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Kankam PK, Adinkrah BK. College of education students' attitude towards the use of online information dissemination tools for counseling in Ghana. Heliyon 2023; 9:e18833. [PMID: 37576312 PMCID: PMC10415885 DOI: 10.1016/j.heliyon.2023.e18833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 07/07/2023] [Accepted: 07/31/2023] [Indexed: 08/15/2023] Open
Abstract
Online counseling is widely regarded as a cost-effective and convenient means to provide basic counseling services, and it is increasingly being used in university treatment. However, it is unclear what amount of information and attitude students have about online counseling in colleges of education. This study looked at students' views toward and likelihood of using online counseling towards help information seeking and dissemination to see if it has the potential to increase overall service consumption. A survey was conducted and responded to by 411 students from two Ghanaian colleges of education and based on the Theory of Planned Behaviour, students' attitudes and intentions to use online counseling were investigated. The paucity of online counseling systems in the colleges of education is shown in the study, yet 94% of participants said they would use online counseling services if given the opportunity. Based on these findings, it is recommended that providing online counseling in parallel to face-to-face counseling could be an effective strategy for counseling units in colleges of education to boost service delivery and so better serve their students.
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MacKean M, Lecchi T, Mortimer R, Midgley N. ‘I’ve started my journey to coping better’: exploring adolescents’ journeys through an internet-based psychodynamic therapy (I-PDT) for depression. JOURNAL OF CHILD PSYCHOTHERAPY 2023. [DOI: 10.1080/0075417x.2023.2173271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
Affiliation(s)
- Molly MacKean
- The Anna Freud Centre for Children and Families, London, UK
| | - Tanya Lecchi
- The Anna Freud Centre for Children and Families, London, UK
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - Rose Mortimer
- The Anna Freud Centre for Children and Families, London, UK
| | - Nick Midgley
- The Anna Freud Centre for Children and Families, London, UK
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
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Eckert M, Efe Z, Guenthner L, Baldofski S, Kuehne K, Wundrack R, Thomas J, Saee S, Kohls E, Rummel-Kluge C. Acceptability and feasibility of a messenger-based psychological chat counselling service for children and young adults ("krisenchat"): A cross-sectional study. Internet Interv 2022; 27:100508. [PMID: 35242589 PMCID: PMC8857586 DOI: 10.1016/j.invent.2022.100508] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Revised: 02/07/2022] [Accepted: 02/10/2022] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Adolescence represents a vulnerable period to experience personal crises or mental health problems. However, many concerns stay unnoticed due to the hesitance of young people to seek help and the unavailability and inaccessibility of appropriate help services. Contemporary interventions have been developed incorporating with target group specific needs and preferred modes of communication. krisenchat (German for "crisis chat") is a German low-threshold chat-based psychosocial crisis counselling service that is available around-the-clock. Despite the growing number of online support services, there is a dearth of research regarding the acceptability, usability, and feasibility. METHODS The present cross-sectional study analyzed retrospective anonymous data on sociodemographic variables, utilization behavior, and user satisfaction of all krisenchat users between May 2020 and July 2021. Predictors of user satisfaction were identified using exploratory multiple regression analysis. Subgroup analyses were conducted using chi-square-tests to identify differences in user satisfaction. RESULTS Data of N = 6962 users was included in the analysis. More than 50% of those reported not having contacted the professional health care system before. The mean user of krisenchat was 17 years old (M = 16.6, SD = 3.5), female (female: 83.4%, male: 14.7%, diverse: 1.8%), and first approached the service at 4 PM (M = 4:03 PM, SD = 5:44 h). More than 60% of the users contacted the service between 4 PM and 12 AM, 10% even between 12 AM and 8 AM. The most frequent chat topics were concerns regarding psychiatric symptoms (60.1%), psychosocial (34.0%) or emotional distress (30.2%). The majority of the users (64.7%) reported high levels of satisfaction and 88.3% a high likelihood (60% or more) of recommending krisenchat to others. Also, the results indicate that the number of messages and their respective length differed between users and counsellors, with users writing several, but shorter messages and counsellors replying with fewer, but longer messages. CONCLUSION The results of the present study imply a high acceptability and feasibility of krisenchat. Overall, there is a high need for a 24/7 messenger-based chat counselling service in crises for children and young adults. Currently, there is no other online service for youth that is available after 7 PM or at weekends, which indicates the great importance of krisenchat and its function to bridge a current gap in the mental health care system. A need for further research emerges e.g., for subgroup differences regarding utilization patterns and also for further insights regarding help-seeking behavior via social media in youth. STUDY REGISTRATION DRKS00026671.
