Preference for in-person psychotherapy versus digital psychotherapy options for depression: survey of adults in the U.S
| Autor: | Heather Sophia Lee, Amy M. Bauer, Brenna N. Renn, Patricia A. Areán, Theresa J. Hoeft |
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| Rok vydání: | 2019 |
| Předmět: |
African american
Psychotherapist Native american Social anxiety Ethnic group Medicine (miscellaneous) Health Informatics Therapeutics lcsh:Computer applications to medicine. Medical informatics Article Health services 030227 psychiatry 3. Good health Computer Science Applications 03 medical and health sciences 0302 clinical medicine Qualitative analysis Health Information Management Treatment modality Human behaviour lcsh:R858-859.7 Confidentiality Psychology 030217 neurology & neurosurgery |
| Zdroj: | NPJ Digital Medicine npj Digital Medicine, Vol 2, Iss 1, Pp 1-7 (2019) |
| ISSN: | 2398-6352 |
| Popis: | Several barriers complicate access to psychotherapy for depression, including time commitment, location of services, and stigma. Digital treatment has the potential to address these barriers, yet long term use of digital psychotherapy is poor. This paper presents data from a mixed-methods, online survey to document concerns patients with depression face when given the choice of in-person psychotherapy and digital psychotherapy. Participants were 164 adults living in the United States who had previously used or considered psychotherapy for depression. Rural-dwelling and racial/ethnic minority (Native American, African American, and Spanish-speaking) respondents were purposively sampled. Participants were asked their preferences for and opinions about four treatment modalities: self-guided digital, peer-supported digital, expert-guided digital, or in-person psychotherapy. Less than half (44.5%) of participants preferred in-person psychotherapy, 25.6% preferred self-guided digital treatment, 19.7% preferred expert-guided digital treatment, and 8.5% peer-supported digital treatment. Principal themes extracted from qualitative analysis centered on the efficacy of digital treatment, access to digital treatment, concerns about peer-supported care, confidentiality and privacy concerns, preference for in-person treatment, skepticism about self-guided therapy, and the impact of social anxiety on the use of video-chat based care. Future development of digital psychotherapy will need to address concerns regarding efficacy, privacy, data security, and methods to enhance motivation to use these treatments. |
| Databáze: | OpenAIRE |
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