School of Child and Adolescent Cognitive Behavior Therapy (AKiP), Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
J Telemed Telecare. 2024 Dec;30(10):1543-1554. doi: 10.1177/1357633X231157103. Epub 2023 Mar 7.
Psychotherapy delivered via videoconferencing (teletherapy) was a well-accepted treatment option for children and adolescents during the early phases of the COVID-19 pandemic. Information on the long-term satisfaction with teletherapy in routine clinical practice is missing.
Caregivers (parents) and psychotherapists of = 228 patients (4-20 years) treated in a university outpatient clinic completed a follow-up survey on satisfaction with videoconference-delivered cognitive-behavioral treatment (CBT). The follow-up survey (T2) was conducted about 1 year after initial assessment of treatment satisfaction in 2020 (T1).
At follow up, therapists reported that 79% of families had received teletherapy as part of a blended treatment approach including in-person and videoconference delivery of CBT. Wilcoxon tests revealed that satisfaction with teletherapy was stable over time. In addition, parent ratings of the impact of teletherapy on treatment satisfaction and the therapeutic relationship did not change over time. Therapists' ratings of the impact of teletherapy on the therapeutic relationship with the caregiver were more negative at T2 compared to T1. Satisfaction with teletherapy was higher for patients with less pandemic-related stress, less externalizing behavior problems, and older age (all < .35).
The high level of satisfaction with teletherapy for children and adolescents treated in routine clinical practice reported in 2020 was maintained after social distancing regulations were eased in 2021. Teletherapy provided as part of a blended treatment approach is a well-accepted method of treatment delivery for youths with mental health problems. The study was registered in the German Clinical Trials Register (DRKS00028639).
在 COVID-19 大流行的早期阶段，通过视频会议（远程治疗）提供的心理治疗是儿童和青少年接受的一种广为接受的治疗选择。在常规临床实践中，关于远程治疗的长期满意度的信息尚不清楚。
在大学门诊诊所接受治疗的 228 名患者（4-20 岁）的照顾者（父母）和心理治疗师完成了一项关于通过视频会议提供的认知行为治疗（CBT）满意度的随访调查。该随访调查（T2）是在 2020 年首次评估治疗满意度（T1）约一年后进行的。
在随访时，治疗师报告说，79%的家庭已经接受了远程治疗，作为包括面对面和视频会议提供 CBT 的混合治疗方法的一部分。Wilcoxon 检验显示，对远程治疗的满意度随着时间的推移保持稳定。此外，家长对远程治疗对治疗满意度和治疗关系的影响的评分在整个时间过程中没有变化。与 T1 相比，治疗师对远程治疗对与照顾者的治疗关系的影响的评分在 T2 时更为负面。对远程治疗的满意度在与大流行相关的压力较小、外化行为问题较少和年龄较大的患者中更高（均 <.35）。
2020 年报告的在常规临床实践中接受治疗的儿童和青少年对远程治疗的高度满意度在 2021 年社交距离限制放宽后得以维持。作为混合治疗方法的一部分提供的远程治疗是接受心理健康问题的年轻人接受治疗的一种可接受的方法。该研究在德国临床试验注册处（DRKS00028639）注册。