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Affiliation(s)
- Melanie Eckert
- Krisenchat gGmbH, Berlin, Germany,Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany
| | - Zeki Efe
- Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany
| | - Lukas Guenthner
- Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany
| | - Sabrina Baldofski
- Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany
| | - Katharina Kuehne
- Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany
| | - Richard Wundrack
- Krisenchat gGmbH, Berlin, Germany,Department of Psychology, Chair of Personality Psychology, Humboldt University zu Berlin, Germany
| | | | | | - Elisabeth Kohls
- Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany,Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig, Germany
| | - Christine Rummel-Kluge
- Department of Psychiatry and Psychotherapy, Medical Faculty, Leipzig University, Leipzig, Germany,Department of Psychiatry and Psychotherapy, University Leipzig Medical Center, Leipzig, Germany,Corresponding author at: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Semmelweisstr 10, Haus 13, 04103 Leipzig, Germany.
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Metsäranta K, Anttila M, Pajamäki T, Holappa H, Välimäki M. Web messaging among young people in online services: A descriptive mixed-methods study. Digit Health 2022; 8:20552076221092534. [PMID: 35433021 PMCID: PMC9008865 DOI: 10.1177/20552076221092534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 03/18/2022] [Indexed: 11/23/2022] Open
Abstract
Objective To describe web messaging patterns and the content of web messages among
young people in a Finnish national online service. Methods A descriptive mixed-method was used. The data consisted of text-based web
messaging communication between young people and a counsellor in a
nationwide online service between 1 January and 31 December 2018. Web
messaging patterns were analysed using descriptive statistics. The content
of the messages was analysed with thematic analysis and qualitative results
were presented. In addition, the factors associated with messaging patterns
and content were analysed. Results A total of 1941 messages were sent by 1354 young people. Most of them were
between 12 and 17 years old and females. Less than one-fifth of young people
had multiple two-way discussions with counsellor. The total period of
two-way discussions and the number of words in each message varied widely.
The number of words was lower in messages sent by males. The content of the
messages was divided into three main themes: interpersonal relationships and
environment (Social relationships), oneself (Construction of self), and
health-related problems and support received from professionals (Health and
wellbeing). The young people’s messages mostly contained topics related to
the main theme of ‘Social environment’. Conclusion Most young people sent one message only. Messages ranged from simple, single
messages to complex texts describing the daily life of young people. Girls
were more active in messaging, and they wrote longer texts.
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Affiliation(s)
- Kiki Metsäranta
- Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland
- Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Minna Anttila
- Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland
| | - Tatjana Pajamäki
- Child and Youth Phone and Online Services, Mannerheim League for Child Welfare (MLL), Helsinki, Finland
| | - Heidi Holappa
- Child and Youth Phone and Online Services, Mannerheim League for Child Welfare (MLL), Helsinki, Finland
| | - Maritta Välimäki
- Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland
- Xiangya School of Nursing, Central South University, Changsha, Hunan, China
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Nasier B, Gibson K, Trnka S. “PM me” or “LOL”: Young peoples’ observations of supportive and unsympathetic responses to distress on social media. COMPUTERS IN HUMAN BEHAVIOR 2021. [DOI: 10.1016/j.chb.2021.106933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Mathieu SL, Uddin R, Brady M, Batchelor S, Ross V, Spence SH, Watling D, Kõlves K. Systematic Review: The State of Research Into Youth Helplines. J Am Acad Child Adolesc Psychiatry 2021; 60:1190-1233. [PMID: 33383161 DOI: 10.1016/j.jaac.2020.12.028] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 11/03/2020] [Accepted: 12/22/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Helplines are generally a population-level resource for providing free, timely, easy-to-access, and anonymous counseling and/or information. Helplines have been developed and widely implemented for specific use by young people. The current study aimed to systematically review the literature to determine the status of research into the use of helplines among young people. METHOD Following the PRISMA checklist, 5 electronic databases were searched using relevant terms for literature published until May 2020. The extracted studies were summarized with the intention of identifying key themes that highlighted common findings, key implications, and important gaps in understanding. RESULTS A total of 52 articles fitting study inclusion criteria were identified. Most studies were quantitative papers from the United States and Australia. The types of helpline interactions studied were a mixture of telephone-based and SMS/text-based interactions. Three major themes were identified: awareness of and engagement with helpline services, nature of problems faced by young people, and service-related factors. Subthemes were use and awareness, barriers to help seeking, psychosocial problems, suicidality, telephone- versus text-based interactions, counselor-caller interaction, and provision of services to historically and systemically marginalized groups. CONCLUSION It appears that helplines may provide a beneficial service to youths, and that myriad psychosocial concerns provide the basis for calling. The literature is limited by a lack of controlled trials, on one hand, and complex methodological/ethical barriers preventing such trials, on the other hand. However, more research is needed before conclusions regarding effectiveness in youths can be made, particularly for services provided to systemically marginalized groups and using online text-based approaches.
