Couple teletherapy in the era of COVID‐19: Experiences and recommendations

Hardy, Nathan R.; Maier, Candice A.; Gregson, Ty J

doi:10.1111/jmft.12501

Cited by 29 publications

(86 citation statements)

References 24 publications

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“…(13,47,51,52,(57)(58)(59) Patients feels more at ease when they are surrounded by the environment they are used to and family and their loved pets. (39,46,51,52) This feature was emphasized in mental health related studies. Patients tended to be more open, felt more secure and often shared more with their therapists during the online sessions from their homes.…”

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

“…(48,51) Some physicians reported that it was easier to consult patients via digital care visits because their cases were simpler than those in physical visits, which in turn allowed to treat them more quickly, e ciently as well as consult more patients. (37,39) Satisfaction Overall, healthcare professionals, regardless of their specialization or location, had mostly positive experience with digital care visits ranging from at least slightly (46) to highly satis ed (35,40,44) as stated in nearly half of the selected publications. Professionals felt that digital care visits have a positive in uence on their work environment, (13) were generally happy with their experience, (41,43,(51)(52)(53) and enjoyed it.…”

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

“…The categories will be used as subheadings further on, the results related to each of them will be presented and explained in more detail. (Tables 3, 4, and 5) Flexibile working hours and/or place (13,37,39,(45)(46)(47) Saved travel time/costs (39,41,47) Feeling more relaxed and at ease (39,45)…”

Section: General Characteristics Of the Reviewed Studiesmentioning

confidence: 99%

“…Patients tended to be more open, felt more secure and often shared more with their therapists during the online sessions from their homes. (46,47,50) Having remote visits from patient's home allows for better family member inclusion, (57) their education on the patient's condition and how to care for them. (57) Hinman's et al study on remote physiotherapy found that patients felt empowered when doing exercises at home, digital care visits increased their adherence to the program and allowed them to learn correct and safe exercise techniques as reported by consulting physical therapists.…”

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

“…This allows clinicians to get a better overview of the patient's quality of life, gives valuable insight of how they communicate with their relatives or pets if they are in the picture -it creates a unique possibility to "be closer" to the patient and many healthcare professionals appreciated that. (35,39,46,47,58) According to clinicians, digital care visits allow for shorter and more frequent visits (47,50,57) and ensure continuity of care (46,47) supporting access to care for patients.…”

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

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Healthcare professionals' experience of performing digital care visits - a scoping review

Lampickienė

Davoody

2022

Preprint

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Background: The use of patient initiated digital care visits has been increasing and even more so in the era of the Coronavirus (COVID-19) pandemic. Learning more about healthcare professionals’ experience of using such technology would provide valuable insight and a basis for improvement of digital visits.Aim: This study sought to explore the existing literature on healthcare professionals’ experience of performing digital care visits.Methods: A scoping review was performed following Arksey & O’Malley’s proposed framework and utilizing the Preferred Reporting Items for Systematic reviews and Meta-Analyses – Extension for Scoping Reviews (PRISMA-ScR) checklist. Three large databases – PubMed, Web of Science and IEEE Xplore were searched, and 28 studies were included in the review. The collected data was analyzed using thematic content analysis.Results: Five main themes were identified in the literature: positive experiences/benefits, facilitators, negative experiences/challenges, barriers, and suggestions for improvement. Healthcare professionals mostly reported having overall positive experience with digital visits and saw benefits for themselves and the patients – efficiency, convenience, accessibility, and new perspectives in remote care to name a few. However, opinions were mixed or negative regarding the complexity of decision making, workload and workflow, suitability of this type of care and other challenges. The suggestions for improvement included training and education, improvements within system and tools and support for professionals.Conclusion: Despite overall positive experience and benefits for both professionals and patients, clinicians reported challenges and issues they faced when using digital care visits: physical barriers, technical issues, suitability concerns and others. Digital care visits could not fully replace face-to face visits.

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Section: Bene Ts Of Remote Workmentioning

confidence: 99%

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

Section: General Characteristics Of the Reviewed Studiesmentioning

confidence: 99%

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

Section: Bene Ts Of Remote Workmentioning

confidence: 99%

See 3 more Smart Citations

Healthcare professionals' experience of performing digital care visits - a scoping review

Lampickienė

Davoody

2022

Preprint

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The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study

Lange

Humayun

Jefford³

2022

Child Youth Care Forum

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Background Due to the recent COVID-19 pandemic, mental health care has largely transferred its services to online platforms, using videoconferencing (VC) or teletherapy. Within the field of family therapy, however, there is little evidence on the feasibility of using VC, especially when working with whole families at the edge of care. Objective This study investigated the feasibility of remote Functional Family Therapy (FFT), using a mixed-method approach. Method Study 1 consisted of semi-structured interviews with 23 FFT professionals (18 female) about their experience of providing remote FFT during the COVID-19 pandemic. Study 2 included monitoring data of 209 FFT clients (46% female, Mage = 14.00) who participated in FFT during the pandemic. We compared families who received mainly in-person, mainly remote or a mix of remote and in-person on client-reported alliance, drop-out, therapist-rated outcomes, and treatment intensity using MANCOVA’s and chi-square tests. Results In Study 1 two themes emerged around experienced challenges, namely ‘Feeling in control’ and ‘Engagement and alliance’. Two other themes emerged around adaptations, namely ‘Being more on top’ and ‘Connecting in different ways’. In Study 2, we found that the therapeutic alliance was not related to using VC. Also, families had less between-session contact during the Engagement and Motivation Phase when receiving mainly VC, but had more sessions and longer therapy when receiving a mix of in-person and remote therapy. Conclusions The current study suggests that providing systemic family teletherapy to families on the edge of care is feasible. Further development of systemic family teletherapy is warranted.

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“There is Just a Different Energy”: Changes in the Therapeutic Relationship with the Telehealth Transition

et al. 2022

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The therapeutic relationship (TR), including its therapeutic frame, is the foundation of the therapeutic endeavor. In response to the COVID-19 pandemic and the rapid transition to videoconferencing for therapeutic encounters, we employed a cross-sectional exploratory survey with 1490 respondents to understand how practitioners adapted to the changes. In this secondary analysis focused on the TR, we analyze the clinicians’ (N = 448) spontaneous narratives about facets of the TR. Temporally, we focused on how these adaptations occurred during the initial part of the pandemic before vaccination was available and while the TR was still adapting to teletherapy videoconferencing under the duress of pandemic crises. We find three broad themes: (1) It is a “much more remote relationship”; (2) The "connection…remains surprisingly strong"; and (3) It is “energetically taxing.” Each reflects clinicians’ views of the TR as altered, but surprisingly resilient. Although grateful for the safety of virtual therapeutic encounters, clinicians mourned the loss of an embodied encounter, experienced depletion of energy beyond Zoom fatigue, and nonetheless recognized their clients’ and their own abilities to adapt.

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Couple teletherapy in the era of COVID‐19: Experiences and recommendations

Cited by 29 publications

References 24 publications

Healthcare professionals' experience of performing digital care visits - a scoping review

Healthcare professionals' experience of performing digital care visits - a scoping review

The Feasibility of Providing Remote Functional Family Therapy with Adolescents During the COVID-19 Pandemic: A Mixed-Method Study

“There is Just a Different Energy”: Changes in the Therapeutic Relationship with the Telehealth Transition

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