Tele-psychotherapy during the COVID-19 pandemic: a mini-review

Frontiers in Psychiatry, Год журнала: 2023, Номер 14

Опубликована: Июль 5, 2023

The COVID-19 pandemic has dramatically changed psychotherapy practices. Psychotherapy around the world shifted from predominantly face-to-face settings to overwhelmingly online since beginning of pandemic. Many studies have been published on this topic, but there no review literature focused experience psychotherapists. Our goal was identify challenging issues teletherapy, including efficiency consultations and extent which they are accepted by therapists patients. A PubMed search using [(“Teletherapy” OR “Telebehavioral health” “telepsychotherapy”) AND (“COVID-19”)] string retrieved 46 mental health professionals, as detailed in a PRISMA flow diagram. Two reviewers independently screened abstracts excluded those that were outside scope review. selection articles kept for discussed all three authors. Overall, contributes description evaluation tele services, counseling, digital tools, remote monitoring.

Язык: Английский

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Exploring the Perspectives of Canadian Clinicians Regarding Digitally Delivered Psychotherapies Utilized for Trauma-Affected Populations

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(1), С. 81 - 81

Опубликована: Янв. 9, 2025

Many clinical sites shifted towards digital delivery of mental health services during the COVID-19 pandemic. There is still much to learn regarding tailoring digitally delivered interventions for trauma-affected populations. The current study examined perceptions Canadian clinicians who provided psychotherapies utilized Specifically, we explored shift use, what changed with this rapid shift, needs, problems, and solutions arose, important future considerations associated delivering trauma-focused adjunct treatments digitally. Survey data were collected from 12 clinician participants. Surveys adapted Alberta Quality Matrix Health Unified Theory Acceptance Use Technology model. As a follow-up, participants invited participate in either semi-structured qualitative interview or focus group further explore their perspectives on therapies. Twenty-four partook an group. supported use populations, sharing that these appeared offer similar quality care in-person delivery. Further research required address clinicians' concerns (e.g., patient safety) identify other avenues which populations can be engaged improved upon.

Язык: Английский

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Pilot Study Exploring the Perspectives of Canadian Clients Who Received Digitally Delivered Psychotherapies Utilized for Trauma-Affected Populations

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(2), С. 220 - 220

Опубликована: Фев. 4, 2025

The digital delivery of mental health services became increasingly common following the onset COVID-19 pandemic. There is still much to learn regarding tailoring interventions for trauma-affected populations (military members, Veterans, public safety personnel). Through current pilot study, we explored perceptions digitally delivered psychotherapies utilized populations, as reported by Canadian military and personnel who completed such interventions. Quantitative data were collected from 11 clients with posttraumatic stress injury). Survey questions based on Alberta Quality Matrix Health Unified Theory Acceptance Use Technology model. As a follow-up, invited partake in semi-structured interview further explore their perspectives trauma-focused adjunct therapies. Four participated an interview. client participants that trauma therapies offered similar treatment effectiveness in-person while also improving access. indicated several unique advantages delivery, including increased accessibility treatment, cost-effectiveness, more efficient use resources, although small sample size limits generalizability our findings. Further research larger, diverse population required corroborate results identify other avenues which can be engaged improved upon.

Язык: Английский

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Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review

Frontiers in Psychiatry, Год журнала: 2022, Номер 13

Опубликована: Июль 8, 2022

Chronic exposure to stressors and potentially psychologically traumatic events contributes the high prevalence of mental health disorders in correctional workers (CWs) other public safety personnel (PSP). Digital interventions are an accessible scalable method improving maintaining this population. The current review explores benefits digital for PSP–with a focus on CWs–and how these innovations can address limitations in-person care. A systematic literature search five databases (Medline, PsycInfo, Embase, CINAHL, Google Scholar) was conducted until March 2022. yielded 16 publications that focused or care available CWs PSP. were summarized into categories which discussed (1) their ability enhance accessibility reduce stigma; (2) provision evidence-based structured psychotherapy programs; (3) variability degree therapist engagement; (4) integration proactive interventions; (5) enhancing engagement by acknowledging unique experiences interpersonal relationships. Although technologies still infancy, there is strong evidence support effectiveness ameliorating symptoms distress. Future research should consider ethnicity, gender, culture, sexual orientation, socioeconomic status be integrated therapies interplay between different stakeholders organizations impact online programs.