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Affiliation(s)
- Sharna L Mathieu
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia
| | - Riaz Uddin
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia; School of Exercise and Nutrition Science, Deakin University, Geelong, Australia
| | - Morgan Brady
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia
| | | | - Victoria Ross
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia
| | - Susan H Spence
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia
| | - David Watling
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia
| | - Kairi Kõlves
- Australian Institute for Suicide Research and Prevention, Griffith University, Brisbane, Australia.
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7
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Mobile social networking sites for emotional support: Moderating effect of gender. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02108-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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8
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La Sala L, Teh Z, Lamblin M, Rajaram G, Rice S, Hill NTM, Thorn P, Krysinska K, Robinson J. Can a social media intervention improve online communication about suicide? A feasibility study examining the acceptability and potential impact of the #chatsafe campaign. PLoS One 2021; 16:e0253278. [PMID: 34129610 PMCID: PMC8205132 DOI: 10.1371/journal.pone.0253278] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 06/01/2021] [Indexed: 11/19/2022] Open
Abstract
There is a need for effective and youth-friendly approaches to suicide prevention, and social media presents a unique opportunity to reach young people. Although there is some evidence to support the delivery of population-wide suicide prevention campaigns, little is known about their capacity to change behaviour, particularly among young people and in the context of social media. Even less is known about the safety and feasibility of using social media for the purpose of suicide prevention. Based on the #chatsafe guidelines, this study examines the acceptability, safety and feasibility of a co-designed social media campaign. It also examines its impact on young people's willingness to intervene against suicide and their perceived self-efficacy, confidence and safety when communicating on social media platforms about suicide. A sample of 189 young people aged 16-25 years completed three questionnaires across a 20-week period (4 weeks pre-intervention, immediately post-intervention, and at 4-week follow up). The intervention took the form of a 12-week social media campaign delivered to participants via direct message. Participants reported finding the intervention acceptable and they also reported improvements in their willingness to intervene against suicide, and their perceived self-efficacy, confidence and safety when communicating on social media about suicide. Findings from this study present a promising picture for the acceptability and potential impact of a universal suicide prevention campaign delivered through social media, and suggest that it can be safe to utilize social media for the purpose of suicide prevention.
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Affiliation(s)
- Louise La Sala
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Zoe Teh
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Michelle Lamblin
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Gowri Rajaram
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Simon Rice
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Nicole T. M. Hill
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
- Telethon Kids Institute, Perth, Western Australia, Australia
| | - Pinar Thorn
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
| | - Karolina Krysinska
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
- Centre for Mental Health, The Melbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia
| | - Jo Robinson
- Orygen, Parkville, Victoria, Australia
- Centre for Youth Mental Health, The University of Melbourne, Parkville, Victoria, Australia
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Khan S, Shapka JD, Domene JF. Counsellors’ experiences of online therapy. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2021. [DOI: 10.1080/03069885.2021.1885009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Shereen Khan
- Health and Counselling Services, Simon Fraser University, Burnaby, Canada
| | - Jennifer D. Shapka
- Department of Educational and Counselling Psychology, and Special Education, University of British Columbia, Vancouver, Canada
| | - Jose F. Domene
- Werlund School of Education, University of Calgary, Calgary, Canada
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10
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Barker GG, Barker EE. Online therapy: lessons learned from the COVID-19 health crisis. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2021. [DOI: 10.1080/03069885.2021.1889462] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Gina G. Barker
- School of Behavioral Sciences, Liberty University, Lynchburg, VA, USA
| | - Edgar E. Barker
- School of Behavioral Sciences, Liberty University, Lynchburg, VA, USA
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Dhesi M, Sefi A, Donati M, Hayes J, Cooper M. Helpful and unhelpful elements of synchronous text‐based therapy: A thematic analysis. COUNSELLING & PSYCHOTHERAPY RESEARCH 2021. [DOI: 10.1002/capr.12414] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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12
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Araten-Bergman T, Shpigelman CN. Staying connected during COVID-19: Family engagement with adults with developmental disabilities in supported accommodation. RESEARCH IN DEVELOPMENTAL DISABILITIES 2021; 108:103812. [PMID: 33202349 DOI: 10.1016/j.ridd.2020.103812] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 11/03/2020] [Accepted: 11/05/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Enduring family engagement and informal support is crucial to the health and well-being of adults with developmental disabilities (DD) residing in supported accommodation. The COVID-19 pandemic and restrictive measures enforced in residential settings have resulted in changes in daily routine and modified the ways families can interact with and provide support to residents. Yet, the impact of these changes has not been empirically explored. AIM Explore how family caregivers have interacted with and supported their relatives with DD residing in supported accommodation during the pandemic. METHODS Changes in frequencies of communication modes and types of informal support were measured through a cross-sectional and anonymous online survey which completed by 108 family caregivers of adults with DD. RESULTS Most family caregivers adopted remote communication technologies; however, these were not perceived to be effective in filling the gap created by reduced face-to-face contact. While families were able to provide emotional support and advocacy using digital technologies, they were limited in their ability to provide significant social support. CONCLUSIONS Findings may help key stakeholders develop and implement novel strategies and policies to accommodate the changing circumstances and to ensure continuity of family engagement and informal support in the context of COVID-19.
