Provider perceptions of telehealth and in-person exposure and response prevention for obsessive-compulsive disorder.
Provider perceptions of telehealth and in-person exposure and response prevention for obsessive-compulsive disorder.
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DOI：
10.1016/j.psychres.2022.114610
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发表时间：
2022-07
影响因子：
11.3
通讯作者：
Storch, Eric A.
中科院分区：
文献类型：
--
作者：
Wiese, Andrew D.;Drummond, Kendall N.;Fuselier, Madeleine N.;Sheu, Jessica C.;Liu, Gary;Guzick, Andrew G.;Goodman, Wayne K.;Storch, Eric A.
直到最近，心理治疗，包括针对强迫症（OCD）的暴露和反应预防（ERP），主要是面对面进行的。 COVID-19 大流行要求提供 ERP 的强迫症提供商快速过渡到远程医疗服务。虽然有证据支持远程医疗 ERP 的交付，但有限的研究调查了强迫症提供商对最适合这种模式的患者特征的看法，以及提供商识别和解决干扰有效远程医疗 ERP 因素的能力。在本研究中，强迫症治疗师 (N = 113) 评估了针对不同的 (1) 患者年龄组、(2) 强迫症严重程度以及 (3) 提供者在面对面和远程医疗 ERP 期间识别和解决干扰 ERP 因素的能力（例如，认知回避、寻求保证等）相对于面对面提供远程医疗 ERP 的可行性。提供商报告称，相对于其他接受评估的年龄组，向 13 至 65 岁的个人提供远程医疗 ERP 的可行性明显更高。据报道，相对于较高的症状严重程度，远程医疗相对于现场 ERP 的可行性更大。最后，提供者感觉自己能够更好地亲自识别和解决问题因素。这些发现表明，提供商在为某些强迫症患者提供远程医疗 ERP 时应适当谨慎。未来的研究可能会探讨如何解决远程医疗 ERP 交付的这些潜在局限性。
Until recently, psychotherapies, including exposure and response prevention (ERP) for obsessive–compulsive disorder (OCD), have primarily been delivered in-person. The COVID-19 pandemic required OCD providers delivering ERP to quickly transition to telehealth services. While evidence supports telehealth ERP delivery, limited research has examined OCD provider perceptions about patient characteristics that are most appropriate for this modality, as well as provider abilities to identify and address factors interfering with effective telehealth ERP. In the present study, OCD therapists (N = 113) rated the feasibility of delivering telehealth ERP relative to in-person for different (1) patient age-groups, (2) levels of OCD severity, and (3) provider ability to identify and address factors interfering with ERP during in-person and telehealth ERP (e.g., cognitive avoidance, reassurance seeking, etc.). Providers reported significantly greater feasibility of delivering telehealth ERP to individuals ages 13-to-65-years relative to other age groups assessed. Greater perceived feasibility for telehealth relative to in-person ERP was reported for lower versus higher symptom severity levels. Lastly, providers felt better able to identify and address problematic factors in-person. These findings suggest that providers should practice appropriate caution when offering telehealth ERP for certain patients with OCD. Future research may examine how to address these potential limitations of telehealth ERP delivery.
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影响因子：
5.9
作者：
Comer JS;Furr JM;Kerns CE;Miguel E;Coxe S;Elkins RM;Carpenter AL;Cornacchio D;Cooper-Vince CE;DeSerisy M;Chou T;Sanchez AL;Khanna M;Franklin ME;Garcia AM;Freeman JB
通讯作者：
Freeman JB
影响因子：
1.1
作者：
Fletcher, Terri L.;Boykin, Derrecka M.;Hundt, Natalie E.
通讯作者：
Hundt, Natalie E.
DOI：
10.1097/chi.0b013e31816765f9
发表时间：
2008-05-01
影响因子：
13.3
作者：
Freeman, Jennifer B.;Garcia, Abbe M.;Leonard, Henrietta L.
通讯作者：
Leonard, Henrietta L.
DOI：
10.1016/j.jocrd.2021.100705
发表时间：
2022-01
影响因子：
1.8
作者：
Pinciotti CM;Bulkes NZ;Horvath G;Riemann BC
通讯作者：
Riemann BC
影响因子：
7.4
作者：
McGuire JF;Piacentini J;Lewin AB;Brennan EA;Murphy TK;Storch EA
通讯作者：
Storch EA