A Comparison of Mental Health Diagnoses Treated via Interactive Video and Face to Face in the Veterans Healthcare Administration

Grubbs, Kathleen M.; Fortney, John C.; Dean, Tisha; Williams, James S.; Godleski, Linda

doi:10.1089/tmj.2014.0152

Cited by 25 publications

(27 citation statements)

References 12 publications

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“…By reviewing and using the information obtained from the review of 15 similar articles,[1356910121517192127282930] requirements of TMH services were identified and a questionnaire was developed for the validate necessary TMH services. The questionnaire consisted of 2 parts and 29 questions, including demographic information (5 questions), and identified TMH service requirements (24 questions), which were based on the 5-point Likert scale (very much, much, no idea, low, and very low).…”

Section: Methodsmentioning

confidence: 99%

“…[4] Studies show that survivors of war and their families suffer from a wide range of mental disorders such as posttraumatic stress disorder (PTSD), mood disorders and anxiety, aggression, conflict, and depression. [56] According to the Mental Disorders Research Center of the Foundation of Martyrs and Veterans Affairs, more than 85% of the participants in the Iran–Iraq War has psychological symptoms of PTSD. [7]…”

Section: Introductionmentioning

confidence: 99%

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Identifying and validating requirements of telemental health services for Iranian veterans

Safdari

Ahmadi

Bahaadinbeigy

et al. 2019

J Family Med Prim Care

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Background: The ability of timely access to mental health care is very important for combat veterans that are facing many barriers such as living in rural and remote areas and the lack of integration. Telemental health services improve the veterans’ health situation by providing mental health care from a distance. We aimed to identify the telemental health service requirements for Iranian veterans and validate them from the perspective of the statistical population. Methods: This descriptive cross-sectional study was conducted in 2018. In the first phase, a review was conducted in relevant databases, such as PubMed, Scopus, Ovid, Ebsco, and Web of Science. In the second phase, veterans, mental health providers, and telemedicine experts were consulted to validating of the identified telemental health service requirements by a researcher-made questionnaire. Analysis of collecting data was done using SPSS software. Results: By full-text reviewing of 15 related articles, the identified elements were justified in 2 main categories and 24 subcategories including telemental health services (17 items) and telemental health requirements (7 items). According to the findings, the highest score was related to “save health-care costs” (4.47) and “reduce transportation-related problems” (4.47). Moreover, the “feasible alternative to face-to-face care” (2.22) obtained the lowest score from the perspective of the statistical population. Conclusion: Due to the importance of accessibility and patient-based mental health services, more studies are needed to investigate the point of views of patients and specialists to better understand the concerns and barriers to the implementation and use of telemental health services.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Identifying and validating requirements of telemental health services for Iranian veterans

Safdari

Ahmadi

Bahaadinbeigy

et al. 2019

J Family Med Prim Care

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“…12 Tele-therapy has been trialled in US and Canadian veterans using a variety of treatment methods, such as prolonged exposure, [13][14][15][16][17] CBT [18][19][20][21] and cognitive processing therapy (CPT). [22][23][24][25][26][27] Despite this evidence, remote-access interventions are not routinely offered to veterans with PTSD in the UK. The current study is part of a wider project investigating the acceptability and feasibility of teletherapy with UK veterans, with recently published findings suggesting that it is acceptable to those accessing the treatment.…”

Section: Introductionmentioning

confidence: 99%

Evaluating an Internet-based video cognitive processing therapy intervention for veterans with PTSD: A pilot study

Murphy¹,

Turgoose²

2019

J Telemed Telecare

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Introduction There remain a number of UK military veterans who are not able to access psychological therapies for post-traumatic stress disorder (PTSD). Some of these barriers are practical, including the need to balance work and other life commitments with attendance at residential or outpatient appointments. There is a need to investigate more accessible and flexible methods of delivering psychological therapies to veterans. One such alternative is to use remote-access video technology, often referred to as tele-therapy. The aims of the present study were to explore the feasibility of using tele-therapy in this population, whilst also reporting mental health outcomes for those who accessed the intervention. Methods Participants were recruited from a UK veterans mental health charity. The intervention consisted of 12 sessions of cognitive processing therapy delivered via Skype. Participants completed various measures of mental health, including PTSD at three time points: pre-treatment, post-treatment and at three months follow-up. A measure of therapeutic alliance was also completed by participants and the clinician. Results A total of 27 participants engaged in tele-therapy, with a treatment completion rate of 79% and a ‘did not attend’ rate of 12%, which compared well against similar outpatient services. All mental health outcomes showed maintained improvement at three months follow-up, with the highest effect size recorded for PTSD. Therapeutic alliance was also rated highly by both participants and the clinician. Discussion The findings suggest that tele-therapy could provide a viable alternative format for delivering trauma-focused psychological therapies to veterans. Limitations and recommendations for future research are also presented.

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“…With respect to treatment of depression, the evidence base for telepsychiatry is particularly strong [31]. A number of studies have reported greater symptom improvement when comparing telemental health groups to in-person groups.…”

Section: Introductionmentioning

confidence: 99%

Home-Based Telepsychiatry and in-Home CBT for Management of Major Depression in HIV-Positive Adults 50 Years and Older: A Proof-of-Concept Study

Bourgeois¹

2017

Acta Psychopathol

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Background: HIV clinicians are increasingly confronting mild major depression and dysthymic disorder in their older patients. Despite rapid advances in technologybased interventions in the medical field, particularly in psychiatric treatment, the utilization of this resource in mental health services delivery research in the context of HIV disease has been limited. Home-based telemedicine (HBT) -which in this article mainly refers to telepsychiatry -combined with in-home cognitive behavioral therapy (CBT) may serve as a promising clinical strategy through which a broader patient population can be treated. Objective:The current study aimed to assess: (1) change in psychiatric symptoms, (2) change in perception towards the acceptability of telemedicine, and (3) the viability of using a combined treatment of in-home CBT and HBT.Methods: Subjects engaged in 6-12 weeks of weekly in-home CBT paired with monthly follow-up home-based telepsychiatry (HBT) sessions for the management of mild to moderate depression in older persons living with HIV (PLWH).Results: 3 subjects completed the current study. Subjects reported comfortability with receiving services by telemedicine, ability to talk freely, and perceived privacy of the sessions. Clinician feedback further supported the feasibility and acceptability of using this delivery of treatment. Conclusion:Data gathered from the current study support the findings from the predecessor study. HBT coupled with in-home CBT may serve as a feasible method for the management and treatment of mild to moderate depression in PLWH aged 50+ in an urban setting. Larger clinical trials focused on older PLWH using a similar treatment regimen will help provide more insight into viable healthcare models for this growing population.

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A Comparison of Mental Health Diagnoses Treated via Interactive Video and Face to Face in the Veterans Healthcare Administration

Abstract: Providers and patients may feel more comfortable treating depression and anxiety disorders than substance use or psychosis via interactive video.

Cited by 25 publications

References 12 publications

Identifying and validating requirements of telemental health services for Iranian veterans

Identifying and validating requirements of telemental health services for Iranian veterans

Evaluating an Internet-based video cognitive processing therapy intervention for veterans with PTSD: A pilot study

Home-Based Telepsychiatry and in-Home CBT for Management of Major Depression in HIV-Positive Adults 50 Years and Older: A Proof-of-Concept Study

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