Evaluating the Effect of a Telepsychiatry Educational Program on the Awareness, Knowledge, Attitude, and Skills of Telepsychiatry Among Spanish Psychiatrists during COVID-19 Pandemic

Cuevas, Carlos De las; Gutiérrez‐Rojas, Luis; Álvarez-Mon, Miguel Ángel; Andreu-Bernabeu, Álvaro; Capitán, Luis Pérez; Gómez, Juan Carlos; Grande, Iría; Hidalgo‐Mazzei, Diego; Álvarez, Raimundo Mateos; Moreno-Gea, Pedro; Vicente-Muñoz, Tomás De; Ferre, Francisco

doi:10.1089/tmj.2022.0051

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…The proportion of health care providers with a good attitude toward Tele-psychiatry in this study was about 14% [95% CI (11%, 17%)], which is lower than the result of the study among Spanish psychiatrists 62% [ 36 ], the findings of an Indian study 63% [ 37 ], and the findings of studies on the attitudes of Syrian health care providers that (75%) had a favorable attitude toward Tele-psychiatry [ 38 ]. This discrepancy may be due to the difference in sample size (152 participants in Spain, 102 participants in India, and 33 participants in Syria’s study), usage of a semi-structured questionnaire, and study population of post-graduate trainee and post-degree working residents in India’s study.…”

Section: Discussioncontrasting

confidence: 67%

Attitude of mental healthcare providers toward tele-psychiatry services and associated factors at public referral hospitals in Addis Ababa city, Ethiopia

Adem,

Melaku,

Zeleke

et al. 2023

Int J Ment Health Syst

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Introduction Health systems around the world are struggling with the massive numbers of people with mental disorders who require professional care. The treatment gap for mental disorders is high all over the world, with between 76 and 85% of people in low- and middle-income countries with severe mental disorders receiving no treatment for their mental health conditions. Tele-psychiatry is used as an alternative solution to the problem of limited mental health services and effective Tele-psychiatry service use may be achievable if mental health providers have a good attitude towards it. Objective To assess the attitude of mental healthcare providers toward Tele-psychiatry services and associated factors at public referral hospitals in Addis Ababa city, Ethiopia, 2022. Method A Multicenter institution-based cross-sectional study was conducted among 413 mental health professionals working in public referral hospitals in Addis Ababa city, from May 04 to June 10, 2022. Data were collected by using a structured and self-administered questionnaire prepared by reviewing previous related studies. Epi Data version 3.1 and Stata version 14 were used for data entry and analysis respectively. Bivariate and multivariable logistic regression analyses were used to identify factors associated with attitudes toward Tele-psychiatry services. A statistical significance was declared at p-value < 0.05. Result A total of 413 Participants were enrolled with a response rate of 91.8%. The majority of respondents 230 (55.69%) were male and the mean age of participants was 29 years (SD + 5.02). In this study the majority (49%) of mental health care professionals had a poor attitude toward Tele-psychiatry. Having electronic health technology experience [AOR 16.79; 95% CI (4.26, 29.3)], lack of training in telemedicine applications [(AOR 0.1; 95% CI (0.01, 0.41)], a good computer uses for daily work activities [AOR 3.65; 95% CI (1.14, 11.60)], availability of e-Health technology awareness program [AOR 0.16; 95% CI (0.03, 0.90)], having a positive perception about the importance of e-Health technologies[AOR 0.041; 95% CI (0.01, 0.29)] and having good knowledge of Tele-psychiatry services [AOR 6.89; 95% CI (1.8, 12.0)] were significantly associated with attitude towards Tele-psychiatry services. Conclusion This study found that mental healthcare providers at a public referral hospital in Addis Ababa city generally had poor attitudes regarding Tele-psychiatry services. Considering the significant factors will improve the attitude to use tele-psychiatry services in Ethiopia.

