Acceptability of telehealth CBT during the time of COVID-19: Evidence from patient treatment initiation and attendance records

Cuthbert, Kristy; Parsons, E. Marie; Smith, Lisa M.; Otto, Michael W.

doi:10.1016/j.jbct.2022.01.001

Cited by 12 publications

(11 citation statements)

References 15 publications

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“…The availability and reach of telehealth mental health services, including app-based mental health care, increased substantially throughout the pandemic (AlRasheed et al, 2022 ; Cantor et al, 2022 ; Farrer et al, 2022 ). Individual-level interventions with demonstrated effectiveness at reducing stress and improving symptoms of depression and anxiety, such as cognitive-behavioral therapy and mindfulness-based stress reduction, could be expanded and delivered in targeted fashion via digital platforms during acute public health emergencies as well as incorporated into routine care platforms (Cuthbert et al, 2022 ; Witarto et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Parcesepe

Kulkarni

Grov

et al. 2023

Matern Child Health J

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Objectives The COVID pandemic has had widespread impacts on maternal mental health. This research aims to examine the relationship between psychosocial stressors and symptoms of depression and anxiety and the extent to which emotional support or resilient coping moderates the relationship between psychosocial stressors and maternal mental health during the first wave of the COVID pandemic. Methods This analysis includes data collected in October and November 2020 from a geographically and sociodemographically diverse sample of 776 mothers in the U.S. with children ≤ 18 years of age. Log binomial models were used to estimate the association between moderate or severe symptoms of anxiety and depression and psychosocial stressors. Results Symptoms of moderate or severe anxiety and depression were reported by 37.5% and 37.6% of participants, respectively. Moderate (aRR 2.76 [95% CI 1.87, 4.07]) and high (aRR 4.95 [95% CI 3.40, 7.20]) levels of perceived stress were associated with greater risk of moderate or severe anxiety symptoms. Moderate and high levels of parental burnout were also associated with greater prevalence of moderate or severe anxiety symptoms in multivariable models. Results were similar when examining the relationship among stress, parental burnout, and depressive symptoms. Neither resilient coping nor social support modified the relationship between psychosocial stressors and mental health. Conclusions for Practice Evidence-based strategies to reduce stress and parental burnout and improve the mental health of mothers are urgently needed. Strategies focused on bolstering coping and social support may be insufficient to improve maternal mental health during acute public health emergencies.

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Section: Discussionmentioning

confidence: 99%

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Parcesepe

Kulkarni

Grov

et al. 2023

Matern Child Health J

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“…Research on telehealth counseling has found no decline in therapeutic outcomes compared with face‐to‐face treatment to date (Everitt et al., 2019; Hammersley et al., 2019; Nauphal et al., 2021; Ngai et al., 2015). Given the pivotal role of telehealth in protecting clients from a disruption of care during lockdowns/shelters‐in‐place periods, there also has been a growing body of literature assessing the feasibility and acceptability of telehealth counseling, indicating that telehealth counseling appears to be acceptable for clients (Childs et al., 2021; Cuthbert et al., 2022; Nauphal et al., 2021; Zhou et al., 2020).…”

Section: Introductionmentioning

confidence: 99%

Policy effects of the expansion of telehealth under 1135 waivers on intentions to seek counseling services: Difference‐in‐difference (DiD) analysis

Zhai

Carney

Hazler

2023

Jour of Counseling & Develop

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Practicing counselors swiftly shifted to telehealth after insurance payers changed their policy to cover telehealth counseling under the expansion of telehealth with 1135 waivers, which has led to concerns over the policy effects on clients' continuing counseling service-seeking intentions. To determine if this shift to telehealth was associated with a change in clients' counseling service-seeking intentions while adjusting for unmeasured confounders and time trends, we performed a differencein-difference analysis (a quasi-experimental design) to compare changes between the client (treated) and non-client (control) groups through a large national sample of emerging adults (N = 52,237). The study findings indicated that the shift to telehealth was not associated with a change in clients' counseling service-seeking intentions, providing support for the utility of telehealth counseling. Implications of these findings should be considered when assessing the merit of telehealth counseling to inform public policies and counseling practice in the post-pandemic era.

