Mental health professionals' perspectives of telemental health with remote and rural First Nations communities
Mental health professionals' perspectives of telemental health with remote and rural First Nations communities
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DOI：
10.1258/jtt.2011.101011
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发表时间：
2011-01-01
影响因子：
4.7
通讯作者：
Kakepetum-Schultz, Tina
中科院分区：
文献类型：
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作者：
Gibson, Kerri;O'Donnell, Susan;Kakepetum-Schultz, Tina
我们在加拿大的心理健康工作者中进行了一项在线调查和采访，他们报告了与农村和偏远的第一民族(尽管不一定是远程健康)合作的经验。在164名在线调查的受访者中，有63人报告了在偏远和农村地区与客户打交道的经历。在具有偏远和农村第一民族经验的在线调查答复者中，只有16人报告接受过使用视频会议的培训。当被问及他们与客户使用视频会议的频率时，51%的人报告从未使用过它，19%的人每几个月使用一次，10%的人报告每月使用几次。大约50%的参与者报告说它很有用。大约38%的人认为这项技术很容易或非常容易使用，15%的人认为很难。个别深入的访谈也与有专门的原住民远程保健经验的专业人员进行(n=5)。定量数据分析被用来探索他们对远程健康的有用性和易用性的感知，以及这些结构之间的关系。从定性数据中确定了使用该技术的优势、劣势和挑战。未来有希望的方法包括将传统做法和七大教义纳入远程医疗服务。
We conducted an online survey and interviews amongst mental health workers in Canada who reported experience in working with rural and remote First Nations (although not necessarily telemental health). Sixty-three respondents (of the 164) to the online survey reported experience in working with clients in remote and rural First Nations. Only 16 of the online survey respondents with remote and rural First Nations experience reported having received training in videoconferencing use. When asked how frequently they used videoconferencing with clients, 51% reported never using it, 19% used it once every few months and 10% reported using it a few times a month. Approximately 50% of participants reported finding it useful. Approximately 38% found the technology easy or very easy to use, and 15% found it very difficult. Individual in-depth interviews were also conducted with professionals who had First Nations telemental health experience specifically (n = 5). A quantitative data analysis was used to explore their perceptions of usefulness and ease of use of telemental health, as well as the relationships among these constructs. Advantages, disadvantages and challenges in using the technology were identified from the qualitative data. Promising ways forward include incorporating traditional practices and the Seven Teachings into telemental health services.