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Seuren LM, Ilomäki S, Dalmaijer E, Shaw SE, Stommel WJP. Communication in Telehealth: A State-of-the-Art Literature Review of Conversation-Analytic Research. RESEARCH ON LANGUAGE AND SOCIAL INTERACTION 2024; 57:73-90. [PMID: 38741749 PMCID: PMC11090155 DOI: 10.1080/08351813.2024.2305045] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 05/16/2024]
Abstract
We provide a state-of-the-art review of research on conversation analysis and telehealth. We conducted a systematic review of the literature, focusing on studies that investigate how technology is procedurally consequential for the interaction. We discerned three key topics: the interactional organization, the therapeutic relationship, and the clinical activities of the encounter. The literature on telehealth is highly heterogeneous, with significant differences between text-based care (e.g., via chat or e-mail) and audio(visual) care (e.g., via telephone or video). We discuss the extent to which remote care can be regarded as a demarcated field for study or whether the medium is merely part of the "context," particularly when investigating hybrid and polymedia forms of care involving multiple technological media.
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Affiliation(s)
- Lucas M. Seuren
- Nuffield Department of Primary Care Health Sciences, University of Oxford, UK
- Institute for Better Health, Trillium Health Partners, Canada
| | | | - Evi Dalmaijer
- Centre for Language Studies, Radboud University, Netherlands
| | - Sara E. Shaw
- Nuffield Department of Primary Care Health Sciences, University of Oxford, UK
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Allen GEK, Masuda A, Griner D, Beecher M, Cline J, Hee C, Ming M. Examining Expectations Among Polynesian Americans About Seeking Psychotherapy. Am J Psychother 2022; 75:154-160. [PMID: 36018598 DOI: 10.1176/appi.psychotherapy.20210031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
OBJECTIVE Research on culturally diverse clients has investigated expectations about psychotherapy and intention to seek counseling. However, few studies have investigated how these factors may be linked to specific client expectations, such as advice-seeking (the client expecting the therapist to give advice) and audience-seeking (the client expecting to lead the sessions) behaviors, particularly for U.S. racial-ethnic minority populations. METHODS This study used a survey to investigate 593 Polynesian Americans' gender and ethnic preferences for therapists, as well as the mediating effects of advice- and audience-seeking behaviors and their associations with intention to seek counseling and expectations about psychotherapy. RESULTS Results indicated that audience-seeking behavior mediated the association between expectations about the psychotherapy process and intention to seek counseling for psychological and interpersonal concerns and between expectations about psychotherapy outcomes and intention to seek counseling for academic concerns. CONCLUSIONS Culturally competent counseling for Polynesian Americans, a fast-growing yet understudied population in the United States, is needed, particularly by psychotherapists working with these individuals. Expectations about the process of therapy, such as audience-seeking behavior, may be important to consider in working with this population.
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Affiliation(s)
- G E Kawika Allen
- Department of Counseling Psychology and Special Education (Allen, Cline), Department of Counseling and Psychological Services (Griner, Beecher), Department of Marriage and Family Therapy (Hee), and Department of Psychology (Ming), Brigham Young University, Provo, Utah; Department of Psychology, University of Hawai'i at Mānoa, Honolulu (Masuda)
| | - Aki Masuda
- Department of Counseling Psychology and Special Education (Allen, Cline), Department of Counseling and Psychological Services (Griner, Beecher), Department of Marriage and Family Therapy (Hee), and Department of Psychology (Ming), Brigham Young University, Provo, Utah; Department of Psychology, University of Hawai'i at Mānoa, Honolulu (Masuda)