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Affiliation(s)
- Tal Araten-Bergman
- Social Work and Social Policy, School of Allied Health, Human Services and Sport, and Living with Disability Research Centre, La Trobe University, Melbourne, Australia
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Harrison L, Wright J. The experiences of person-centred counsellors working with suicidal clients online through the medium of text. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2020. [DOI: 10.1080/03069885.2020.1742873] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Liz Harrison
- Helpline and Online Services, Safeline, Warwick, UK
| | - Jeannie Wright
- Department of Counselling, University of Malta, Msdia, Malta
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Navarro P, Sheffield J, Edirippulige S, Bambling M. Exploring Mental Health Professionals' Perspectives of Text-Based Online Counseling Effectiveness With Young People: Mixed Methods Pilot Study. JMIR Ment Health 2020; 7:e15564. [PMID: 32012097 PMCID: PMC7016626 DOI: 10.2196/15564] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 10/08/2019] [Accepted: 11/19/2019] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND Population-based studies show that the risk of mental ill health is highest among young people aged 10 to 24 years, who are also the least likely to seek professional treatment because of a number of barriers. Electronic mental (e-mental) health services have been advocated as a method for decreasing these barriers for young people, among which text-based online counseling (TBOC) is a primary intervention used at many youth-oriented services. Although TBOC has shown promising results, its outcome variance is greater in comparison with other electronic interventions and adult user groups. OBJECTIVE This pilot study aimed to explore and confirm e-mental health professional's perspectives about various domains and themes related to young service users' (YSUs) motivations for accessing TBOC services and factors related to higher and lower effectiveness on these modalities. METHODS Participants were 9 e-mental health professionals who were interviewed individually and in focus groups using a semistructured interview. Thematic analysis of qualitative themes from interview transcripts was examined across the areas of YSU motivations for access and factors that increase and decrease TBOC effectiveness. RESULTS A total of 4 domains and various subthemes were confirmed and identified to be related to YSUs' characteristics, motivations for accessing TBOC, and moderators of service effectiveness: user characteristics (ie, prior negative help-seeking experience, mental health syndrome, limited social support, and perceived social difficulties), selection factors (ie, safety, avoidance motivation, accessibility, and expectation), and factors perceived to increase effectiveness (ie, general therapeutic benefits, positive service-modality factors, and persisting with counseling despite substantial benefit) and decrease effectiveness (ie, negative service-modality factors). CONCLUSIONS Participants perceived YSUs to have polarized expectations of TBOC effectiveness and be motivated by service accessibility and safety, in response to several help-seeking concerns. Factors increasing TBOC effectiveness were using text-based communication, the online counselor's interpersonal skills and use of self-management and crisis-support strategies, and working with less complex presenting problems or facilitating access to more intensive support. Factors decreasing TBOC effectiveness were working with more complex problems owing to challenges with assessment, the slow pace of text communication, lack of nonverbal conversational cues, and environmental and connectivity issues. Other factors were using ineffective techniques (eg, poor goal setting, focusing, and postcounseling direction) that produced only short-term outcomes, poor timeliness in responding to service requests, rupture in rapport from managing service boundaries, and low YSU readiness and motivation.