Язык: Английский

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Exploring the Perspectives of Clients and Clinicians Regarding Digitally Delivered Psychotherapies Utilized for Trauma-Affected Populations.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Апрель 13, 2024

Abstract During the COVID-19 pandemic, many clinical sites shifted towards digital delivery of mental health services. However, there is still much to learn regarding using digitally delivered psychotherapies in trauma-affected populations, including military members, Veterans, and public safety personnel. This study examined perceptions utilized for trauma-maffected as reported by Canadian personnel who completed such interventions clinicians provided them. Specifically, we explored imposed shift use, what changed with this rapid shift, needs, problems, solutions arose, important future considerations associated delivering trauma-focused adjunct treatments digitally. Quantitative survey data were collected from 11 patients (military post-traumatic stress injury) 12 clinicians. Survey questions adapted Alberta Quality Matrix Health (AQMH) Unified Theory Acceptance Use Technology (UTAUT) model. As a follow-up, participants invited participate either semi-structured qualitative interview or focus group further explore their perspectives on therapies. Four clients 19 clinician participated an group. In interview/focus results, patient that trauma therapies offered similar treatment effectiveness in-person while also improving access. Participants indicated unique advantages delivery, increased accessibility treatment, cost effectiveness, more efficient use resources. some struggled platforms felt less comfortable working environment. Further research larger, diverse population required corroborate our results identify other avenues which populations can be engaged improved upon. Author Summary Many service faced unexpected shifts services comply mandated physical distancing restrictions put place during pandemic. There completed, provided, populations. exploration aims increase understanding strengths limitations mode delivery. Patient Some struggling of, on, platforms. confirm using,

Язык: Английский

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Technology Acceptance and Usability of a Virtual Reality Intervention for Military Members and Veterans With Posttraumatic Stress Disorder: Mixed Methods Unified Theory of Acceptance and Use of Technology Study

JMIR Formative Research, Год журнала: 2022, Номер 6(4), С. e33681 - e33681

Опубликована: Фев. 25, 2022

Military members and veterans exhibit higher rates of injuries illnesses such as posttraumatic stress disorder (PTSD) because their increased exposure to combat other traumatic scenarios. Novel treatments for PTSD are beginning emerge increasingly leverage advances in gaming technologies, virtual reality. Without assessing the degree technology acceptance perception usability end users, including military members, veterans, attending therapists staff, it is difficult determine whether a technology-based treatment will be used successfully wider clinical practice. The Unified Theory Acceptance Use Technology model commonly address applications 5 domains.Using model, purpose this study was multimodal motion-assisted memory desensitization reconsolidation (3MDR) on reality system primary user group (military with treatment-resistant PTSD, 3MDR therapists, environment operators).This mixed methods embedded pilot included (n=3) (n=8) diagnosis combat-related well (n=13) operators (n=5) who completed pre-post questionnaires before completion 6 weekly sessions 3MDR. A partial least squares structural equation analyze questionnaire results. Qualitative data from interviews were assessed using thematic analysis.Effort expectancy, which most notable predictor behavioral intention, after course system, whereas all constructs demonstrated no significant change. Participants' expectations met, by nonsignificant differences scores. key qualitative themes feasibility function, technical support, tailored immersion.3MDR via appears feasible, usable, accepted delivering experience facilitate treatment.

Язык: Английский

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Synchronous Web-Based Psychotherapy for Mental Disorders From a Health Quality Perspective: Scoping Review

Journal of Medical Internet Research, Год журнала: 2023, Номер 25, С. e40710 - e40710

Опубликована: Окт. 11, 2023

The COVID-19 pandemic necessitated rapid changes to health care delivery, including a shift from in-person digitally delivered psychotherapy. While these helped ensure timely psychotherapy provision, many concerns exist, clinical, cultural, practical, privacy, and security issues.This scoping review systematically mapped existing peer-reviewed research on synchronous, therapist-delivered web-based for individuals with diagnosed mental illness. Data were analyzed through the lens of Alberta Quality Matrix Health (AQMH) assess what degree this literature addresses key indicators quality. This analysis aided in identification organization knowledge gaps regard psychotherapies, highlighting potential disparities between previously prioritized dimensions those requiring further attention.This adhered PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping Reviews) guidelines. We included primary studies English language investigating remote adults (aged 18 years older) Diagnostic Statistical Manual Mental Disorders or International Classification Diseases All other citations excluded. Relevant identified MEDLINE, APA PsycINFO, Embase (OVID), Web Science: Core Collection (Clarivate), Cochrane Library (Wiley), Scopus (Elsevier) databases. Databases searched March 18, 2021. For every publication that was taken into consideration, data charted independently by 2 reviewers, event discrepancy, principal investigator validated choice either extractor. Results thematically described according 6 AQMH dimensions: acceptability, accessibility, appropriateness, effectiveness, efficiency, safety.From 13,209 publications, 48 articles included, largely North American studies. Most measured treatment effectiveness (n=48, 100%) acceptability (n=29, 60%) quality dimensions. Over 80% (40/48) investigated cognitive exposure intervention posttraumatic stress disorder mood anxiety disorder, generally indicating comparable results therapy. Safety (n=5, 10%) fewer studies, while efficiency not explicitly any study, although mentioned as future direction, hypothesis, outcome.In relation psychotherapies illness, important aspects (accessibility, safety) have received little scientific examination, underscoring need address gaps. There are also significant issues related generalizability literature, underrepresentation geographic regions, cultures, populations, clinical contexts, modalities. Qualitative underrepresented populations settings may uncover patient contextual factors implementation