| | - Derek Griner
- Department of Counseling Psychology and Special Education (Allen, Cline), Department of Counseling and Psychological Services (Griner, Beecher), Department of Marriage and Family Therapy (Hee), and Department of Psychology (Ming), Brigham Young University, Provo, Utah; Department of Psychology, University of Hawai'i at Mānoa, Honolulu (Masuda)
| | - Mark Beecher
- Department of Counseling Psychology and Special Education (Allen, Cline), Department of Counseling and Psychological Services (Griner, Beecher), Department of Marriage and Family Therapy (Hee), and Department of Psychology (Ming), Brigham Young University, Provo, Utah; Department of Psychology, University of Hawai'i at Mānoa, Honolulu (Masuda)
| | - Jared Cline
- Department of Counseling Psychology and Special Education (Allen, Cline), Department of Counseling and Psychological Services (Griner, Beecher), Department of Marriage and Family Therapy (Hee), and Department of Psychology (Ming), Brigham Young University, Provo, Utah; Department of Psychology, University of Hawai'i at Mānoa, Honolulu (Masuda)
| | - Cameron Hee
- Department of Counseling Psychology and Special Education (Allen, Cline), Department of Counseling and Psychological Services (Griner, Beecher), Department of Marriage and Family Therapy (Hee), and Department of Psychology (Ming), Brigham Young University, Provo, Utah; Department of Psychology, University of Hawai'i at Mānoa, Honolulu (Masuda)
| | - Mason Ming
- Department of Counseling Psychology and Special Education (Allen, Cline), Department of Counseling and Psychological Services (Griner, Beecher), Department of Marriage and Family Therapy (Hee), and Department of Psychology (Ming), Brigham Young University, Provo, Utah; Department of Psychology, University of Hawai'i at Mānoa, Honolulu (Masuda)
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Lee E, Kim M. The effects of a group cognitive behavioral therapy program using video communication for pregnant women with depressed mood in Korea: a pilot study. KOREAN JOURNAL OF WOMEN HEALTH NURSING 2021; 27:337-347. [PMCID: PMC9328645 DOI: 10.4069/kjwhn.2021.11.15] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2021] [Revised: 10/29/2021] [Accepted: 11/15/2021] [Indexed: 11/22/2022] Open
Abstract
Purpose: This study presents the development of a group video communication-based cognitive behavioral therapy (CBT) program for depressed pregnant women. It also provides the results of a preliminary test of its effects on their depression, automatic thoughts, and dysfunctional attitudes. Methods: In this quasi-experimental single-group pre- and posttest design study, 13 pregnant women participated in a 4-week, eight-session group CBT program, based on Beck’s cognitive theory and using video communications from November 23, 2020 to January 30, 2021. Pregnant women between 14 and 32 weeks who were members of an online maternity and parenting community and residing in the cities of Changwon and Gimhae, Korea, were invited to voluntarily participate. Trained nurses led CBT sessions of 3–4 participants per group via video communication. Participants were assessed pre- and postintervention with self-report questionnaires for measurement of depression, automatic thought, and dysfunctional attitude after normality test according to the Shapiro-Wilk test of the variables, the data were analyzed using paired t-test and Pearson correlation coefficients.Results: Depression (t=7.90, p<.001), automatic thoughts (t=4.89, p<.001), and dysfunctional attitudes (t=2.42, p=.032) significantly decreased after the 4-week online program. There were statistically significant correlations among the three variables.Conclusion: This program was found to be effective in reducing depression, automatic thoughts, and dysfunctional attitudes. Above findings suggest that a group CBT program using video communication can be an effective therapeutic modality that helps pregnant women at risk for depression remain free from negative emotions related to depression.
