Evidence of Phone vs Video-Conferencing for Mental Health Treatments: A Review of the Literature.
Evidence of Phone vs Video-Conferencing for Mental Health Treatments: A Review of the Literature.
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DOI：
10.1007/s11920-022-01359-8
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发表时间：
2022-10
影响因子：
6.7
通讯作者：
中科院分区：
文献类型：
--
作者：
本文的目的是提供一个比较审查使用电话（音频）或视频的心理健康治疗。我们的回顾包括电话和视频在减少症状、保留、满意度、治疗联盟和其他感兴趣的结果方面的有效性的证据。本综述还讨论了患者和提供者的经验和态度在这两种模式之间的差异。最后，我们介绍了不同患者群体和心理健康提供者类型的电话和视频使用率的信息，以及不同的实施策略。通过电话和视频进行的治疗都能够减轻与精神健康状况有关的症状，而且发现这两种治疗都不逊于当面治疗。电话和视频对患者来说都更方便。视频提供了重要的视觉信息，对诊断精神健康状况很重要。然而，手机的使用范围更广，技术问题也可能更少。在精神卫生保健的背景下，非语言线索与症状学和诊断联系在一起，病人和提供者之间的牢固关系可以加强治疗，我们鼓励使用视频，特别是对于心理治疗服务。然而，由于电话更容易使用，我们最终推荐一种灵活使用电话和视频的方法。未来关于远程医疗的研究应侧重于电话和视频之间直接、面对面的比较，并对临床差异是否存在进行更严格的测试。
The goal of this paper is to provide a comparative review of using phone (audio-only) or video for mental health treatments. Our review includes evidence of phone and video’s effectiveness in terms of reduced symptomology, retention, satisfaction, therapeutic alliance, and other outcomes of interest. This review also discusses how patients and providers’ experiences and attitudes differ between these two modalities. Finally, we present information on different usage rates of phone and video across patient populations and mental health provider types, and different implementation strategies. Treatments through phone and video are both able to reduce symptoms related to mental health conditions and have both been found to be non-inferior to in-person care. Both phone and video are more convenient to patients. Video offers important visual information that can be important to diagnosing mental health conditions. Phone, however, is more broadly accessible and may come with fewer technological issues. In the context of mental health care, where non-verbal cues are tied to symptomology and diagnosing, and a strong relationship between patient and provider can enhance treatment, we encourage the use of video, especially for psychotherapeutic services. However, as phone is more accessible, we ultimately recommend an accommodating approach, one that flexibly makes use of both phone and video. Future studies on telehealth should focus on direct, head-to-head comparisons between phone and video and conduct more rigorous testing on whether clinical differences exist.
影响因子：
2.2
作者：
Mussulman L;Ellerbeck EF;Cupertino AP;Preacher KJ;Spaulding R;Catley D;Cox LS;Lambart L;Hunt JJ;Nazir N;Shireman T;Richter KP
通讯作者：
Richter KP