Sherrill Andrew M, Wiese Christopher W, Abdullah Saeed, Arriaga Rosa I
Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, USA.
Georgia Institute of Technology, Atlanta, USA.
J Technol Behav Sci. 2022;7(4):547-553. doi: 10.1007/s41347-022-00273-3. Epub 2022 Aug 19.
Mental health clinicians have migrated to telehealth during the COVID-19 pandemic and have reported their use of telehealth may be permanent. Understanding how stakeholders overcame hesitancy regarding the use of telehealth can potentially reveal how stakeholders can adopt future clinical technologies. The exposure therapy conceptual framework provides one explanation of how mental health clinicians can face their concerns about technologies that promise to improve clinical outcomes and worker well-being. We review available literature published since the start of the pandemic on the extent to which clinicians migrated to telehealth and their reactions to their transitions. In particular, we review available literature that describes negative attitudes and worries by clinicians as one of many barriers of telehealth implementation. We introduce the perspective that the necessary transition to telehealth at the start of the pandemic functioned as an exposure exercise that changed many clinicians' cognitive and emotional reactions to the use of telehealth technologies. Next, we provide guidance on how clinicians can continue taking an exposure approach to learning emerging technologies that are safe and can benefit all stakeholders. Clinicians can now reflect on how they overcame hesitancy regarding telehealth during the pandemic and identify how to build on that new learning by applying strategies used in exposure therapy. The future of clinical work will increasingly require mental health clinicians to better serve their patient populations and enhance their own well-being by overcoming , a broad term for any level of hesitancy, reluctance, skepticism, worry, anxiety, or fear of implementing technology.
在新冠疫情期间,心理健康临床医生已转向远程医疗,并报告称他们对远程医疗的使用可能会持续下去。了解利益相关者如何克服对使用远程医疗的犹豫,可能会揭示利益相关者如何采用未来的临床技术。暴露疗法概念框架为心理健康临床医生如何面对他们对有望改善临床结果和工作人员福祉的技术的担忧提供了一种解释。我们回顾了自疫情开始以来发表的关于临床医生转向远程医疗的程度及其对转型反应的现有文献。特别是,我们回顾了现有文献,这些文献将临床医生的负面态度和担忧描述为远程医疗实施的众多障碍之一。我们提出这样一种观点,即在疫情开始时向远程医疗的必要转变起到了一种暴露练习的作用,改变了许多临床医生对使用远程医疗技术的认知和情绪反应。接下来,我们提供指导,说明临床医生如何能够继续采用暴露方法来学习安全且能使所有利益相关者受益的新兴技术。临床医生现在可以反思他们在疫情期间是如何克服对远程医疗的犹豫的,并确定如何通过应用暴露疗法中使用的策略来巩固这种新的学习。临床工作的未来将越来越要求心理健康临床医生通过克服“技术阻抗”(这是一个广义术语,涵盖任何程度的犹豫、不情愿、怀疑、担忧、焦虑或对实施技术的恐惧)来更好地服务患者群体并提升自身福祉。