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Affiliation(s)
- Eunjoo Lee
- Department of Nursing, Kyungnam University, Changwon, Korea
| | - Mijung Kim
- Department of Nursing, Masan University, Changwon, Korea
- Corresponding author: Mijung Kim Department of Nursing, Masan University, 2640 Hamma-daero, Naeseo-eup, Masanhoewon-gu, Changwon 51217, Korea Tel: +82-6858-4070 E-mail:
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Poletti B, Tagini S, Brugnera A, Parolin L, Pievani L, Ferrucci R, Compare A, Silani V. Telepsychotherapy: a leaflet for psychotherapists in the age of COVID-19. A review of the evidence. COUNSELLING PSYCHOLOGY QUARTERLY 2020. [DOI: 10.1080/09515070.2020.1769557] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Barbara Poletti
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Laboratory of Neuroscience, Istituto Auxologico Italiano, IRCCS, Milan, Italy
| | - Sofia Tagini
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Laboratory of Neuroscience, Istituto Auxologico Italiano, IRCCS, Milan, Italy
| | - Agostino Brugnera
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Laura Parolin
- Department of Psychology, University Milano Bicocca, Milan, Italy
| | - Luca Pievani
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Roberta Ferrucci
- Aldo Ravelli Center for Neurotechnology and Experimental Brain Therapeutics, Department of Health Sciences International Medical School, University of Milan, Milan, Italy
- ASST Santi Paolo e Carlo, Neurology Clinic III, Milan, Italy
- IRCCS Ca’ Granda Foundation Maggiore Policlinico Hospital, Milan, Italy
| | - Angelo Compare
- Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy
| | - Vincenzo Silani
- Istituto Auxologico Italiano, IRCCS, Department of Neurology and Laboratory of Neuroscience, Istituto Auxologico Italiano, IRCCS, Milan, Italy
- Department of Pathophysiology and Transplantation, “Dino Ferrari” Center, University of Milano, Milan, Italy
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Smart E, Nalder E, Rigby P, King G. Generating Expectations: What Pediatric Rehabilitation Can Learn From Mental Health Literature. Phys Occup Ther Pediatr 2019; 39:217-235. [PMID: 29611777 DOI: 10.1080/01942638.2018.1432007] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
Family-Centered Care (FCC) represents the ideal service delivery approach in pediatric rehabilitation. Nonetheless, implementing FCC as intended in clinical settings continues to be hindered by knowledge gaps. One overlooked gap is our understanding of clients' therapy expectations. This perspective article synthesizes knowledge from the mental health services literature on strategies recommended to service providers for generating transparent and congruent therapy expectations with clients, and applies this knowledge to the pediatric rehabilitation literature, where this topic has been researched significantly less, for the purpose of improving FCC implementation. Dimensions of the Measure of Processes of Care, an assessment tool that measures clients' perceptions of the extent a service is family-centered, inform the organization of therapy expectation-generating strategies: (1) Providing Respectful and Supportive Care (assessing and validating clients' expectations); (2) General and Specific Information (foreshadowing therapy journeys, explaining treatment rationale, and conveying service provider qualifications); (3) Coordinated and Comprehensive Care (socializing clients to roles and reflecting on past socialization); and (4) Enabling and Partnership (applying a negotiation framework and fostering spaces safe to critique). Strategies can help pediatric rehabilitation service providers work with families to reframe unrealistic expectations, establish congruent beliefs supporting effective partnerships, and prevent possible disillusionment with therapy over time.
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Affiliation(s)
- Eric Smart
- a Rehabilitation Sciences Institute, University of Toronto , Toronto , Ontario , Canada.,b Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada
| | - Emily Nalder
- a Rehabilitation Sciences Institute, University of Toronto , Toronto , Ontario , Canada.,c Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada.,d March of Dimes Canada , Toronto , Ontario , Canada
| | - Patty Rigby
- a Rehabilitation Sciences Institute, University of Toronto , Toronto , Ontario , Canada.,c Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada
| | - Gillian King
- a Rehabilitation Sciences Institute, University of Toronto , Toronto , Ontario , Canada.,b Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital , Toronto , Ontario , Canada.,c Department of Occupational Science and Occupational Therapy , University of Toronto , Toronto , Ontario , Canada
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Tuchina OD, Agibalova TV, Shustov DI, Shustova SA, Buzik ОG, Petrosyan YE. [The practical use of placebo effect in psychotherapeutic treatment of patients with substance use disorders: therapeutic and ethic consequences]. Zh Nevrol Psikhiatr Im S S Korsakova 2018; 116:61-68. [PMID: 28300816 DOI: 10.17116/jnevro201611611261-68] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The article discusses therapeutic potential of placebo and nocebo effects in treatment of substance use disorders. The authors review the background of the issue, describe neurobiological and psychological mechanisms of placebo effects and demonstrate their impact on psychotherapy of patients with substance use disorders. Attention is drawn to the clinical and ethical issues of practical use of placebo effects including that in terms of placebo-therapy, indirect suggestion psychotherapy, motivational interventions and cognitive-behavioral psychotherapy, psychotherapy with the use of disulfiram, psychopharmacotherapy with opioid antagonists. The authors conclude that the ethical use of placebo-effects in treatment of substance use disorders may improve its overall efficiency.