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Affiliation(s)
- Pablo Navarro
- Kids Helpline, yourtown, Brisbane, Australia
- School of Psychology, University of Queensland, Brisbane, Australia
| | - Jeanie Sheffield
- Centre for Online Health, University of Queensland, St Lucia, Brisbane, Australia
| | - Sisira Edirippulige
- Centre for Online Health, University of Queensland, St Lucia, Brisbane, Australia
| | - Matthew Bambling
- Central School of Medicine, Royal Brisbane and Women's Hospital, The University of Queensland, Brisbane, Australia
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15
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Kysely A, Bishop B, Kane R, Cheng M, De Palma M, Rooney R. Expectations and Experiences of Couples Receiving Therapy Through Videoconferencing: A Qualitative Study. Front Psychol 2020; 10:2992. [PMID: 32038380 PMCID: PMC6985577 DOI: 10.3389/fpsyg.2019.02992] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Accepted: 12/17/2019] [Indexed: 11/29/2022] Open
Abstract
Videoconferencing is an emerging medium through which psychological therapy, including relationship interventions for couples, can be delivered. Understanding clients’ expectations and experiences of receiving therapy through this medium is important for optimizing future delivery. This study used a qualitative methodology to explore the expectations and experiences of couples throughout the process of the Couple CARE program, which was delivered through videoconferencing. Fifteen couples participated in semi-structured interviews during the first and last sessions of the intervention. The interviews were conducted using the iChat program, with the therapist conducting the first interview and an external interviewer conducting the second. Thematic analysis was used to identify themes from the interview transcripts. Five themes were identified from the pre-therapy interviews, reflecting couples’ initial impressions and expectations: new experience, comparison, practical aspects, connection and dynamics, and distance and space. Couples’ experiences were explored in the eight themes from the post-therapy interviews: technicalities, the idea of “distance,” satisfaction and comfort, confidentiality, comparisons, new experience, expectations change, and working alliance. Overall, the present study found that couples experienced a positive shift in expectations. Despite some initial concerns regarding the therapist’s ability to empathize over a screen and the potential for the technology to break down, many clients noted that videoconferencing allowed them to become fully immersed in the therapeutic process. In fact, many couples felt that videoconferencing created an element of ‘distance’ from the therapist that allowed them to feel a greater sense of control and comfort. Couples consistently described being able to effectively connect with the therapist, and that the video actually enhanced the therapeutic alliance, due to a greater perceived focus on therapy processes. Overall, despite some initial concerns, the majority of couples found the videoconferencing experience to be beneficial and positive.
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Affiliation(s)
- Andrea Kysely
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Brian Bishop
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Robert Kane
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Maryanne Cheng
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Mia De Palma
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Rosanna Rooney
- School of Psychology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
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Gibson K, Trnka S. Young people's priorities for support on social media: “It takes trust to talk about these issues”. COMPUTERS IN HUMAN BEHAVIOR 2020. [DOI: 10.1016/j.chb.2019.08.030] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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17
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Navarro P, Bambling M, Sheffield J, Edirippulige S. Exploring Young People's Perceptions of the Effectiveness of Text-Based Online Counseling: Mixed Methods Pilot Study. JMIR Ment Health 2019; 6:e13152. [PMID: 31271149 PMCID: PMC6636236 DOI: 10.2196/13152] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 05/17/2019] [Accepted: 06/04/2019] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Young people aged 10-24 years are at the highest risk for mental health problems and are the least likely to seek professional treatment. Owing to this population's high consumption of internet content, electronic mental (e-mental) health services have increased globally, with an aim to address barriers to treatment. Many of these services use text-based online counseling (TBOC), which shows promising results in supporting young people but also greater variance in outcomes compared with adult comparators. OBJECTIVE This pilot study qualitatively explored the characteristics of users aged 15-25 years accessing TBOC services, their motivations for access, and their perceptions about factors believed to influence the effectiveness of these modalities. METHODS E-surveys were administered naturalistically to 100 young service users aged 15-25 years who accessed webchat and email counseling services via an Australian e-mental health service. Thematic analysis of qualitative themes and quantitative descriptive and proportional data presented in electronic surveys were examined across the areas of user characteristics, motivations for selecting TBOC modalities, and their perceptions of TBOC effectiveness. RESULTS Participants were predominately female high school students of Caucasian or European descent from middle socioeconomic status, living with their parents in major cities. Four domains and various themes and subthemes were related to participants' reasons for accessing TBOC and perceptions of its effectiveness: user characteristics (ie, physical and mental health syndrome and perceived social difficulties), selection factors (ie, safety, avoidance motivation, accessibility, and expectation), factors perceived to increase effectiveness (ie, general therapeutic benefits, positive modality and service factors, and persisting with counseling to increase benefit), and factors perceived to decrease effectiveness (ie, negative modality and service factors, and persisting with counseling despite benefit). CONCLUSIONS Participants were motivated to use TBOC to increase their sense of safety in response to negative perceptions of their social skills and the response of the online counsellor to their presenting problem. By using TBOC services, they also sought to improve their access to mental health services that better met their expectations. Factors that increased effectiveness of TBOC were the counsellor's interpersonal skills, use of text-based communication, and persisting with beneficial counseling sessions. Factors that reduced TBOC effectiveness were poor timeliness in response to service requests, experiencing no change in their presenting problem, not knowing what postcounseling action to take, and persisting with ineffective counseling sessions.
