Tonn Peter, Reuter Silja Christin, Kuchler Isabelle, Reinke Britta, Hinkelmann Lena, Stöckigt Saskia, Siemoneit Hanna, Schulze Nina
Institute of Applied Research in Neuropsychiatry, Neuropsychiatric Center Hamburg-Altona, Hamburg, Germany.
JMIR Ment Health. 2017 Oct 3;4(4):e39. doi: 10.2196/mental.6802.
In the field of psychiatry and psychotherapy, there are now a growing number of Web-based interventions, mobile phone apps, or treatments that are available via remote transmission screen worldwide. Many of these interventions have been shown to be effective in studies but still find little use in everyday therapeutic work. However, it is important that attitude and expectation toward this treatment are generally examined, because these factors have an important effect on the efficacy of the treatment. To measure the general attitude of the users and prescribers toward telemedicine, which may include, for instance, Web-based interventions or interventions through mobile phone apps, there are a small number of extensive tests. The results of studies based on small groups of patients have been published too, but there is no useful short screening tool to give an insight into the general population's attitude. We have developed a screening instrument that examines such attitude through a few graded questions.
This study aimed to explore the Attitude toward Telemedicine in Psychiatry and Psychotherapy (ATiPP) and to evaluate the results of general population and some subgroups.
In a three-step process, the questionnaire, which is available in three versions (laypeople, physicians, and psychologists), was developed. Afterwards, it was evaluated by four groups: population-representative laypeople, outpatients in different faculties, physicians, and psychotherapists.
The results were evaluated from a total of 1554 questionnaires. The sample population included 1000 laypeople, 455 outpatients, 62 physicians, and 37 psychotherapists. The reliability of all three versions of the questionnaire seemed good, as indicated by the Cronbach alpha values of .849 (the laypeople group), .80 (the outpatients' group), .827 (the physicians' group), and .855 (the psychotherapists' group).
The ATiPP was found to be useful and reliable for measuring the attitudes toward the Web-based interventions in psychiatry and psychotherapy and should be used in different studies in this field in the future to evaluate and reflect the attitude of the participants.
在精神病学和心理治疗领域，现在有越来越多基于网络的干预措施、手机应用程序或可通过全球远程传输屏幕获得的治疗方法。这些干预措施中的许多在研究中已被证明是有效的，但在日常治疗工作中仍很少使用。然而，总体上检查对这种治疗的态度和期望很重要，因为这些因素对治疗效果有重要影响。为了衡量用户和开处方者对远程医疗的总体态度，其中可能包括例如基于网络的干预措施或通过手机应用程序的干预措施，有少量广泛的测试。基于小部分患者的研究结果也已发表，但没有有用的简短筛查工具来深入了解普通人群的态度。我们开发了一种筛查工具，通过几个分级问题来检查这种态度。
本研究旨在探索精神病学和心理治疗中对远程医疗的态度（ATiPP），并评估普通人群和一些亚组的结果。
通过三个步骤开发了有三个版本（普通民众、医生和心理学家）的问卷。之后，由四组人员进行评估：具有人群代表性的普通民众、不同科室的门诊患者、医生和心理治疗师。
共对1554份问卷的结果进行了评估。样本人群包括1000名普通民众、455名门诊患者、62名医生和37名心理治疗师。问卷的所有三个版本的可靠性似乎都很好，普通民众组的克朗巴哈α值为0.849，门诊患者组为0.80，医生组为0.827，心理治疗师组为0.855。
发现ATiPP对于测量对精神病学和心理治疗中基于网络的干预措施的态度是有用且可靠的，未来应在该领域的不同研究中使用，以评估和反映参与者的态度。