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Affiliation(s)
- O D Tuchina
- Peoples' Friendship University of Russia, Moscow, Russia
| | - T V Agibalova
- Peoples' Friendship University of Russia, Moscow, Russia; Serbsky Federal Medical Research Center for Psychiatry and Narcology, Ministry of Health of the Russian Federation, Moscow, Russia
| | - D I Shustov
- Academician Pavlov Ryazan State Medical University, Ryazan, Russia
| | - S A Shustova
- Academician Pavlov Ryazan State Medical University, Ryazan, Russia
| | - О G Buzik
- Peoples' Friendship University of Russia, Moscow, Russia
| | - Yu E Petrosyan
- Peoples' Friendship University of Russia, Moscow, Russia
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Fernández-Álvarez J, Díaz-García A, González-Robles A, Baños R, García-Palacios A, Botella C. Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences. Internet Interv 2017; 10:29-38. [PMID: 30135750 PMCID: PMC6084825 DOI: 10.1016/j.invent.2017.09.001] [Citation(s) in RCA: 37] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Revised: 08/24/2017] [Accepted: 09/13/2017] [Indexed: 12/30/2022] Open
Abstract
INTRODUCTION An important concern in Internet-based treatments (IBTs) for emotional disorders is the high dropout rate from these protocols. Although dropout rates are usually reported in research studies, very few studies qualitatively explore the experiences of patients who drop out of IBTs. Examining the experiences of these clients may help to find ways to tackle this problem. METHOD A Consensual Qualitative Research study was applied in 10 intentionally-selected patients who dropped out of a transdiagnostic IBT. RESULTS 22 categories were identified within 6 domains. Among the clients an undeniable pattern arose regarding the insufficient support due to the absence of a therapist and the lack of specificity of the contents to their own problems. CONCLUSIONS The analyzed content has direct impact on the clinical application of IBTs. A more tailored manage of expectations as well as strategies to enhance the therapeutic relationship in certain clients are identified as the two key elements in order to improve the dropout in IBTs. Going further, in the mid and long run, ideographic interventions would be vital. The present study permits to better grasp the phenomenon of dropout in IBTs and delineate specific implications both in terms of research, training and practice.
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Affiliation(s)
| | | | | | - R. Baños
- Universidad de Valencia, Valencia, Spain
- CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Carlos III, Madrid, Spain
| | - A. García-Palacios
- Universitat Jaume I, Castellón, Spain
- CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Carlos III, Madrid, Spain
| | - C. Botella
- Universitat Jaume I, Castellón, Spain
- CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Carlos III, Madrid, Spain
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Holloway E, Sturrock B, Lamoureux E, Keeffe J, Hegel M, Casten R, Mellor D, Rees G. Can we address depression in vision rehabilitation settings? Professionals' perspectives on the barriers to integrating problem-solving treatment. Disabil Rehabil 2016; 40:287-295. [PMID: 27868437 DOI: 10.1080/09638288.2016.1250172] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
PURPOSE Low vision rehabilitation (LVR) is a pertinent context for integrating early, evidence-based psychological interventions given the high prevalence of untreated depression in adults with vision impairment. This study aims to identify the perceived barriers and facilitators to staff-delivered telephone-based problem-solving treatment for primary care (PST-PC) offered as an integrated component of LVR. METHODS Qualitative semi-structured interviews, developed using the theoretical domains framework (TDF) and Consolidated Framework for Implementation Research (CFIR), were conducted with 21 LVR professionals and a clinical psychologist involved in the delivery of PST-PC. Barriers and facilitators at the practitioner, client, intervention, and organizational level were identified with thematic analysis using a "theoretical" approach. RESULTS Prominent barriers were a lack of role recognition for PST-PC practitioners (n = 32), unmet client expectation with PST-PC (n = 28), dissatisfaction with telephone delivery (n = 27), and limited organizational awareness of PST-PC (n = 39). Facilitating factors included a recognized need for evidence-based psychological services (n = 28), clients experiencing benefits in early sessions (n = 38), PST-PC promoting practical skills (n = 26), and comprehensive PST-PC training (n = 36). CONCLUSIONS PST-PC may provide an accessible early intervention for LVR clients with depressive symptoms. Ongoing practitioner training, clinical support, and screening potential LVR clients for treatment suitability are likely to enhance delivery in this setting. Implications for rehabilitation Depression is highly prevalent in adults engaged in low vision rehabilitation (LVR) programs, yet few receive support. Clinical guidelines recommend integrated models of care be offered within rehabilitation settings as early intervention for mild to moderate levels of depressive symptoms. Integrated telephone-based problem-solving treatment for primary care (PST-PC) delivered by trained LVR practitioners is a practical, skills-based model that has potential to increase access to an early psychological intervention in LVR clients with depressive symptoms. LVR clients are often older in age, have multiple comorbid health conditions and a significant level of functional disability, requiring flexibility in the delivery of PST-PC and specialized staff training, and support in working with older and more complex clients.
