

• Press Record

• If you are new…. Or you need a reminder

• Overview and update • Rationale • Research question • Participants • How data collected • Instrument/measures • Ethics update • Recruitment • What else?

If you are new… or need a reminder

• All PSY3RPA materials are available on the PSY3RPB LMS site

• Please read • Topic 2 Information – but note that we had to make some changes to the project due to COVID19

• The articles included under project materials

• You can also access all the Zoom recordings from last semester

Plan for RPB

2. Project reorientation

3. Recruitment and data collection

4. Recruitment and data collection 5. Recruitment and data collection

6. Data preparation and screening

7. Data analyses and presentation

8. Data analyses and presentation 9. 2‐hour group meeting

10. Interpreting the results and writing the discussion

11. Putting the report together

12. Troubleshooting the report and project wrap up

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Today

• Overview and update • Rationale • Research question • Participants • How data collected • Instrument/measures • What else?

Our Project

• Consumers’ (i.e., individuals with or at risk of mental illness) perceptions (experiences) of telehealth psychology

• Data will be collected via an online survey developed by the students and group leader • PCTQ‐P

• Students will help recruit participants

Aims

• To examine consumers’ (i.e., individuals with or at risk of mental illness) • perceptions of telehealth psychology • barriers and facilitators to using telehealth psychology

• To inform possible interventions aimed at increasing psychologists’ and consumers’ use, efficacy and acceptability of telehealth psychology

Rationale

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Literature Review

• Mental health issues are highly prevalent • Including in rural and remote Australia

• Access to mental health services is limited • Especially in rural and remote Australia • Consider other groups with limited access

• Telehealth Psychology is an effective alternative but its use has been limited • Clinicians concerned about effectiveness and therapeutic alliance

• Medicare funding • Available for rural and remote Australia since 2017, limited use • Now available Australia wide due to COVID 19, dramatically increased use

• Important to understand consumer perspectives • Factor in limited update of rural/remote telehealth • How are they responding to telehealth in response to COVID19

• Aim: to understand consumer attitudes to use of telehealth psychology • Perceptions • Barriers and facilitators • Ideas for interventions • Individual characteristics that might be associated with these outcomes

Telehealth

• Aim of this systematic review was to examine the evidence for synchronous telepsychology interventions for four common mental health conditions (depression, anxiety, PTSD, adjustment disorders)

• A rapid systematic review was conducted • Studies

• Randomised controlled trials • Synchronous telepsychology (e.g., telephone, videoconference, internet text based)

• 24 studies • 10 Telephone • 11 Videoconference • 2 internet • 2 multimodality

• Sufficient evidence to support telephone and videoconferencing

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Telehealth

• Aim of this systematic review was to examine whether patients and their caregivers living in rural and remote areas are satisfied with telehealth videoconferencing as a mode of service delivery in managing their health.

• A systematic review was conducted • Studies

• Of people living in rural and remote areas who attended outpatient appointments for a health condition via videoconference • Measured patient and/or caregivers’ satisfaction with telehealth.

• 36 studies

• Outcomes of satisfaction with telehealth were categorised • system experience • information sharing • consumer focus • overall

• High levels of satisfaction across all these dimensions • the current evidence base lacks clarity in terms of how satisfaction is defined and measured

• People living in rural and remote areas are generally satisfied with telehealth as a mode of service delivery as it may improve access to health care and avoid the inconvenience of travel.

Telehealth Psychology

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Telehealth Psychology

• Aim of this systematic review was to examine therapeutic alliance (TA) in psychotherapy via videoconferencing

• A systematic review was conducted

• Studies • Telehealth psychology • Formally measured therapeutic alliance

• 23 studies

• Aspects of therapeutic alliance • bond • presence, • therapist attitudes and abilities • client attitudes and beliefs.

• Studies overwhelmingly supported the notion that TA can be developed in psychotherapy by videoconference, with clients rating bond and presence at least equally as strongly as in‐person settings across a range of diagnostic groups.

