Non-attendance in randomized remote mental health clinical trial during the COVID-19 pandemic

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2024-11-13 DOI:10.1016/j.jpsychires.2024.11.024

Dayane Santos Martins , Natan Pereira Gosmann , Carolina Blaya Dreher , Giovanni Abrahão Salum , Gisele Gus Manfro

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引用次数: 0

Abstract

During the COVID-19 pandemic, a significant increase in psychiatric symptoms was found among essential service professionals (professionals or interns from the health and educational sector) who were exposed to high-risk contamination areas. These symptoms impair functionality, impacting quality of life, work, autonomy, and relationships. Recent data show that brief interventions are effective; however, between 20 and 30% of those individuals often do not attend their scheduled appointments. This study aimed to identify variables related to non-attendance for remote telepsychotherapy among participants with COVID-19-related emotional distress compared to those who initiated treatment. We included 2097 essential service professionals with PROMIS (Patient-Reported Outcomes Measurement Information System) T-scores ≥70 for anxiety, depression, or irritability who scheduled a remote mental health appointment. Participants completed clinical and sociodemographic data, mental health risk and protective factors, and PROMIS subscales. We conducted a binary logistic regression, using attendance vs. non-attendance as the dependent variable and these demographic and clinical characteristics as independent variables. Of the 2097 participants, 230 (11%) did not attend the first session despite three rescheduling attempts. Non-attendance was associated with the presence of irritability and seeking treatment during the second COVID-19 wave. In contrast, anxious symptoms, older age, and coping mechanisms that typically include intellectual and reading activities were associated with attendance. Our findings shed light on non-attendance patterns in mental health services, revealing that personal characteristics and environmental factors significantly contribute to missed appointments. Understanding these dynamics can improve patient engagement and adherence to mental health treatments, particularly in the context of telepsychotherapy during the COVID-19 pandemic.

查看原文本刊更多论文

在 COVID-19 大流行期间未参加随机远程心理健康临床试验。

在 COVID-19 大流行期间，发现暴露在高风险污染区的基本服务专业人员（卫生和教育部门的专业人员或实习生）的精神症状明显增加。这些症状损害了功能，影响了生活质量、工作、自主性和人际关系。最近的数据显示，简短的干预措施是有效的；但是，这些人中有 20% 到 30% 的人经常不按时赴约。本研究旨在确定与开始治疗的人相比，患有 COVID-19 相关情绪困扰的参与者不参加远程心理治疗的相关变量。我们纳入了 2097 名基本服务专业人员，他们的焦虑、抑郁或易怒症状的 PROMIS（患者报告结果测量信息系统）T 值≥70，并预约了远程心理健康预约。参与者填写了临床和社会人口学数据、心理健康风险和保护因素以及 PROMIS 分量表。我们使用出席与不出席作为因变量，这些人口统计学和临床特征作为自变量，进行了二元逻辑回归。在 2097 名参与者中，有 230 人（占 11%）尽管尝试了三次重新安排时间，但仍未参加第一次治疗。在 COVID-19 第二波中，未参加治疗与易怒和寻求治疗有关。相比之下，焦虑症状、年龄较大以及通常包括智力和阅读活动在内的应对机制则与出席率有关。我们的研究结果揭示了心理健康服务中的失访模式，揭示了个人特征和环境因素对失访的重要影响。了解这些动态因素可以提高患者对心理健康治疗的参与度和依从性，尤其是在 COVID-19 大流行期间的远程心理治疗中。

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;