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Section: Discussioncontrasting

confidence: 67%

Attitude of mental healthcare providers toward tele-psychiatry services and associated factors at public referral hospitals in Addis Ababa city, Ethiopia

Adem,

Melaku,

Zeleke

et al. 2023

Int J Ment Health Syst

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“…24 Training in telepsychiatry is a key issue and there are already examples of programmes for teaching telehealth. 25 However, to be effective in improving clinical skills, this will need to be effective, evidence based, engaging and relevant. Critically, there should be measurable changes in competency and ongoing evaluation, including feedback.…”

Section: Open Accessmentioning

confidence: 99%

Evaluation of telepsychiatry during the COVID-19 pandemic across service users, carers and clinicians: an international mixed-methods study

et al. 2023

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BackgroundWorldwide uptake of telepsychiatry accelerated during the COVID-19 pandemic.ObjectiveTo conduct an evaluation of the opinions, preferences and attitudes to telepsychiatry from service users, carers and clinicians in order to understand how telepsychiatry can be best used in the peri/post-COVID-19 era.MethodsThis mixed-methods, multicentre, international study of telepsychiatry was set in two sites in England and two in Italy. Survey questionnaires and focus group topic guides were co-produced for each participant group (service users, carers and clinicians).FindingsIn the UK, 906 service users, 117 carers and 483 clinicians, and in Italy, 164 service users, 56 carers and 72 clinicians completed the surveys. In all, 17 service users/carers and 14 clinicians participated in focus groups. Overall, telepsychiatry was seen as convenient in follow-ups with a specific purpose such as medication reviews; however, it was perceived as less effective for establishing a therapeutic relationship or for assessing acutely disturbed mental states. In contrast to clinicians, most service users and carers indicated that telepsychiatry had not improved during the COVID-19 pandemic. Most service users and carers reported that the choice of appointment modality was most often determined by the service or clinician.Conclusion and relevanceThere were circumstances in which telepsychiatry was seen as more suitable than others and clear differences in clinician, carer and service user perspectives on telepsychiatry.Clinical implicationsAll stakeholders should be actively engaged in determining a hybrid model of care according to clinical features and service user and carer preferences. Clinicians should be engaged in training programmes on telepsychiatry.

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“…Indeed, a growing body of evidence supports the relevance of obtaining field data for generating real-world evidence for designing and conducting confirmatory trials and answering questions that may not be addressed otherwise [19]. These types of studies can be particularly important in the area of mental health disorders, as they have the potential to improve the safety, quality, and effectiveness of care for these patients [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Current Opinions about the Use of Duloxetine: Results from a Survey Aimed at Psychiatrists

et al. 2023

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Major depressive disorder (MDD) is a complex psychiatric disorder that, presented alone or with other comorbidities, requires different adjustments of antidepressant treatments. Some investigations have demonstrated that psychoactive drugs, such as serotonin and norepinephrine reuptake inhibitors (SNRIs), can exert more effective and faster antidepressant effects than other common medications used, such as serotonin selective reuptake inhibitors (SSRIs), although these differences are still controversial. During the last five years, the SNRI duloxetine has shown favorable results in clinical practice for the treatment of MDD, anxiety, and fibromyalgia. Through an online self-completed survey, in the present article, we collected information from 163 psychiatrists regarding the use of duloxetine and its comparison with other psychiatric drugs, concerning psychiatrists’ knowledge and experience, as well as patients’ preferences, symptoms, and well-being. We discussed and contrasted physicians’ reports and the scientific literature, finding satisfactory concordances, and finally concluded that there is agreement regarding the use of duloxetine, not only due to its tolerability and effectiveness but also due to the wide variety of situations in which it can be used (e.g., somatic symptoms in fibromyalgia, diabetes) as it relieves neuropathic pain as well.

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Evaluating the Effect of a Telepsychiatry Educational Program on the Awareness, Knowledge, Attitude, and Skills of Telepsychiatry Among Spanish Psychiatrists during COVID-19 Pandemic

Cited by 3 publications

References 20 publications

Attitude of mental healthcare providers toward tele-psychiatry services and associated factors at public referral hospitals in Addis Ababa city, Ethiopia

Attitude of mental healthcare providers toward tele-psychiatry services and associated factors at public referral hospitals in Addis Ababa city, Ethiopia

Evaluation of telepsychiatry during the COVID-19 pandemic across service users, carers and clinicians: an international mixed-methods study

Current Opinions about the Use of Duloxetine: Results from a Survey Aimed at Psychiatrists

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