Abstract

Objective: The SARS-CoV-2 pandemic and related lockdown periods generated an increase in the use of virtual care for mental health (MH). This study aimed to assess patient satisfaction with Telemental Health services (TMH) during first lockdown and factors related to their willingness to continue using this service.
Methods: We conducted a cross-sectional survey of 364 MH outpatients from 9 centers in the Barcelona region (Spain), who received TMH between April 20 and May 22, 2020. We assessed sociodemographic and clinical characteristics, prior experience, and familiarity with technologies and satisfaction with TMH. Willingness to receive TMH after the lockdown was measured separately for telephone and videoconferencing. We performed descriptive statistics and bivariate and multivariate regression models to predict TMH willingness.
Results: From 450 patients contacted, 364 were interviewed. Satisfaction with TMH was high (mean 9.24, standard deviation 0.07); 2.47% preferred only TMH visits after lockdown, 23.08% preferred mostly TMH visits, 50.82% accepted some TMH visits, and 23.63% would prefer in-person consultations. Female patients and those having received TMH during lockdown showed higher odds of willingness to receive TMH in the future, while patients unfamiliar with technologies showed lower odds. Concerning TMH through telephone, willingness was more likely in patients living with more persons. Videoconferencing willingness was more likely for people living with depression.
Conclusions: TMH was well accepted during the first lockdown and patients were willing to maintain it after lockdown. Low familiarity with new technologies is an important barrier to TMH willingness, which needs to be addressed for appropriate implementation going forward.

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REFERENCES

1. Corruble E. A viewpoint from Paris on the covid-19 pandemic: A necessary turn to telepsychiatry. J Clin Psychiatry 2020;81(3):20com13361;
2. Kannarkat JT, Smith NN, McLeod-Bryant SA. Mobilization of telepsychiatry in response to COVID-19—Moving toward 21st century access to care. Adm Policy Ment Health 2020;47(4):489–491;
3. Yellowlees P, Nakagawa K, Pakyurek M, et al. Rapid conversion of an outpatient psychiatric clinic to a 100% virtual telepsychiatry clinic in response to COVID-19. Psychiatr Serv 2020;171(7):749–752;
4. Hilty DM, Ferrer DC, Parish MB, et al. The effectiveness of telemental health: A 2013 review. Telemed J E Health 2013;19(6):444–454;
5. Hubley S, Lynch SB, Schneck C, et al. Review of key telepsychiatry outcomes. World J Psychiatry 2016;6(2):269–282;
6. Schubert NJ, Backman PJ, Bhatla R, et al. Telepsychiatry and patient-provider concordance. Can J Rural Med 2019;24(3):75–82;
7. Mazziotti R, Rutigliano G. Tele-mental health for reaching out to patients in a time of pandemic: Provider survey and meta-analysis of patient satisfaction. JMIR Ment Health 2021;8(7):e26187;
8. Haxhihamza K, Arsova S, Bajraktarov S, et al. Patient satisfaction with use of telemedicine in University Clinic of Psychiatry: Skopje, North Macedonia during COVID-19 pandemic. Telemed J E Health 2021;27(4):464–467;
9. Lal S, Abdel-Baki A, Sujanani S, et al. Perspectives of young adults on receiving telepsychiatry services in an urban early intervention program for first-episode psychosis: A cross-sectional, descriptive survey study. Front Psychiatry 2020;11:117;
10. Almalky AM, Alhaidar FA. Patients' satisfaction with telepsychiatry services at a University Hospital in Riyadh during the COVID-19 pandemic. Cureus 2021;13(8):e17307;
11. Benudis A, Re'em Y, Kanellopoulos D, et al. Patient and provider experiences of telemental health during the COVID-19 pandemic in a New York City academic medical center. Psychiatry Res 2022;311:114496;
12. Hunsinger N, Hammarlund R, Crapanzano K. Mental health appointments in the era of COVID-19: Experiences of patients and providers. Ochsner J 2021;21(4):335–340;
13. Skime MK, Puspitasari AJ, Gentry MT, et al. Patient satisfaction and recommendations for delivering a group-based intensive outpatient program via telemental health during the COVID-19 pandemic: Cross-sectional cohort study. JMIR Ment Health 2022;9(1):e30204;
14. Zapata-Ospina JP, Gil-Luján K, López-Puerta A, et al. Description of a telehealth mental health programme in the framework of the COVID-19 pandemic in Colombia. Rev Colomb Psiquiatr 2022; doi: 10.1016/j.rcp.2022.04.003
15. Sehlo MG, Youssef UM, Elshami MI, et al. Telepsychiatry versus face to face consultation in COVID-19 Era from the patients' perspective. Asian J Psychiatr 2021;59:102641;
16. Colle R, Ait Tayeb AEK, De Larminat D, et al. Telepsychiatry in the post-COVID-19 era: Moving backwards or forwards? Psychother Psychosom 2021;90(1):69–70;
17. Mickey RM, Greenland S. The impact of confounder selection criteria on effect estimation. Am J Epidemiol 1989;129(1):125–137;
18. Antonacci DJ, Bloch RM, Saeed SA, et al. Empirical evidence on the use and effectiveness of telepsychiatry via videoconferencing: Implications for forensic and correctional psychiatry. Behav Sci Law 2008;26(3):253–269;
19. Severe J, Tang R, Horbatch F, et al. Factors influencing patients' initial decisions regarding telepsychiatry participation during the COVID-19 pandemic: Telephone-based survey. JMIR Form Res 2020;4(12):e25469;
20. Lal S, Abdel-Baki A, Lee H. Telepsychiatry services during COVID-19: A cross-sectional survey on the experiences and perspectives of young adults with first-episode psychosis. Early Interv Psychiatry 2023;17(4):368–377;
21. Andersen JA, Rowland B, Gloster E, et al. Telehealth utilization during COVID-19 among people with diagnosed mental health conditions. Telemed J E Health 2022;28(5):743–746;
22. Shih Y-H, Wang J-Y, Chou P-H, et al. The effects of treatment via telemedicine interventions for patients with depression on depressive symptoms and quality of life: A systematic review and meta-ranalysis. Ann Med 2023;55(1):1092–1101;