• Therapists also rated high levels of TA, but often not quite as high as that of their clients early in treatment.

Telehealth Psychology

Pg 111‐112

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Literature Review

• Prevalence of mental heath issues in rural and remote Australia • Access to mental health services in rural and remote Australia

• Telehealth Psychology Medicare funded for rural and remote Australia • Efficacy/effectiveness/acceptability of telehealth psychology • Limited use of Telehealth Psychology

• Diffusion of Innovation (theory to guide our research)

• Consumer attitudes to use of telehealth psychology • Perceptions • Barriers and facilitators • Ideas for interventions

The Need

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Literature Review

• Prevalence of mental heath issues in rural and remote Australia • Access to mental health services in rural and remote Australia

• Telehealth Psychology Medicare funded for rural and remote Australia • Efficacy/effectiveness/acceptability of telehealth psychology • Limited use of Telehealth Psychology

• Diffusion of Innovation (theory to guide our research)

• Consumer attitudes to use of telehealth psychology • Perceptions • Barriers and facilitators • Ideas for interventions

The Need

The Gap

Literature Review

• Prevalence of mental heath issues in Australia • Limited access to mental health services

• Telehealth Psychology Medicare funded for rural and remote Australia • Efficacy/effectiveness/acceptability of telehealth psychology • Limited use of Telehealth Psychology

• Diffusion of Innovation (theory to guide our research)

• Consumer attitudes to use of telehealth psychology • Perceptions • Barriers and facilitators • Ideas for interventions

The Need

The Gap

Why?

Research Questions

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Possible research questions

• What are consumers perceptions of telehealth? • What are consumers perceived barriers and facilitators to using telehealth psychology?

• Are demographic variables (e.g., age, gender, CALD, location, comfort with technology) associated with consumer’s perceptions of telehealth?

• Are psychosocial variables (e.g., mental health) associated with consumer’s perceptions of telehealth?

• Are characteristics of the telehealth service (e.g., videoconference, telephone, individual, group, clinician) associated with consumer’s perceptions of telehealth?

• Questions related to DOI?

Participants

• 18 years and over • Residing in Australia (Citizens and Permanent Residents) • Australia wide

• Extra effort to recruit • Rural and remote • Aboriginal and Torres Straight Islanders • Those with mental health conditions

• Access to computer/tablet/smartphone • Read and respond in English • Acknowledge groups that will have limited access

• Intellectual disability, older people, without access to technology

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How Data Collected?

Data Collection

• Data will be collected via an online survey • REDCAP

Instruments/Measures

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Instruments/Measures

• Demographic Questionnaire • demographic characteristics including background information (age, gender, SES, geographical location) and mental health

treatment.

• Perceptions of Computerized Therapy Questionnaire Patient Version (PCTQ‐P; Carper et al. 2013) • perceived aspects of telehealth psychology: trialability, observability, complexity, compatibility and adoption, as well as

future use intention (Rogers, 2003)

• Attitudes Towards Telehealth Psychology • A series of questions developed for the purpose of this study

• Technology use & access will be assessed using 6 items developed for the purpose of this study • Computer Anxiety Survey

• participants’ personal views and experiences toward using a computer

• Depression, Anxiety and Stress Scale ‐21 (DASS‐21) • emotional states of and severity of symptoms of depression, anxiety and stress (

• Web Screening Questionnaire • identify possible diagnosis of common mental health disorders (e.g., anxiety, depression, panic, social phobia, PTSD and

OCD, and substance use).

• University of Rhode Island Change Assessment scale • readiness to access psychological treatment

Ethics Update

Ethics update

• Application submitted

• Feedback received and responses drafted • Your input

• Will now submit responses and should be approved soon

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What Else?

Today

• If you are new…. Or you need a reminder

• Overview and update • Rationale • Research question • Participants • How data collected • Instrument/measures • Ethics update • Recruitment • What else?