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“… 17 21 In its different forms, eHealth can be employed to deliver interventions such as therapeutic education and exercise programmes. 24 25 In addition, eHealth therapeutic education sessions may be held synchronously where both the patient and healthcare provider engage in real-time interaction and asynchronously as a tool for the subject’s self-management. 26 Recently published studies have demonstrated the efficacy of eHealth interventions in managing pain and improving functional status in other chronic pain conditions, such as chronic low back pain.…”

Section: Introductionmentioning

confidence: 99%

“…The pervasive presence of technology in contemporary society has created unprecedented opportunities for healthcare professionals to deliver health-related interventions 17. eHealth interventions, which encompass healthcare services, treatments and clinical information delivered remotely via technology,18 19 have been implemented in various forms in healthcare and research, including online interventions, telephone support, interactive voice response (IVR), virtual reality and mobile applications 20–25…”

Section: Introductionmentioning

confidence: 99%

“…eHealth interventions for chronic or long-term health conditions are increasingly popular, as they address common obstacles, such as transportation and mobility concerns, limited access to treatment and challenging clinical competencies 17 21. In its different forms, eHealth can be employed to deliver interventions such as therapeutic education and exercise programmes 24 25. In addition, eHealth therapeutic education sessions may be held synchronously where both the patient and healthcare provider engage in real-time interaction and asynchronously as a tool for the subject’s self-management 26.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of eHealth therapeutic education interventions in the management of fibromyalgia: protocol for a systematic review and meta-analysis

Martínez-Navarro,

Climent-Sanz,

Lletjà-Guijarro

et al. 2023

BMJ Open

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IntroductionNon-pharmacological approaches have shown promising results in improving symptoms and quality of life of patients with fibromyalgia. However, these approaches may not be easily accessible or feasible for everyone. eHealth interventions may offer a more convenient and cost-effective approach to reach a wider range of patients with fibromyalgia and improve their outcomes. As eHealth tools become more prevalent in clinical practice, it is crucial to understand their effectiveness, limitations and how they can be integrated into standard care to optimise clinical outcomes. This systematic review aims to evaluate the effectiveness of eHealth therapeutic education interventions in managing fibromyalgia.Methods and analysisRandomised controlled trials including eHealth therapeutic education interventions for individuals ≥18 years old with fibromyalgia, published in English or Spanish, will be retrieved by searching the databases PubMed, CINAHL Plus, EMBASE, Scopus, ISI Web of Science, PsycINFO and the Cochrane Central Register of Controlled Trials. Covidence software will be used for the selection of studies and data extraction. The risk of bias and the certainty of evidence will be assessed using the Cochrane Risk of Bias Assessment tool. We plan to perform a meta-analysis contingent on the number of studies retrieved and the interstudy heterogeneity, which will be explored with I2statistics.Ethics and disseminationThis protocol and the subsequent systematic review will not collect individual-level data and do not require approval by an ethical committee. We intend to disseminate the study results via peer-reviewed scientific journals and relevant (inter)national conferences.PROSPERO registration numberCRD42022343373.

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Acceptability of telehealth CBT during the time of COVID-19: Evidence from patient treatment initiation and attendance records

Cited by 12 publications

References 15 publications

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Psychosocial Stressors and Maternal Mental Health in the U.S. During the First Wave of the COVID-19 Pandemic: A Cross-Sectional Analysis

Policy effects of the expansion of telehealth under 1135 waivers on intentions to seek counseling services: Difference‐in‐difference (DiD) analysis

Effectiveness of eHealth therapeutic education interventions in the management of fibromyalgia: protocol for a systematic review and meta-analysis

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