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cover image Telemedicine and e-Health
Telemedicine and e-Health

History

Published online: 10 April 2024
Accepted: 9 February 2024
Revision received: 9 February 2024
Received: 27 October 2023

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Authors

Affiliations

Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Madrid, Spain.
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública, Madrid, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Consorcio de Investigación Biomédica en Red de Salud Mental, Madrid, Spain.
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Red de Investigación en Actividades Preventivas y Promoción de la Salud, Madrid, Spain.
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain.
Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública, Madrid, Spain.
Care in Long Term Conditions Research Division, King's College London, London, United Kingdom.
Institute of Biomedicina, University of Leon, Leon, Spain.
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain.
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública, Madrid, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain.
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.
Consorcio de Investigación Biomédica en Red de Epidemiología y Salud Pública, Madrid, Spain.
Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona, Barcelona, Spain.

Notes

Address correspondence to: Victor Chavarria, MD, Parc Sanitari Sant Joan de Déu, Camí vell de la Colònia, 08830 Sant Boi de Llobregat, Spain [email protected]

Authors' Contributions

V.C.: Conceptualization, methodology, supervision, writing—original draft, and writing—review and editing. M.R.-V.: Conceptualization, methodology, supervision, and writing—review and editing. J.D.A.: Methodology, data curation, formal analysis, supervision, and writing—review and editing. L.B.H.: Supervision and writing—review and editing. I.M.: Conceptualization, investigation, and methodology. J.A.T.: Supervision, methodology, and writing—review and editing. J.A.C.: Supervision and writing—review and editing. C.P.-S.: Supervision and writing—review and editing. A.L.D.: Conceptualization, investigation, methodology, data curation, formal analysis, supervision, writing—original draft, and writing—review and editing. A.S.-B.: Conceptualization, investigation, methodology, data curation, formal analysis, supervision, and writing—review and editing.

Disclosure Statement

The authors have no conflict of interest to declare.

Funding Information

A.L.D. was supported by a Miguel Servet Fellowship (No. CP21/00062) during part of this study.

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