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Affiliation(s)
- Pablo Navarro
- School of Psychology, The University of Queensland, Brisbane, Australia
- Kids Helpline, Yourtown, Brisbane, Australia
| | - Matthew Bambling
- Central School of Medicine, Royal Brisbane and Women's Hospital, The University of Queensland, Brisbane, Australia
| | - Jeanie Sheffield
- School of Psychology, The University of Queensland, Brisbane, Australia
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Enhancing the Delivery of an Empirically-Supported Trauma-Focused Treatment for Adolescents: Providers' Views of the Role of Technology and Web-Based Resources. ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH 2019; 45:575-586. [PMID: 29305776 DOI: 10.1007/s10488-017-0846-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This mixed-methods study assessed providers' views of the use of technology in the delivery of an empirically supported mental health treatment for adolescents (Trauma-Focused Cognitive Behavioral Therapy; TF-CBT). Thematic qualitative interviews were conducted with nine experienced providers. Emerging themes served as the basis for the creation of a quantitative web-based survey, completed by 56 TF-CBT experts, to assess the perceived helpfulness of the recommendations. Technology was perceived as a useful, appealing, and familiar tool that could greatly enhance the delivery of this treatment modality with adolescents. Main recommendations included the creation of a mobile application targeting all of the treatment components and a website with developmentally appropriate resources for providers, caregivers, and teens. Technology may be a useful tool for enhancing service delivery and promoting engagement among youth receiving trauma-focused mental health treatment.
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van der Tier M, Potting M, Hermans K. Stimulating the problem-solving abilities of users in an online environment. A study of a Dutch online social casework intervention. HEALTH & SOCIAL CARE IN THE COMMUNITY 2018; 26:988-994. [PMID: 30062754 DOI: 10.1111/hsc.12632] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 06/25/2018] [Accepted: 07/05/2018] [Indexed: 06/08/2023]
Abstract
Despite the growing interest of users in online services, social workers are still reluctant to offer their services in an online environment. Moreover, little is known about online working methods and their contribution to an effective online session. This paper reports on the findings of a Dutch case study of the online intervention "Clickforhelp". The first aim of this paper is to explore whether social workers believe that they are able to stimulate the problem-solving abilities of the users in an online working environment. The analysis pertaining to this question was based on the results of a qualitative online survey completed by 26 online social workers. The second aim is to examine how social workers implement the five essential components of a solution-focused approach in a chat and email environment. A qualitative content analysis of 50 online cases was carried out based on analytical questions derived from the problem-solving method. The findings illustrate that the social workers of "Clickforhelp" believe that they are able to stimulate the problem-solving abilities of users in an online environment, but prefer a face-to-face setting. They rarely implement all five components of a solution-focused approach. They predominantly stimulate the self-esteem and the power position of the user, while relatively little attention is given to the strengths of the user and the social support system. Neither do they translate the problem-solving process into concrete and achievable steps or evaluate the progress and the user's experience. It is necessary to further develop knowledge relating to online working skills and methods.
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Affiliation(s)
- Michelle van der Tier
- Centre for Sociological Research, KU Leuven, Leuven, Belgium
- Research Centre Social integration, Zuyd University of Applied Sciences, Sittard, The Netherlands
| | - Marianne Potting
- Research Centre Social integration, Zuyd University of Applied Sciences, Sittard, The Netherlands
| | - Koen Hermans
- Centre for Sociological Research, KU Leuven, Leuven, Belgium
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Savic M, Dilkes-Frayne E, Carter A, Kokanovic R, Manning V, Rodda SN, Lubman DI. Making multiple ‘online counsellings’ through policy and practice: an evidence-making intervention approach. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2018; 53:73-82. [DOI: 10.1016/j.drugpo.2017.12.008] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2017] [Revised: 12/06/2017] [Accepted: 12/08/2017] [Indexed: 11/30/2022]
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Paterson S, Laajala T, Lehtelä PL. Counsellor students’ conceptions of online counselling in Scotland and Finland. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2017. [DOI: 10.1080/03069885.2017.1383357] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- S.M. Paterson
- School of Education, University of Aberdeen, Aberdeen, Scotland
- School of Vocational Teacher Education, University of Oulu Applied Sciences, Oulu, Finland
| | - T. Laajala
- School of Education, University of Aberdeen, Aberdeen, Scotland
- School of Vocational Teacher Education, University of Oulu Applied Sciences, Oulu, Finland
| | - P.-L. Lehtelä
- School of Education, University of Aberdeen, Aberdeen, Scotland
- School of Vocational Teacher Education, University of Oulu Applied Sciences, Oulu, Finland
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22
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Wilson SR, Rodda S, Lubman DI, Manning V, Yap MB. How online counselling can support partners of individuals with problem alcohol or other drug use. J Subst Abuse Treat 2017; 78:56-62. [DOI: 10.1016/j.jsat.2017.04.009] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2016] [Revised: 03/08/2017] [Indexed: 11/28/2022]