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Affiliation(s)
- Edith Holloway
- a Centre for Eye Research Australia , Royal Victorian Eye and Ear Hospital , Melbourne , Australia.,b Ophthalmology, Department of Surgery , University of Melbourne , Melbourne , Australia
| | - Bonnie Sturrock
- a Centre for Eye Research Australia , Royal Victorian Eye and Ear Hospital , Melbourne , Australia.,b Ophthalmology, Department of Surgery , University of Melbourne , Melbourne , Australia
| | - Ecosse Lamoureux
- a Centre for Eye Research Australia , Royal Victorian Eye and Ear Hospital , Melbourne , Australia.,b Ophthalmology, Department of Surgery , University of Melbourne , Melbourne , Australia.,c Singapore Eye Research Institute , National University of Singapore , Singapore.,d Duke-National University of Singapore Medical School , Singapore
| | - Jill Keeffe
- e LV Prasad Eye Institute , Hyderabad , India
| | - Mark Hegel
- f Department of Psychiatry , Dartmouth-Hitchcock Medical Center , Lebanon , NH , USA
| | - Robin Casten
- g Department of Psychiatry and Human Behavior , Thomas Jefferson University , Philadelphia , PA , USA
| | - David Mellor
- h School of Psychology , Deakin University , Melbourne , Australia
| | - Gwyneth Rees
- a Centre for Eye Research Australia , Royal Victorian Eye and Ear Hospital , Melbourne , Australia.,b Ophthalmology, Department of Surgery , University of Melbourne , Melbourne , Australia
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Relationship between Expectation Management and Client Retention in Online Cognitive Behavioural Therapy. Behav Cogn Psychother 2014; 43:732-43. [PMID: 24960277 DOI: 10.1017/s1352465814000241] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Engaging clients from the outset of psychotherapy is important for therapeutic success. However, there is little research evaluating therapists' initial attempts to engage clients in the therapeutic process. This article reports retrospective analysis of data from a trial of online cognitive behavioural therapy (CBT) for depression. Qualitative and quantitative methods were used to evaluate how therapists manage clients' expectations at the outset of therapy and its relationship with client retention in the therapeutic intervention. AIMS To develop a system to codify expectation management in initial sessions of online CBT and evaluate its relationship with retention. METHOD Initial qualitative research using conversation analysis identified three communication practices used by therapists at the start of first sessions: no expectation management, some expectation management, and comprehensive expectation management. These findings were developed into a coding scheme that enabled substantial inter-rater agreement (weighted Kappa = 0.78; 95% CI: 0.52 to 0.94) and was applied to all trial data. RESULTS Adjusting for a range of client variables, primary analysis of data from 147 clients found comprehensive expectation management was associated with clients remaining in therapy for 1.4 sessions longer than those who received no expectation management (95% CI: -0.2 to 3.0). This finding was supported by a sensitivity analysis including an additional 21 clients (1.6 sessions, 95% CI: 0.2 to 3.1). CONCLUSIONS Using a combination of qualitative and quantitative methods, this study suggests a relationship between expectation management and client retention in online CBT for depression, which has implications for professional practice. A larger prospective study would enable a more precise estimate of retention.
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