Online consultations in mental healthcare during the COVID-19 outbreak: An international survey study on professionals' motivations and perceived barriers,Internet Interventions

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Online consultations in mental healthcare during the COVID-19 outbreak: An international survey study on professionals' motivations and perceived barriers
Internet Interventions ( IF 3.6 ) Pub Date : 2021-05-26 , DOI: 10.1016/j.invent.2021.100405
Nele A J De Witte ₁ , Per Carlbring ₂ , Anne Etzelmueller _{3,

4,

5} , Tine Nordgreen ₆ , Maria Karekla ₇ , Lise Haddouk ₈ , Angélique Belmont ₉ , Svein Øverland ₁₀ , Rudy Abi-Habib ₁₁ , Sylvie Bernaerts ₁ , Agostino Brugnera ₁₂ , Angelo Compare ₁₂ , Aranzazu Duque _{13,

14} , David Daniel Ebert ₃ , Jonas Eimontas ₁₅ , Angelos P Kassianos _{7,

16} , João Salgado _{17,

18} , Andreas Schwerdtfeger ₁₉ , Pia Tohme ₁₁ , Eva Van Assche ₁ , Tom Van Daele ₁

Affiliation

Expertise Unit Psychology, Technology & Society, Thomas More University of Applied Sciences, Antwerp, Belgium.
Department of Psychology, Stockholm University, Stockholm, Sweden.
GET.ON Institute/HelloBetter, Hamburg, Germany.
Department of Clinical Psychology, Department of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, Netherlands.
Psychotherapy, Friedrich-Alexander University Erlangen-Nuremberg, Erlangen, Germany.
Haukeland University Hospital, University of Bergen, Bergen, Norway.
Department of Psychology, University of Cyprus, Nicosia, Cyprus.
Department of Psychology, Rouen University, Rouen, France.
Union Professionnelle des Psychologues Cliniciens Francophones et Germanophones, Belgium.
Regional Research Center for Forensic Psychiatry, St. Olavs Hospital, Trondheim, Norway.
Department of Social Sciences, School of Arts and Sciences, Lebanese American University, Beirut, Lebanon.
Department of Human and Social Sciences, University of Bergamo, Bergamo, Italy.
Universidad Internacional de Valencia, Valencia, Spain.
Cibersalud, Mallorca, Spain.
Institute of Psychology, Vilnius University, Vilnius, Lithuania.
Department of Applied Health Research, UCL, London, United Kingdom.
University Institute of Maia - ISMAI, Maia, Portugal.
Center of Psychology at University of Porto - CPUP, Porto, Portugal.
Institute of Psychology, University of Graz, Graz, Austria.

Introduction

While the general uptake of e-mental health interventions remained low over the past years, physical distancing and lockdown measures relating to the COVID-19 pandemic created a need and demand for online consultations in only a matter of weeks.

Objective

This study investigates the uptake of online consultations provided by mental health professionals during lockdown measures in the first wave of the COVID-19 pandemic in the participating countries, with a specific focus on professionals' motivations and perceived barriers regarding online consultations.

Methods

An online survey on the use of online consultations was set up in March 2020. The Unified Theory of Acceptance and Use of Technology (UTAUT) guided the deductive qualitative analysis of the results.

Results

In total, 2082 mental health professionals from Austria, Belgium, Cyprus, France, Germany, Italy, Lebanon, Lithuania, the Netherlands, Norway, Portugal, Spain, and Sweden were included. The results showed a high uptake of online consultations during the COVID-19 pandemic but limited previous training on this topic undergone by mental health professionals. Most professionals reported positive experiences with online consultations, but concerns about the performance of online consultations in a mental health context (e.g., in terms of relational aspects) and practical considerations (e.g., relating to privacy and security of software) appear to be major barriers that hinder implementation.

Conclusions

This study provides an overview of the mental health professionals' actual needs and concerns regarding the use of online consultations in order to highlight areas of possible intervention and allow the implementation of necessary governmental, educational, and instrumental support so that online consultations can become a feasible and stable option in mental healthcare.

中文翻译：

COVID-19 爆发期间精神保健的在线咨询：一项关于专业人员动机和感知障碍的国际调查研究

介绍

尽管过去几年对电子心理健康干预措施的普遍采用率仍然很低，但与 COVID-19 大流行相关的物理距离和封锁措施在短短几周内就产生了对在线咨询的需求。

客观的

本研究调查了参与国在第一波 COVID-19 大流行的封锁措施期间心理健康专业人员提供的在线咨询的接受情况，特别关注专业人员的动机和在线咨询方面的感知障碍。

方法

2020年3月建立了在线咨询使用情况的在线调查。技术接受和使用统一理论（UTAUT）指导结果的演绎定性分析。

结果

共有来自奥地利、比利时、塞浦路斯、法国、德国、意大利、黎巴嫩、立陶宛、荷兰、挪威、葡萄牙、西班牙和瑞典的 2082 名精神卫生专业人员被纳入研究。结果显示，在 COVID-19 大流行期间，在线咨询的普及率很高，但心理健康专业人员此前就该主题进行的培训有限。大多数专业人士报告了在线咨询的积极经验，但对在线咨询在心理健康方面的表现（例如，在关系方面）和实际考虑（例如，与软件的隐私和安全有关）的担忧似乎是主要障碍阻碍实施。