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新冠疫情如何重塑远程心理学:来自一项意大利调查的见解

How the COVID-19 pandemic reshaped telepsychology: Insights from an Italian survey.

作者信息

Ruggiero Fabiana, Zirone Eleonora, Mellace Denise, Capetti Benedetta, Molisso Maria Takeko, Ferrucci Roberta, Barbieri Sergio, Di Guida Lucia, Pizzo Susanna, Mameli Francesca

机构信息

Department of Neuroscience and Mental Health, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Via Francesco Sforza n. 35, 20122 Milan, Italy.

Department of Oncology and Hemato-Oncology, University of Studies of Milan, Via Festa del Perdono n. 7, 20122 Milan, Italy.

出版信息

Internet Interv. 2024 Aug 20;38:100764. doi: 10.1016/j.invent.2024.100764. eCollection 2024 Dec.

Abstract

The coronavirus disease 2019 (COVID-19) pandemic rapidly boosted the introduction of certain changes in mental healthcare services, consequently driving up the adoption of remote care delivery options. We conducted an online Italian survey to evaluate telepsychology use, attitudes, acceptance, and training needs, as well as to understand patient-professional interactions in video-consultations, aiming to inform future mental healthcare practices and policies. The current study's survey responses were collected using an anonymous, self-reported questionnaire on the 'REDCap' platform from 25 October 2022 to 26 July 2023. In total, 128 mental health professionals and 113 patients completed the survey. In our sample, 69 % of patients and 79.7 % of mental health professionals reported having used telepsychology during COVID-19 pandemic; in particular, 84.6 % of patients and 95.1 % of professionals selected video-consultation modality. Data showed that participants expressed high satisfaction with this communication tool. The increase in satisfaction was directly proportional to increase in the quality of interactions and in relation to the quality of the experiences. The critical factors influencing the video-consultation experience include communication style, information completeness, patient-centredness, and the comfort underscoring the central role of the professional-patient relationship, which, substantially, remains a key element in the psychological treatment process. These findings reinforce the need for continued refinement and expansion of telepsychology services, thus highlighting the potential for integrating innovative technologies into mental health practise.

摘要

2019年冠状病毒病(COVID-19)大流行迅速推动了精神卫生保健服务的某些变革,从而促使远程护理服务的采用率上升。我们开展了一项意大利在线调查,以评估远程心理学的使用情况、态度、接受度和培训需求,以及了解视频咨询中的医患互动,旨在为未来的精神卫生保健实践和政策提供参考。本研究的调查回复通过“REDCap”平台上的一份匿名自填问卷收集,时间为2022年10月25日至2023年7月26日。共有128名精神卫生专业人员和113名患者完成了调查。在我们的样本中,69%的患者和79.7%的精神卫生专业人员报告在COVID-19大流行期间使用过远程心理学;特别是,84.6%的患者和95.1%的专业人员选择了视频咨询方式。数据显示,参与者对这种沟通工具表示高度满意。满意度的提高与互动质量和体验质量的提高成正比。影响视频咨询体验的关键因素包括沟通方式、信息完整性、以患者为中心以及舒适度,突出了医患关系的核心作用,而这在心理治疗过程中实质上仍然是一个关键要素。这些发现强化了持续完善和扩展远程心理学服务的必要性,从而凸显了将创新技术融入精神卫生实践的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c33/11403050/bafcef65a050/gr1.jpg

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