Язык: Английский

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Sustaining and Expanding Internet-Delivered Cognitive Behavioral Therapy (ICBT) for Public Safety Personnel across Canada: A Survey of Stakeholder Perspectives

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(8), С. 5592 - 5592

Опубликована: Апрель 20, 2023

Public safety personnel (PSP) experience an elevated risk of mental health problems and face barriers to treatment. Internet-delivered cognitive behavioral therapy (ICBT) has been tailored PSP improve access care. In this study, we sought investigate perceptions ICBT, particularly among those with without prior knowledge ICBT between leaders non-leaders. A survey was administered 524 from across Canada identify (a) how perceive (b) the extent organizational support for in organizations, leadership's support, (c) perceived facilitators funding ICBT. The results indicated that have more advantages than disadvantages. who had previously heard positive perceptions. there is a need their implementation study identified increasing awareness effectiveness order facilitate services. Overall, current indicates as valued form policy makers service providers seeking provide may increase services through education awareness.

Язык: Английский

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Peace Officer PTSD and Compound Trauma: Operational Risks and Stigma Management

IntechOpen eBooks, Год журнала: 2024, Номер unknown

Опубликована: Окт. 4, 2024

Peace officers, frequently and recurrently exposed to trauma on the job often working long shifts overtime, increasingly suffer from PTSD compound that predispose those officers develop depression, anxiety, compassion fatigue, suicidality, lead shoot sooner less accurately, over-perceive threats, under-perceive options, thereby pose unnecessarily enhanced risks themselves public. That confluence is exacerbated by toxic masculinity organizational stigma endemic in much of law enforcement can prevent afflicted seeking psychological intervention operational accommodations they desperately need. This chapter sketches current situation among American state-of-the-art stigma-reduction, stress-reduction, interventions are beginning ease adverse impacts members public with whom interact.

Язык: Английский

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Synchronous Web-Based Psychotherapy for Mental Disorders From a Health Quality Perspective: Scoping Review (Preprint)

Опубликована: Июль 1, 2022

The COVID-19 pandemic necessitated rapid changes to health care delivery, including a shift from in-person digitally delivered psychotherapy. While these helped ensure timely psychotherapy provision, many concerns exist, clinical, cultural, practical, privacy, and security issues. This scoping review systematically mapped existing peer-reviewed research on synchronous, therapist-delivered web-based for individuals with diagnosed mental illness. Data were analyzed through the lens of Alberta Quality Matrix Health (AQMH) assess what degree this literature addresses key indicators quality. analysis aided in identification organization knowledge gaps regard psychotherapies, highlighting potential disparities between previously prioritized dimensions those requiring further attention. adhered PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses Extension Scoping Reviews) guidelines. We included primary studies English language investigating remote adults (aged 18 years older) Diagnostic Statistical Manual Mental Disorders or International Classification Diseases All other citations excluded. Relevant identified MEDLINE, APA PsycINFO, Embase (OVID), Web Science: Core Collection (Clarivate), Cochrane Library (Wiley), Scopus (Elsevier) databases. Databases searched March 18, 2021. For every publication that was taken into consideration, data charted independently by 2 reviewers, event discrepancy, principal investigator validated choice either extractor. Results thematically described according 6 AQMH dimensions: acceptability, accessibility, appropriateness, effectiveness, efficiency, safety. From 13,209 publications, 48 articles included, largely North American studies. Most measured treatment effectiveness (n=48, 100%) acceptability (n=29, 60%) quality dimensions. Over 80% (40/48) investigated cognitive exposure intervention posttraumatic stress disorder mood anxiety disorder, generally indicating comparable results therapy. Safety (n=5, 10%) fewer studies, while efficiency not explicitly any study, although mentioned as future direction, hypothesis, outcome. In relation psychotherapies illness, important aspects (accessibility, safety) have received little scientific examination, underscoring need address gaps. There are also significant issues related generalizability literature, underrepresentation geographic regions, cultures, populations, clinical contexts, modalities. Qualitative underrepresented populations settings may uncover patient contextual factors implementation

Язык: Английский

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