A cohort study of engagement in telehealth psychotherapy versus in-person services.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL Psychotherapy Research Pub Date : 2024-07-21 DOI:10.1080/10503307.2024.2375231

Mary Beth Connolly Gibbons, Lang Duong, Rachel Y Chiu, Paul Crits-Christoph, Robert Gallop, David Mandell, Olga Barg, Cory F Newman, Lily A Brown, Maria A Oquendo

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Abstract

Objective: Although telehealth psychotherapies have been studied for over 20 years, mental health services remained largely delivered in person until the COVID-19 pandemic forced clinics to reconsider the utility of telehealth psychotherapy. This study aims to compare patient engagement in in-person versus telehealth services in outpatient psychotherapy for mood and anxiety disorders.

Method: A cohort investigation was conducted, using a propensity score matched sample, extracted from an electronic health record (EHR) to compare engagement in psychotherapy for 762 patients who used in-person services before the pandemic to a cohort of 762 patients who used telehealth psychotherapy after the onset of COVID-19. The authors compared cohorts on initial engagement in psychotherapy services following an initial intake, number of psychotherapy sessions attended, and the rate of missed sessions.

Results: There was a 26% increase in the total number of individual psychotherapy sessions attended when the clinics transitioned to telehealth services (p < .001). In addition, patients who received telehealth psychotherapy were five times more likely to not cancel or miss any scheduled sessions (p < .001).

Conclusion: These results indicate that telehealth services may result in improved treatment engagement for outpatient centers focused on brief evidence-based psychotherapies for mood and anxiety disorders.

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一项关于远程心理治疗与面对面服务参与情况的队列研究。

目的：尽管远程心理疗法已被研究了 20 多年，但在 COVID-19 大流行迫使诊所重新考虑远程心理疗法的效用之前，心理健康服务在很大程度上仍然是面对面提供的。本研究旨在比较患者在情绪和焦虑症门诊心理治疗中参与亲诊和远程医疗服务的情况：方法：研究人员使用从电子健康记录（EHR）中提取的倾向得分匹配样本进行了一项队列调查，比较了大流行前使用面对面服务的 762 名患者与 COVID-19 发生后使用远程心理治疗的 762 名患者的心理治疗参与情况。作者比较了各组患者在初次接受心理治疗服务后的初次参与情况、接受心理治疗的次数以及错过治疗的比率：结果：当诊所过渡到远程医疗服务时，接受个人心理治疗的总次数增加了 26%（p p 结论：这些结果表明，远程医疗服务可以帮助患者提高心理健康水平：这些结果表明，远程医疗服务可能会提高门诊中心的治疗参与度，重点是针对情绪和焦虑症的简短循证心理疗法。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.