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Hetrick SE, Goodall J, Yuen HP, Davey CG, Parker AG, Robinson J, Rickwood DJ, McRoberts A, Sanci L, Gunn J, Rice S, Simmons MB. Comprehensive Online Self-Monitoring to Support Clinicians Manage Risk of Suicide in Youth Depression. CRISIS 2016; 38:147-157. [PMID: 27659516 DOI: 10.1027/0227-5910/a000422] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
BACKGROUND Routine monitoring of depression symptoms and suicide risk is essential for appropriate treatment planning and risk management, but not well implemented by clinicians. We developed a brief online monitoring tool to address this issue. AIMS To investigate whether the online tool can feasibly improve monitoring; whether it is acceptable and useful for young people and their clinicians; and to determine whether a shorter tool could be implemented. METHOD In a naturalistic longitudinal cohort study, 101 young people with depression completed the online tool on a tablet, prior to their consultation. Their results were immediately available to their clinician. Clients and clinicians answered questionnaires about acceptability and usefulness. RESULTS The tool was feasible to implement. Young people and clinicians found the tool acceptable and useful for understanding symptoms and risk. A brief three-item suicidal ideation screening measure correlated well with a validated measure of suicidal ideation. CONCLUSION The online tool facilitates the quick exchange of key information about suicide risk, allowing clinicians to immediately address this. This level of responsiveness is likely to improve treatment outcomes. The brief version allows full integration into clinical practice to support clinicians managing those at risk of suicide.
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Affiliation(s)
- Sarah E Hetrick
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
| | - Joanne Goodall
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
| | - Hok Pan Yuen
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
| | - Christopher G Davey
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.,2 Orygen Youth Health, Melbourne, VIC, Australia
| | - Alexandra G Parker
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
| | - Jo Robinson
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
| | - Debra J Rickwood
- 4 Faculty of Health, University of Canberra, ACT, Australia.,5 headspace National Youth Mental Health Foundation, VIC, Australia
| | - Alison McRoberts
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.,3 headspace, Glenroy, Melbourne, VIC, Australia
| | - Lena Sanci
- 6 Department of General Practice University of Melbourne, VIC, Australia.,7 Young and Well Cooperative Research Centre, Abbotsford, VIC, Australia
| | - Jane Gunn
- 6 Department of General Practice University of Melbourne, VIC, Australia
| | - Simon Rice
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia.,2 Orygen Youth Health, Melbourne, VIC, Australia
| | - Magenta B Simmons
- 1 Orygen, The National Centre of Excellence in Youth Mental Health, Melbourne, VIC, Australia
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Rickwood D, Webb M, Kennedy V, Telford N. Who Are the Young People Choosing Web-based Mental Health Support? Findings From the Implementation of Australia's National Web-based Youth Mental Health Service, eheadspace. JMIR Ment Health 2016; 3:e40. [PMID: 27562729 PMCID: PMC5016625 DOI: 10.2196/mental.5988] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 06/28/2016] [Accepted: 07/13/2016] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The adolescent and early adult years are periods of peak prevalence and incidence for most mental disorders. Despite the rapid expansion of Web-based mental health care, and increasing evidence of its effectiveness, there is little research investigating the characteristics of young people who access Web-based mental health care. headspace, Australia's national youth mental health foundation, is ideally placed to explore differences between young people who seek Web-based mental health care and in-person mental health care as it offers both service modes for young people, and collects corresponding data from each service type. OBJECTIVE The objective of this study was to provide a comprehensive profile of young people seeking Web-based mental health care through eheadspace (the headspace Web-based counseling platform), and to compare this with the profile of those accessing help in-person through a headspace center. METHODS Demographic and clinical presentation data were collected from all eheadspace clients aged 12 to 25 years (the headspace target age range) who received their first counseling session between November 1, 2014 and April 30, 2015 via online chat or email (n=3414). These Web-based clients were compared with all headspace clients aged 12 to 25 who received their first center-based counseling service between October 1, 2014 and March 31, 2015 (n=20,015). RESULTS More eheadspace than headspace center clients were female (78.1% compared with 59.1%), and they tended to be older. A higher percentage of eheadspace clients presented with high or very high levels of psychological distress (86.6% compared with 73.2%), but they were at an earlier stage of illness on other indicators of clinical presentation compared with center clients. CONCLUSIONS The findings of this study suggest that eheadspace is reaching a unique client group who may not otherwise seek help or who might wait longer before seeking help if in-person mental health support was their only option. Web-based support can lead young people to seek help at an earlier stage of illness and appears to be an important component in a stepped continuum of mental health care.
