Patient Experiences With Group Teletherapy for the Treatment of Mental Illness: A Qualitative Study.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES

Psychiatric services Pub Date : 2024-10-29 DOI:10.1176/appi.ps.20240058

Jessica L Sousa, Pushpa Raja, Maya Rabinowitz, Jessica Richard, Andrew Smith, Haiden A Huskamp, Ateev Mehrotra, Alisa B Busch, Lori Uscher-Pines

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引用次数: 0

Abstract

Objective: The authors sought to understand patient experiences with group teletherapy to inform improvements in service delivery.

Methods: From December 2022 to October 2023, semistructured interviews were conducted with 20 adults with depression or bipolar disorder who had received outpatient group teletherapy in the past 2 years. A rapid thematic analysis was conducted by using a matrix to identify patterns and synthesize data. A logic model from the patients' perspective was developed by extracting common themes related to elements of effective group teletherapy.

Results: Telehealth allowed for more empowered engagement in group teletherapy and enabled better access and longitudinal attendance for many patients, compared with in-person group therapy. However, many patients reported a reduced sense of emotional intimacy and connectedness with telehealth, and some reported that technology challenges and distractions contributed to feelings of disconnection. Patients were divided in their modality preferences, but many expressed an interest in receiving at least some of their group therapy sessions by telehealth.

Conclusions: Although group teletherapy has the potential to meet patients' needs and preferences, more work is needed to improve the quality of the experience for patients.

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小组远程疗法治疗精神疾病的患者体验：定性研究。

目的作者试图了解患者对团体远程治疗的体验，为改进服务提供参考：从 2022 年 12 月到 2023 年 10 月，作者对过去两年中接受过门诊团体远程治疗的 20 名抑郁症或躁狂症成人患者进行了半结构化访谈。我们使用矩阵进行了快速主题分析，以确定模式并综合数据。通过提取与有效小组远程治疗要素相关的共同主题，从患者的角度建立了一个逻辑模型：结果：与面对面的团体治疗相比，远程医疗使许多患者更有能力参与团体远程治疗，并能更好地获得和纵向参加治疗。然而，许多患者表示，远程医疗减少了情感上的亲密感和联系感，一些患者表示，技术上的挑战和分心导致了脱节感。患者对治疗方式的偏好存在分歧，但许多患者表示至少有兴趣通过远程医疗接受部分小组治疗：尽管团体远程治疗有可能满足患者的需求和偏好，但还需要做更多的工作来提高患者的体验质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.