National Research Council of Canada, Fredericton, New Brunswick, Canada.
J Telemed Telecare. 2011;17(5):263-7. doi: 10.1258/jtt.2011.101011.
We conducted an online survey and interviews amongst mental health workers in Canada who reported experience in working with rural and remote First Nations (although not necessarily telemental health). Sixty-three respondents (of the 164) to the online survey reported experience in working with clients in remote and rural First Nations. Only 16 of the online survey respondents with remote and rural First Nations experience reported having received training in videoconferencing use. When asked how frequently they used videoconferencing with clients, 51% reported never using it, 19% used it once every few months and 10% reported using it a few times a month. Approximately 50% of participants reported finding it useful. Approximately 38% found the technology easy or very easy to use, and 15% found it very difficult. Individual in-depth interviews were also conducted with professionals who had First Nations telemental health experience specifically (n = 5). A quantitative data analysis was used to explore their perceptions of usefulness and ease of use of telemental health, as well as the relationships among these constructs. Advantages, disadvantages and challenges in using the technology were identified from the qualitative data. Promising ways forward include incorporating traditional practices and the Seven Teachings into telemental health services.
我们在加拿大的心理健康工作者中进行了一项在线调查和访谈，他们报告了在与农村和偏远地区的第一民族（尽管不一定是远程心理健康）合作方面的经验。在对在线调查的 164 名受访者中，有 63 名报告了在与偏远和农村第一民族的客户合作方面的经验。只有 16 名有远程和农村第一民族经验的在线调查受访者报告说接受过视频会议使用方面的培训。当被问及他们与客户使用视频会议的频率时，51%的人表示从未使用过，19%的人每隔几个月使用一次，10%的人表示每月使用几次。大约 50%的参与者表示发现它很有用。大约 38%的人发现该技术易于或非常易于使用，而 15%的人发现它非常困难。我们还与专门从事第一民族远程心理健康服务的专业人员进行了个人深入访谈（n=5）。使用定量数据分析了他们对远程心理健康的有用性和易用性的看法，以及这些结构之间的关系。从定性数据中确定了使用该技术的优势、劣势和挑战。有前途的前进方向包括将传统实践和七教融入远程心理健康服务中。