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Affiliation(s)
- Debra Rickwood
- headspace National Youth Mental Health Foundation, Melbourne, Australia
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Högberg KM, Stockelberg D, Sandman L, Broström A, Nyström M. The meaning of web-based communication for support: from the patients' perspective within a hematological healthcare setting. Cancer Nurs 2016; 38:145-54. [PMID: 24831039 DOI: 10.1097/ncc.0000000000000145] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Being critically ill with a hematological disease is a challenge, sometimes causing a need for support in the adjustment to the stressful life situation. By providing Web-based communication for support from a nurse, patients get access to an alternative and untraditional way to communicate their issues. OBJECTIVE The aim was to describe the meaning of using Web-based communication for support from a patient perspective. METHODS A comprehensive randomized pilot study (n = 30) was conducted, allowing 15 patients in the experimental group to have access to the Web-based communication, to evaluate feasibility. Of these 15 participants, 10 were interviewed, focusing on their experiences. An empirical hermeneutical approach was used and the interpretive analysis focused on the meanings. RESULTS Web-based communication for support means a space for patients to have their say, consolidation of a matter, an extended caring relationship, access to individual medical assessment, and an opportunity for emotional processing. The main interpretation indicates that the patient's influence on the communication strengthens according to the asynchronous, faceless, and written communication. The increased, and in some sense constant, access to an individual medical and caring assessment, in turn, implies a feeling of safety. CONCLUSION Web-based communication for support seems to have the potential to enhance patients' participation on their own terms. IMPLICATIONS FOR PRACTICE To achieve the possible advantages of Web-based communication for support, nurses must acquire knowledge about caring writing. It requires respect for the patient and articulated accuracy and attention in the response given.
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Affiliation(s)
- Karin M Högberg
- Author Affiliations: School of Health Sciences, Jönköping University (Drs Högberg and Broström); School of Health Sciences, University of Borås (Ms Högberg, and Drs Sandman and Nyström); Section for Hematology and Coagulation, Department of Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden (Dr Stockelberg)
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Nieuwboer CC, Fukkink RG, Hermanns JM. Single session email consultation for parents: an evaluation of its effect on empowerment. BRITISH JOURNAL OF GUIDANCE & COUNSELLING 2014. [DOI: 10.1080/03069885.2014.929636] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Bassilios B, Pirkis J, King K, Fletcher J, Blashki G, Burgess P. Evaluation of an Australian primary care telephone cognitive behavioural therapy pilot. Aust J Prim Health 2014; 20:62-73. [PMID: 23217591 DOI: 10.1071/py12111] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2012] [Accepted: 10/24/2012] [Indexed: 11/23/2022]
Abstract
A telephone-based cognitive behavioural therapy pilot project was trialled from July 2008 to June 2010, via an Australian Government-funded primary mental health care program. A web-based minimum dataset was used to examine level of uptake, sociodemographic and clinical profile of consumers, precise nature of services delivered, and consumer outcomes. Key informant interviews with 22 project officers and 10 mental health professionals elicited lessons learnt from the implementation of the pilot. Overall, 548 general practitioners referred 908 consumers, who received 6607 sessions (33% via telephone). The sessions were delivered by 180 mental health professionals. Consumers were mainly females with an average age of 37 years and had a diagnosis of depressive and/or anxiety disorders. A combination of telephone and face-to-face sessions of 1h in duration were conducted, delivering behavioural and cognitive interventions, usually with no cost to consumers. Several implementation issues were identified by project officers and mental health professionals. Although face-to-face treatment is preferred by providers and consumers, the option of the telephone modality is valued, particularly for consumers who would not otherwise access psychological services. Evidence in the form of positive consumer outcomes supports the practice of multimodal service delivery.
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Affiliation(s)
- Bridget Bassilios
- Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, University of Melbourne, Vic. 3010, Australia
| | - Jane Pirkis
- Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, University of Melbourne, Vic. 3010, Australia
| | - Kylie King
- Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, University of Melbourne, Vic. 3010, Australia
| | - Justine Fletcher
- Centre for Health Policy, Programs and Economics, Melbourne School of Population Health, University of Melbourne, Vic. 3010, Australia
| | - Grant Blashki
- Nossal Institute for Global Health, University of Melbourne, Vic. 3010, Australia
| | - Philip Burgess
- School of Population Health, Queensland Centre for Mental Health Research, University of Queensland, Level 3 Dawson House, The Park, Wacol, Qld 4076, Australia
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