Ferkauf Graduate School of Psychology, Yeshiva University, New York, New York, USA.
Département de Psychologie, Université de Montréal, Montréal, Quebec, Canada.
Clin Psychol Psychother. 2022 Nov;29(6):1918-1927. doi: 10.1002/cpp.2760. Epub 2022 Jul 1.
This study presents the development of a self-report measure of patients' attitudes towards telepsychotherapy. The measure is based on a well-researched model of attitudes towards using technology, the Unified Theory of Acceptance and Use of Technology (UTAUT) framework (Venkatesh et al., 2003). We examined the psychometric properties of the UTAUT adapted for psychotherapy patients (UTAUT-P) in a sample of 107 psychotherapy patients who received telepsychotherapy via video conferencing during the COVID-19 pandemic. Exploratory factor analysis resulted in a 14-item UTAUT-P version, with four factors-(1) Therapy Quality Expectancy, (2) Convenience, (3) Ease of Use, and (4) Pressure from Others-and was further corroborated by the results of the confirmatory factor analysis. Our results indicated the four-factor model's adequate fit to the data and demonstrated adequate construct validity and reliability of the UTAUT-P factors. All factors, except for Ease of Use, were significantly and positively associated with intention to use telepsychotherapy technology in the future. This study complements the research on therapists' attitudes towards telepsychotherapy, based on the therapist version of the UTAUT. The developed 14-item UTAUT-P might be a helpful, brief self-report tool in clinical practice, which might give the patient a voice around the potential use of telepsychotherapy technology in their care. This initial application of the UTAUT-P patients during the COVID-19 pandemic offers a building block for future research on patients' attitudes towards telepsychotherapy, outside the context of a forced transition.
本研究旨在开发一种用于评估患者对远程心理治疗态度的自评量表。该量表基于广泛研究的技术使用态度模型,即统一技术接受和使用理论(UTAUT)框架(Venkatesh 等人,2003)。我们在一个由 107 名接受视频会议远程心理治疗的患者组成的样本中,对 UTAUT 进行了心理测量学特性的检验。探索性因子分析得到了一个包含 14 个项目的 UTAUT-P 版本,包含四个因素——(1)治疗质量期望,(2)便利性,(3)易用性,以及(4)他人压力——并通过验证性因子分析进一步证实。结果表明,四因素模型与数据具有较好的拟合度,同时,UTAUT-P 各因素具有较好的结构效度和信度。除了易用性之外,所有因素均与未来使用远程心理治疗技术的意愿呈显著正相关。本研究补充了基于 UTAUT 治疗师版本的治疗师对远程心理治疗态度的研究。开发的 14 项 UTAUT-P 可能是一种有用的、简短的临床实践自评工具,能够让患者对远程心理治疗技术在其治疗中的潜在应用有发言权。本研究在 COVID-19 大流行期间首次应用 UTAUT-P 评估患者,为未来在非强制转型背景下研究患者对远程心理治疗的态度提供了基础。