Evaluating the Implementation of Home-Based Videoconferencing for Providing Mental Health Services

Interian, Alejandro; King, Anthony; Hill, Lauren; Robinson, Claire; Damschroder, Laura J.

doi:10.1176/appi.ps.201700004

Cited by 32 publications

(45 citation statements)

References 23 publications

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“…All studies included in this review were published in 2005 or later and investigated OVT in the US VA. The majority of studies presented findings from semi-structured interviews [ 18 , 19 , 22 , 24 , 36 ], or were case study reports [ 23 , 25 , 37 ]. One study [ 17 ] collected data using a survey and there was also one review [ 38 ] included.…”

Section: Resultsmentioning

confidence: 99%

“…Study quality was weak overall; this was likely as a consequence of studies using only post-implementation data collection methods. One study [ 18 ] received a strong rating, three studies [ 19 , 22 , 24 ] received moderate quality assessment scores while the remaining five studies received weak scores [ 17 , 23 , 25 , 36 , 37 ]. One study [ 38 ] was a general review of the literature and was unable to be assessed.…”

Section: Resultsmentioning

confidence: 99%

“…Clinicians who have not experienced OVT appear to have more concerns about the effectiveness and need for the modality. Such clinicians reported concerns regarding the effectiveness of the modality, impact on the therapeutic relationship, their familiarity with the technology, dealing with high-risk clients, and concerns with data security issues [ 17 , 19 , 22 , 23 ]. However, studies in this review also found clinician-related factors to be facilitators of OVT implementation.…”

Section: Resultsmentioning

confidence: 99%

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Barriers and facilitators of videoconferencing psychotherapy implementation in veteran mental health care environments: a systematic review

Muir

Boer

Nedeljkovic

et al. 2020

BMC Health Serv Res

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Background Whilst treatment for mental health issues has traditionally been conducted in-person, advances in technology has seen a recent growth in the use of online video therapy services to help overcome access-to-care barriers faced by those living in rural locations and those unable to travel. These barriers are particularly apparent in the case of veteran populations, which is the focus of this review. Whilst the research investigating the efficacy of online video therapy to treat mental health issues among veterans is promising, widespread adoption and utilisation of this modality remains low with efforts often failing to progress past the pilot phase to implementation. This review focuses on the implementation of online video therapy in veteran mental health care settings and aims to identify the potential barriers and facilitators relevant to implementing the modality in military organisations. Methods A systematic search of three databases (PsycInfo, PubMed, and Web of Science) was conducted. To be eligible for inclusion, studies had to investigate the challenges, lessons learnt, or factors operating as barriers and/or facilitators to the implementation of online video therapy in veteran health care systems. Results The initial search revealed a total of 202 articles. This was reduced to 133 when duplicates were removed. After screening the titles and abstracts a further 70 articles were excluded leaving 63 to be retrieved for full review. A total of 10 studies were included in this review. The most commonly reported barriers were related to clinician concerns, logistical problems, and technology. Other barriers included access to resources as well as challenges posed by collaborations, policy and recruitment. Facilitators included experience using the modality and having dedicated staff responsible for promoting and managing the new service (e.g., on-site champions and telehealth technicians). Conclusions This review suggests that numerous barriers must be identified and addressed before attempting to implement an online video therapy service in veteran organisations. Further research is needed to establish best practice for implementation, particularly across geographically dispersed sites. It is hoped that the findings of this review will be used to help inform future implementation efforts and research initiatives in this space.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Barriers and facilitators of videoconferencing psychotherapy implementation in veteran mental health care environments: a systematic review

Muir

Boer

Nedeljkovic

et al. 2020

BMC Health Serv Res

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“…Gund et al [42] found that some nurses had to be motivated to accept and use information and communication technology (ICT) in nursing. Other research has shown that the training and motivation of nursing staff in the use of ICT is a prerequisite for VC use in nursing [32,43].…”

Section: Tool Introductionmentioning

confidence: 99%

“…Despite the increasing number of studies on the implementation, training and use of telehealth using VC as a tool in primary care, few studies have been conducted on the implementation process for home-based cancer care [6,7,20,32]. Therefore, there is a need for knowledge about the implementation and influence of VC in follow-up care.…”

mentioning

confidence: 99%

Oncology nurses’ experiences with the implementation and trial of video communication in the follow-up of cancer patients in primary care: a pilot study in Norway

Rygg

Brataas

Nordtug

2019

Preprint

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Background: Cancer survival has increased significantly over the last decade. An increasing number of patients require long-term health care. There is a need for new models of effective follow-up in primary cancer care.Objective: The aim was to provide knowledge about oncology nurses’ (ONs’) experiences and perceptions of the use of video communication (VC) to follow up with patients living at home.Methods: This was a descriptive, qualitative study of ONs’ experiences with implementing and trying VC. Data were gathered after a 3-month trial. Individual interviews were content analyzed.Results: Four female ONs participated. The study provides knowledge about the introduction of VC and its influences on follow-up care.Conclusions: With the provision of technical support and training during the introduction of VC and with the protection of patient safety, VC seems to be an effective addition to the traditional follow-up of cancer patients living at home. The findings indicate that VC can be used in primary cancer care. Our findings have practical consequences for nursing leaders considering VC in patient follow-up. Additional research is necessary.

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Therapists' and counsellors' perceptions and experiences of offering online therapy during COVID‐19: A qualitative survey

Full,

Vossler,

Moller

et al. 2023

Couns and Psychother Res

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ObjectiveThe aim of this research was to understand counsellors' and therapists' perceptions and experiences of working online during the COVID‐19 pandemic.MethodFive hundred and ninety clinicians, mostly UK‐based, responded to an online qualitative survey, which allowed data to be gathered from a broader range of participants than is typical for qualitative interviews or focus group studies, and provided a wide‐angle lens. The survey generated over 130,000 words, on which a five‐staged framework analysis was conducted. Seven superordinate themes were identified.ResultsIn this paper, three of these superordinate themes specifically addressing online therapeutic practice with individual adult clients are presented. Therapists' accounts addressed the diverse ways in which the online space changed how they thought about the therapy relationship and their interactions with clients. Respondents described instances where online therapy had been beneficial for facilitating and cultivating the therapeutic process and relationship as well as how online therapy could have a potentially disruptive impact on therapeutic practice.ImplicationsFor practitioners who continue to deliver therapy solely online and/or offer hybrid services, this study identifies the specific knowledge and skills required for effective and safe online therapeutic work.

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Evaluating the Implementation of Home-Based Videoconferencing for Providing Mental Health Services

Abstract: Key factors related to implementation of V2H telehealth pertained to provider buy-in and logistical support. Facility-level strategies that address these factors may enhance provider progression from nonuse to sustained use.

Cited by 32 publications

References 23 publications

Barriers and facilitators of videoconferencing psychotherapy implementation in veteran mental health care environments: a systematic review

Barriers and facilitators of videoconferencing psychotherapy implementation in veteran mental health care environments: a systematic review

Oncology nurses’ experiences with the implementation and trial of video communication in the follow-up of cancer patients in primary care: a pilot study in Norway

Therapists' and counsellors' perceptions and experiences of offering online therapy during COVID‐19: A qualitative survey

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