Tisha L Deen1, John C Fortney, Gary Schroeder. 1. Health Services Research and Development Service, Central Arkansas Veterans Healthcare System, 2200 Fort Roots Dr., Building 58 (152/NLR), North Little Rock, AR 72114, USA. tdeen@uams.edu
Abstract
OBJECTIVE: The study examined factors associated with the utilization of psychotherapy offered in primary care via videoconferencing (telepsychotherapy). METHODS:Primary care patients with depression (N=179) recruited from five Federally Qualified Health Centers were randomly assigned to telemedicine-based collaborative care and offered free telepsychotherapy. Independent variables included measures of access to and need for treatment. Logistic regression identified variables associated with acceptability of and initiation and engagement in telepsychotherapy. RESULTS: To 76% of patients the idea of participating in psychotherapy was acceptable. Thirty-eight percent scheduled a telepsychotherapy session, 17% attended a session, and 8% engaged in treatment (attended at least eight sessions). Because the intervention was designed to minimize barriers, access was not a significant predictor of utilization. However, use of telepsychotherapy was associated with measures of perceived need. CONCLUSIONS: Even when psychotherapy was delivered in a primary care setting via videoconferencing to minimize barriers, few patients initiated or engaged in telepsychotherapy.
RCT Entities:
OBJECTIVE: The study examined factors associated with the utilization of psychotherapy offered in primary care via videoconferencing (telepsychotherapy). METHODS: Primary care patients with depression (N=179) recruited from five Federally Qualified Health Centers were randomly assigned to telemedicine-based collaborative care and offered free telepsychotherapy. Independent variables included measures of access to and need for treatment. Logistic regression identified variables associated with acceptability of and initiation and engagement in telepsychotherapy. RESULTS: To 76% of patients the idea of participating in psychotherapy was acceptable. Thirty-eight percent scheduled a telepsychotherapy session, 17% attended a session, and 8% engaged in treatment (attended at least eight sessions). Because the intervention was designed to minimize barriers, access was not a significant predictor of utilization. However, use of telepsychotherapy was associated with measures of perceived need. CONCLUSIONS: Even when psychotherapy was delivered in a primary care setting via videoconferencing to minimize barriers, few patients initiated or engaged in telepsychotherapy.
Authors: John W Williams; Martha Gerrity; Tracey Holsinger; Steve Dobscha; Bradley Gaynes; Allen Dietrich Journal: Gen Hosp Psychiatry Date: 2007 Mar-Apr Impact factor: 3.238
Authors: John C Fortney; Jeffrey M Pyne; Sip B Mouden; Dinesh Mittal; Teresa J Hudson; Gary W Schroeder; David K Williams; Carol A Bynum; Rhonda Mattox; Kathryn M Rost Journal: Am J Psychiatry Date: 2013-04 Impact factor: 18.112
Authors: B Christopher Frueh; Jeannine Monnier; Eunsil Yim; Anouk L Grubaugh; Mark B Hamner; Rebecca G Knapp Journal: J Telemed Telecare Date: 2007 Impact factor: 6.184
Authors: John C Fortney; James F Burgess; Hayden B Bosworth; Brenda M Booth; Peter J Kaboli Journal: J Gen Intern Med Date: 2011-11 Impact factor: 5.128
Authors: Caroline Bleyel; Mariell Hoffmann; Michel Wensing; Mechthild Hartmann; Hans-Christoph Friederich; Markus W Haun Journal: J Med Internet Res Date: 2020-04-20 Impact factor: 5.428
Authors: Judith Borghouts; Elizabeth Eikey; Gloria Mark; Cinthia De Leon; Stephen M Schueller; Margaret Schneider; Nicole Stadnick; Kai Zheng; Dana Mukamel; Dara H Sorkin Journal: J Med Internet Res Date: 2021-03-24 Impact factor: 5.428