Adoption of tele health technology in mental and psychiatric services in Lebanon: a quantitative study.

Layal Mohtar, Nabil Badr, Michèle Kosremelli Asmar, Ibrahim Bou-Orm, Fadi T Maalouf, Pierre El Haddad
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Abstract

Background: The rapid adoption of telemedicine during the COVID-19 pandemic showcased its capacity to revolutionize healthcare by augmenting accessibility, decreasing expenses, and improving patient outcomes. This study evaluated Lebanon's preparedness for the implementation of tele-mental health, concentrating on identifying critical factors affecting its adoption by mental health experts.

Methods: A self-administered questionnaire was created and disseminated through email to mental health practitioners in Lebanon. The study employed the Extended Technology Acceptance Model (TAM2) and utilized the Partial Least Squares- Structural Equation Modeling (PLS-SEM) to provide a quantitative analysis of the determinants influencing the adoption of tele-mental health in psychiatric services.

Results: Among the 138 respondents including psychiatrists, psychologists, and mental health nurses, 20% indicated they had never utilized telehealth for mental health services, whereas 54% had employed telehealth prior to the COVID-19 shutdown and expressed a desire to persist with its use. Furthermore, 19% utilized telehealth throughout the lockdown and continued its application, while 8% ceased its usage after the lockdown. The research revealed five primary factors affecting tele-mental health adoption: perceived usefulness, perceived ease of use, perceived risk, subjective norms, and job relevance.

Conclusion: This study highlights the significance of perceived usefulness, ease of use, perceived risk, subjective norm, and job relevance as essential factors influencing the uptake of tele-mental health services. Policymakers, healthcare administrators, and technology developers must concentrate on these criteria to optimize the introduction and sustainability of tele-mental health services in clinical practice, thereby ensuring enhanced mental health care delivery in Lebanon.

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在黎巴嫩的精神和精神病服务中采用远程保健技术:一项定量研究。
背景:在2019冠状病毒病大流行期间,远程医疗的迅速采用显示了其通过增加可及性、降低费用和改善患者预后来彻底改变医疗保健的能力。这项研究评估了黎巴嫩为实施远程心理健康所做的准备工作,重点是确定影响心理健康专家采用远程心理健康的关键因素。方法:制作了一份自我管理的问卷,并通过电子邮件发送给黎巴嫩的精神卫生从业人员。本研究采用扩展技术接受模型(TAM2)和偏最小二乘-结构方程模型(PLS-SEM)对影响远程心理健康在精神科服务中采用的因素进行了定量分析。结果:在包括精神科医生、心理学家和精神卫生护士在内的138名受访者中,20%的人表示他们从未使用过远程医疗进行精神卫生服务,而54%的人在COVID-19关闭之前使用过远程医疗,并表示希望继续使用。此外,19%的人在封锁期间使用远程医疗并继续使用,而8%的人在封锁后停止使用。研究揭示了影响远程心理健康采用的五个主要因素:感知有用性、感知易用性、感知风险、主观规范和工作相关性。结论:本研究强调感知有用性、易用性、感知风险、主观规范和工作相关性是影响远程心理健康服务接受的重要因素。决策者、卫生保健管理人员和技术开发人员必须关注这些标准,以优化临床实践中远程精神卫生服务的引入和可持续性,从而确保加强黎巴嫩的精神卫生保健服务。
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