Effectiveness of Telemental Health During the COVID-19 Pandemic: A Propensity Score Noninferiority Analysis of Outcomes

被引:6
作者
Gurm, Kiran [1 ]
Wampold, Bruce E. [2 ,3 ,5 ]
Piatt, Carley [1 ]
Jagodzinski, Robert [1 ]
Caperton, Derek D. [3 ,4 ]
Babins-Wagner, Robbie [3 ,4 ]
机构
[1] PolicyWise Children & Families, Calgary, AB, Canada
[2] Univ Wisconsin Madison, Dept Counseling Psychol, Madison, WI USA
[3] Calgary Counselling Ctr, Calgary, AB, Canada
[4] Univ Calgary, Fac Social Work, Calgary, AB, Canada
[5] Univ Wisconsin Madison, Dept Counseling Psychol, Educ Bldg,1000 Bascom Mall,Room 335, Madison, WI 53706 USA
关键词
telemental health; effectiveness; telepsychiatry; COVID-19; propensity scores; THERAPY; CARE;
D O I
10.1037/pst0000472
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The COVID-19 pandemic forced governments to implement a range of public health measures that disrupted the personal and professional lives of many, including an abrupt adoption of telemental health services. Using data from a nonprofit counseling practice, we tested whether telemental health services delivered during the pandemic were inferior to face-to-face services delivered prior to the pandemic. We first characterized patients seeking therapy services before and during the pandemic to ascertain whether the demographics and presenting concerns of patients pre- and during COVID-19 differed and found that pandemic patients reported greater anxiety, greater overall distress, were more likely female and not partnered, and earned less than before the pandemic. We used a propensity score matching analysis to account for these differences and investigated whether or not telemental health therapy was inferior to face-to-face therapy. Based on the propensity-matched samples (2,180 patients in each condition), telemental health services were found not to be inferior to in-person services, allaying concerns about the effectiveness of telemental health services delivered during the COVID-19 pandemic. The present study also illustrates the usefulness of propensity matching for examining treatment effects in naturalistic settings.
引用
收藏
页码:231 / 236
页数:6
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