Transitioning to virtual programming amidst COVID-19 outbreak

Sequeira, Alejandra; Alozie, Adaeze; Fasteau, Melissa; Lopez, Alicia K.; Sy, Jennifer T.; Turner, Karina A.; Werner, Cali; McIngvale, Elizabeth; Björgvinsson, Thröstur

doi:10.1080/09515070.2020.1777940

Cited by 28 publications

(46 citation statements)

References 31 publications

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“…For providers to be fully prepared for TMH sessions, not only is their professional knowledge required, but hardware and equipment such as room set-up, light and audio must also be satisfactory prior to the treatment session [ 13 ▪ ]. Further, similar to patients, medical providers may encounter challenges regarding technology use and treatment delivery during this period of transition to telehealth [ 10 ▪ , 13 ▪ , 14 ▪▪ ].…”

Section: Resultsmentioning

confidence: 99%

“…Some patients are facing the challenge of maintaining quiet and private spaces in the home-setting during treatment sessions. Lack of privacy often affects patients’ ability to talk openly during their session, which undoubtedly impacts the efficacy of treatment [ 8 ▪ , 9 ▪▪ , 10 ▪ ]. Individuals with low SES who live in overcrowded homes are disproportionately affected by these types of privacy concerns [ 8 ▪ , 9 ▪▪ ].…”

Section: Resultsmentioning

confidence: 99%

“…risk of suicidality) and local emergency contacts when providing remote therapies or other therapeutic treatments [ 13 ▪ ]. Another challenge for providers is to maintain patients’ confidentiality in telehealth treatments [ 8 ▪ , 10 ▪ , 14 ▪▪ ]. Complex medical, legal and ethical issues should be taken into consideration when delivering virtual/online treatments [ 5 ▪ , 8 ▪ , 14 ▪▪ ].…”

Section: Resultsmentioning

confidence: 99%

“…However, as countries across the world have adopted TMH, numerous barriers have been identified. These barriers include, but are not limited to: lack of access to required technology or technical difficulties [ 5 ▪ – 7 ▪ ]; privacy and confidentiality concerns [ 8 ▪ , 9 ▪▪ , 10 ▪ ]; reduced quality of therapeutic delivery and patient-provider relationships; and a loss of sense of community [ 9 ▪▪ , 10 ▪ ]. Moreover, although federal and state regulators have recognized the importance of telehealth during these times, further legal and regulatory actions are necessary to remove public policy barriers [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Barriers, benefits and interventions for improving the delivery of telemental health services during the coronavirus disease 2019 pandemic: a systematic review

Siegel

Zuo

Moghaddamcharkari

et al. 2021

Current Opinion in Psychiatry

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Purpose of review To reduce the spread of infection from the coronavirus disease 2019 (COVID-19), mental healthcare facilities were forced to make the rapid transition from face-to-face services to virtual care. This systematic review aims to synthesize the extant literature reporting on barriers of telemental health (TMH) during the COVID-19 pandemic and how facilities have worked to overcome these barriers, to inform best practices for TMH delivery. Recent findings Most recent findings came from case studies from mental health professionals which reported on barriers related to institutional, provider and patient factors, and how these barriers were overcome. Common barriers identified in the literature include: technological difficulties; issues regarding safety, privacy and confidentiality; therapeutic delivery and the patient-provider relationship; and a loss of sense of community. Studies also reported on the benefits to TMH interventions/tools, as well as suggestions for improvements in the delivery of TMH services. Summary As the COVID-19 pandemic evolves, mental healthcare providers continue to find creative and feasible solutions to overcome barriers to the delivery of TMH. Dissemination of these solutions is imperative to ensure the best quality of mental healthcare for patients across the globe.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Barriers, benefits and interventions for improving the delivery of telemental health services during the coronavirus disease 2019 pandemic: a systematic review

Siegel

Zuo

Moghaddamcharkari

et al. 2021

Current Opinion in Psychiatry

View full text Add to dashboard Cite

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“…This method allows for immediate prize delivery, which research has shown to be important in CM success (Lussier, Heil, Mongeon, Badger, & Higgins, 2006). Mental health services have benefitted from adapting to teletherapy during this pandemic, including expanded patient access and improved attendance (Sequeira et al, 2020). We suggest CM for stimulant use disorder would similarly benefit from virtual adaptations to preserve this important intervention during the pandemic.…”

Section: Adapting CM For Stimulant Use Disorders During the Covid-19 mentioning

confidence: 99%

Adaptation of contingency management for stimulant use disorder during the COVID-19 pandemic

Zastepa

Sun

Clune

et al. 2020

Journal of Substance Abuse Treatment

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The current coronavirus disease (COVID-19) pandemic has rapidly spread across the world. Individuals with stimulant use disorder are a vulnerable population, who are particularly at risk of negative outcomes during this pandemic due to several risk factors, including mental and physical comorbidities, weakened immune responses, high-risk behaviors, and barriers to healthcare access. Engaging patients with stimulant use disorder in regular treatment has become even more difficult during this pandemic, which has resulted in many cuts to addiction treatment programs. The most effective treatment options for stimulant use disorder are psychosocial interventions, which rely heavily on in-person interactions, posing an added challenge during physical distancing. In particular, contingency management (CM) is a behavioral therapy that utilizes tangible reinforcements to incentivize targeted behavior changes, and is an effective treatment intervention used for stimulant use disorder. This paper highlights the treatment challenges for individuals with stimulant use disorder and the importance of adapting CM programs during COVID-19. We present strategies for how CM can be adapted and its role expanded in a safe way during the COVID-19 pandemic to help prevent infection spread, stimulant use relapse, and worsened psychosocial consequences.

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Online versus in‐person delivery of cognitive behaviour therapy for obsessive compulsive disorder: An examination of effectiveness

Lisi,

Hawley,

McCabe

et al. 2023

Clin Psychology and Psychoth

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Cognitive behavioural therapy (CBT) including exposure and response prevention is the first‐line psychological treatment for obsessive compulsive disorder (OCD). Given changes in the clinical landscape, there are increasing efforts to evaluate its effectiveness in online contexts. Mirroring the traditional in‐person delivery, few studies have assessed the role of therapist‐guided, manual‐based CBT for OCD delivered in real‐time via videoconferencing methods. The present study sought to fill this gap by comparing in‐person and online delivery of group‐based CBT for the treatment of OCD. A convenience sample of participants with moderate to severe OCD (n = 144) were recruited from a naturalistic database from two large OCD specialty assessment and treatment centres. Patients received group‐based CBT that was provided in‐person (pre‐COVID‐19 pandemic; March 2018 to March 2020) or online via videoconferencing (during the COVID‐19 pandemic; March 2020 to April 2021). In both delivery methods, treatment consisted of 2‐h weekly sessions led by trained clinicians. Analyses revealed that, regardless of treatment modality, both in‐person and online groups demonstrated significant, reliable, and statistically equivalent improvements in OCD symptoms post‐treatment. Videoconferenced, clinician‐led CBT may be a promising alternative to in‐person delivery for those with moderate to severe OCD symptoms.

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Transitioning to virtual programming amidst COVID-19 outbreak

Cited by 28 publications

References 31 publications

Barriers, benefits and interventions for improving the delivery of telemental health services during the coronavirus disease 2019 pandemic: a systematic review

Barriers, benefits and interventions for improving the delivery of telemental health services during the coronavirus disease 2019 pandemic: a systematic review

Adaptation of contingency management for stimulant use disorder during the COVID-19 pandemic

Online versus in‐person delivery of cognitive behaviour therapy for obsessive compulsive disorder: An examination of effectiveness

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