Exploring the Future of Mental Health: Telepsychiatry Video Consultations on Mobile Phones Versus Laptops: Findings from a Tertiary Care Center.

IF 2 Q3 PSYCHIATRY
Sivakumar Pt, Donae Elizabeth George, Abhinav Chichra, Raviteja Innamuri, Utkarsh Modi
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引用次数: 0

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic accelerated the utilization of telepsychiatry services across populations. Research on satisfaction with video consultations has yielded mixed results. The utilization of telepsychiatry services in India identifies technological difficulties as a barrier. This study investigates specific access and communication-related factors that affect patient and caregiver satisfaction.

Methods: A cross-sectional observational study was conducted using a newly developed instrument comprising two domains: access-related and communication-related factors. Data was collected from consenting adult patients and caregivers previously engaging in video consultations. The instrument's psychometric properties were examined using Cronbach's alpha, split-half reliability, and factor analysis. Associations were evaluated using appropriate statistical methods.

Results: A total of 78 respondents were included in the analysis. Four subject experts reviewed the instrument's content validity, and the scale's psychometric properties showed an overall Content Validity Index (CVI) of 0.968 and Cronbach's alpha of 0.917. The study showed high satisfaction with telepsychiatry consultation, with differences in scores attributed more to communication-related factors than access-related factors. A multivariate regression analysis revealed that the type of device (laptop better than phone) and age were significantly associated with total satisfaction scores.

Conclusions: The study highlights modifiable factors for telepsychiatry satisfaction using a newly developed instrument with robust initial psychometric properties. Limitations include the possibility of a biased sample population and a modest response rate from respondents. Future directions entail external validation of the satisfaction scale and utilization of the findings to broaden the scope of mental health coverage using telepsychiatry.

探索精神健康的未来:移动电话与笔记本电脑上的远程精神病学视频咨询:来自三级保健中心的发现。
背景:2019冠状病毒病(COVID-19)大流行加速了人群对远程精神病学服务的利用。对视频咨询满意度的研究产生了不同的结果。印度利用远程精神病学服务的情况表明,技术困难是一个障碍。本研究旨在探讨影响病患与照护者满意度的特定通路与沟通相关因素。方法:使用一种新开发的仪器进行横断面观察研究,该仪器包括两个领域:与访问相关的因素和与通信相关的因素。数据收集自先前参与视频咨询的同意成年患者和护理人员。使用Cronbach's alpha、劈半信度和因子分析检验了该仪器的心理测量特性。使用适当的统计方法评估相关性。结果:共有78名受访者被纳入分析。4位被试专家对量表的内容效度进行了评估,量表的心理测量属性总体的内容效度指数(CVI)为0.968,Cronbach’s alpha为0.917。研究显示,人们对远程精神病学咨询的满意度很高,得分的差异更多地归因于与沟通相关的因素,而不是与获取相关的因素。一项多变量回归分析显示,设备类型(笔记本电脑优于手机)和年龄与总满意度得分显著相关。结论:该研究利用一种新开发的具有强大初始心理测量特性的仪器,突出了远程精神病学满意度的可修改因素。局限性包括可能存在有偏差的样本群体和受访者的适度回复率。未来的发展方向是需要对满意度量表进行外部验证,并利用研究结果来扩大远程精神病学的心理健康覆盖范围。
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来源期刊
CiteScore
4.80
自引率
7.10%
发文量
116
审稿时长
12 weeks
期刊介绍: The Indian Journal of Psychological Medicine (ISSN 0253-7176) was started in 1978 as the official publication of the Indian Psychiatric Society South Zonal Branch. The journal allows free access (Open Access) and is published Bimonthly. The Journal includes but is not limited to review articles, original research, opinions, and letters. The Editor and publisher accept no legal responsibility for any opinions, omissions or errors by the authors, nor do they approve of any product advertised within the journal.
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