Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study

BackgroundThe COVID-19 pandemic has resulted in unprecedented uptake of telepsychology services; however, clinicians have mixed attitudes toward virtual technologies. ObjectiveThis study (1) explored clinicians’ experiences of and intentions to use video, telephon...

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Main Authors: Kristen Zentner, Graham Gaine, Paige Ethridge, Shireen Surood, Adam Abba-Aji
Format: Article
Language:English
Published: JMIR Publications 2022-05-01
Series:JMIR Formative Research
Online Access:https://formative.jmir.org/2022/5/e35535
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author Kristen Zentner
Graham Gaine
Paige Ethridge
Shireen Surood
Adam Abba-Aji
author_facet Kristen Zentner
Graham Gaine
Paige Ethridge
Shireen Surood
Adam Abba-Aji
author_sort Kristen Zentner
collection DOAJ
description BackgroundThe COVID-19 pandemic has resulted in unprecedented uptake of telepsychology services; however, clinicians have mixed attitudes toward virtual technologies. ObjectiveThis study (1) explored clinicians’ experiences of and intentions to use video, telephone, and in-person services, and (2) tested the utility of the unified theory of acceptance and use of technology (UTAUT) to predict clinicians’ intentions to offer telepsychology after the COVID-19 pandemic. MethodsClinician satisfaction and therapeutic alliance were compared across in-person, video, and telephone services, while technology attitudes and intention to use after the pandemic were compared across video and telephone services among 118 addiction and mental health clinicians during the COVID-19 pandemic. ResultsClinicians reported more positive experiences with in-person services than both virtual technologies; further, clinicians reported greater positive experiences, attitudes, and intentions to use video services than telephone services across measures. Based on the UTAUT, performance expectancy positively predicted concurrent intentions to use video services (β=0.46; P<.001) and telephone services (β=0.35; P<.001) after the pandemic. Social influence (β=0.24; P=.004) and facilitating conditions (β=0.19; P=.03) additionally predicted the intention to use telephone services. ConclusionsClinicians rated in-person services more positively than virtual technologies, with video services perceived more positively than telephone services. Performance expectancy was the primary facilitator of the uptake of both virtual modalities.
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spelling doaj.art-62bd07bd6d684b87b2a271648da125a12023-08-28T21:46:09ZengJMIR PublicationsJMIR Formative Research2561-326X2022-05-0165e3553510.2196/35535Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional StudyKristen Zentnerhttps://orcid.org/0000-0002-0454-8642Graham Gainehttps://orcid.org/0000-0001-5505-7942Paige Ethridgehttps://orcid.org/0000-0002-8615-9981Shireen Suroodhttps://orcid.org/0000-0002-9776-2348Adam Abba-Ajihttps://orcid.org/0000-0003-0369-4768 BackgroundThe COVID-19 pandemic has resulted in unprecedented uptake of telepsychology services; however, clinicians have mixed attitudes toward virtual technologies. ObjectiveThis study (1) explored clinicians’ experiences of and intentions to use video, telephone, and in-person services, and (2) tested the utility of the unified theory of acceptance and use of technology (UTAUT) to predict clinicians’ intentions to offer telepsychology after the COVID-19 pandemic. MethodsClinician satisfaction and therapeutic alliance were compared across in-person, video, and telephone services, while technology attitudes and intention to use after the pandemic were compared across video and telephone services among 118 addiction and mental health clinicians during the COVID-19 pandemic. ResultsClinicians reported more positive experiences with in-person services than both virtual technologies; further, clinicians reported greater positive experiences, attitudes, and intentions to use video services than telephone services across measures. Based on the UTAUT, performance expectancy positively predicted concurrent intentions to use video services (β=0.46; P<.001) and telephone services (β=0.35; P<.001) after the pandemic. Social influence (β=0.24; P=.004) and facilitating conditions (β=0.19; P=.03) additionally predicted the intention to use telephone services. ConclusionsClinicians rated in-person services more positively than virtual technologies, with video services perceived more positively than telephone services. Performance expectancy was the primary facilitator of the uptake of both virtual modalities.https://formative.jmir.org/2022/5/e35535
spellingShingle Kristen Zentner
Graham Gaine
Paige Ethridge
Shireen Surood
Adam Abba-Aji
Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study
JMIR Formative Research
title Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study
title_full Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study
title_fullStr Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study
title_full_unstemmed Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study
title_short Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study
title_sort clinicians attitudes toward telepsychology in addiction and mental health services and prediction of postpandemic telepsychology uptake cross sectional study
url https://formative.jmir.org/2022/5/e35535
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