The Acceptance of Digital Health: What about Telepsychology and Telepsychiatry?

  • Anas Ali Alhur Health Informatics Department, Collage Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Riyadh, Saudi Arabia
  • Arwa Ali Alhur Master's Student, School Psychological Counseling, Psychology Department, College of Education, University of Hail, Hail, Saudi Arabia
Keywords: Telehealth, Telepsychology, Telepsychiatry, Online therapy, Acceptance level

Abstract

Electronic health is a solution for many issues. This study aims to determine the acceptance level of telepsychology and telepsychiatry services their advantages and disadvantages. The researchers carried out a cross-sectional study. Results indicate that only 13.3% of respondents visited a psychiatrist or psychologist. The majority views telepsychiatry and psychological services as beneficial tools that enhance privacy. According to the survey, 223 respondents believe they have a psychological problem. The most common disorders are general anxiety, social anxiety, and depression. Most of their families accept mental health treatment, and four respondents lack access to electronic devices and the Internet. The security and privacy of patient's information should be investigated further in telepsychology and telepsychiatry. Our research may influence decision-makers to invest in this area for the benefit of society.

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Author Biography

Arwa Ali Alhur, Master's Student, School Psychological Counseling, Psychology Department, College of Education, University of Hail, Hail, Saudi Arabia

Arwa Alhur holds a higher diploma in psychological counseling and guidance, a bachelor's degree in educational psychology, and studying master's degree in School Psychological Counseling with over ten years of experience in educational and clinical organizations.

References

References
Alhassan, A. A., Alqadhib, E. M., Taha, N. W., Alahmari, R. A., Salam, M., & Almutairi, A. F. (2018). The relationship between addiction to smartphone usage and depression among adults: A cross sectional study. BMC Psychiatry, 18(1), 1–8.
Alhur, A. A. (2021). The Effectiveness of E-learning in Saudi Arabia During the Spread of COVID-19. International Journal of Advanced Research in Education and Society, 3(4), 156–165.
Alkhalifah, S., & Aldhalaan, H. (2018). Telehealth services for children with autism spectrum disorders in rural areas of the Kingdom of Saudi Arabia: Overview and recommendations. JMIR Pediatrics and Parenting, 1(2), e11402.
Almalky, A. M., & Alhaidar, F. A. (2021). Patients’ Satisfaction With Telepsychiatry Services at a University Hospital in Riyadh During the COVID-19 Pandemic. Cureus, 13(8).
Almojali, A. I., Almalki, S. A., Alothman, A. S., Masuadi, E. M., & Alaqeel, M. K. (2017). The prevalence and association of stress with sleep quality among medical students. Journal of Epidemiology and Global Health, 7(3), 169–174.
Alqahtani, M. M. J., Alkhamees, H. A., Alkhalaf, A. M., Alarjan, S. S., Alzahrani, H. S., AlSaad, G. F., Alhrbi, F. H., Wahass, S. H., Khayat, A. H., & Alqahtani, K. M. M. (2021). Toward establishing telepsychology guideline. Turning the challenges of COVID-19 into opportunity. Ethics, Medicine and Public Health, 16, 100612.
Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., & Mortier, P. (2016). Mental disorders among college students in the World Health Organization world mental health surveys. Psychological Medicine, 46(14), 2955–2970.
Baker, B. (2004). Nursing in an e-healthy world. A vision of e-health as core to caring.
Barnett, J. E., & Scheetz, K. (2003). Technological advances and telehealth: Ethics, law, and the practice of psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 40(1–2), 86.
Bauman, S., & Rivers, I. (2015). Mental health in the digital age. Springer.
Bischoff, R. J., Hollist, C. S., Smith, C. W., & Flack, P. (2004). Addressing the mental health needs of the rural underserved: Findings from a multiple case study of a behavioral telehealth project. Contemporary Family Therapy, 26(2), 179–198.
Chakrabarti, S. (2015). Usefulness of telepsychiatry: A critical evaluation of videoconferencing-based approaches. World Journal of Psychiatry, 5(3), 286.
Charlson, F., van Ommeren, M., Flaxman, A., Cornett, J., Whiteford, H., & Saxena, S. (2019). New WHO prevalence estimates of mental disorders in conflict settings: A systematic review and meta-analysis. The Lancet, 394(10194), 240–248.
Childress, C. A., & Asamen, J. K. (1998). The emerging relationship of psychology and the Internet: Proposed guidelines for conducting Internet intervention research. Ethics & Behavior, 8(1), 19–35.
Cipolletta, S., & Mocellin, D. (2018). Online counseling: An exploratory survey of Italian psychologists’ attitudes towards new ways of interaction. Psychotherapy Research, 28(6), 909–924.
de Girolamo, G., Polidori, G., Morosini, P., Scarpino, V., Reda, V., Serra, G., Mazzi, F., Alonso, J., Vilagut, G., & Visonà, G. (2006). Prevalence of common mental disorders in Italy. Social Psychiatry and Psychiatric Epidemiology, 41(11), 853–861.
Dever Fitzgerald, T., Hunter, P. V., Hadjistavropoulos, T., & Koocher, G. P. (2010). Ethical and legal considerations for internet-based psychotherapy. Cognitive Behaviour Therapy, 39(3), 173–187.
Dopp, A. R., Mapes, A. R., Wolkowicz, N. R., McCord, C. E., & Feldner, M. T. (2021). Incorporating telehealth into health service psychology training: A mixed-method study of student perspectives. Digital Health, 7, 2055207620980222.
Drum, K. B., & Littleton, H. L. (2014). Therapeutic boundaries in telepsychology: Unique issues and best practice recommendations. Professional Psychology: Research and Practice, 45(5), 309.
Egede, L. E., Frueh, C. B., Richardson, L. K., Acierno, R., Mauldin, P. D., Knapp, R. G., & Lejuez, C. (2009). Rationale and design: Telepsychology service delivery for depressed elderly veterans. Trials, 10(1), 1–14.
El Hayek, S., Nofal, M., Abdelrahman, D., Adra, A., Al Harthi, M., Al Shamli, S., AlNuaimi, N., Bensid, L., Cheaito, M. A., & Emberish, A. M. (2020). Telepsychiatry in the arab world: A viewpoint before and during COVID-19. Neuropsychiatric Disease and Treatment, 16, 2805.
Fantus, S., & Mishna, F. (2013). The ethical and clinical implications of utilizing cybercommunication in face-to-face therapy. Smith College Studies in Social Work, 83(4), 466–480.
Finfgeld, D. L. (1999). Psychotherapy in cyberspace. Journal of the American Psychiatric Nurses Association, 5(4), 105–110.
Fogler, J. M., Normand, S., O’Dea, N., Mautone, J. A., Featherston, M., Power, T. J., & Nissley-Tsiopinis, J. (2020). Implementing group parent training in telepsychology: Lessons learned during the COVID-19 pandemic. Journal of Pediatric Psychology, 45(9), 983–989.
for the Development, J. T. F. (2013). Guidelines for the Practice of Telepsychology. The American Psychologist, 68(9), 791–800.
Gordon, R. M., Tune, J., & Wang, X. (2016). What are the characteristics and concerns of high and low raters of psychodynamic treatment to Chinese students over VCON? Psychoanalysis and Psychotherapy in China, 2(1), 86–96.
Gordon, R. M., Wang, X., & Tune, J. (2015). Comparing psychodynamic teaching, supervision, and psychotherapy over videoconferencing technology with Chinese students. Psychodynamic Psychiatry, 43(4), 585–599.
Gros, D. F., Lancaster, C. L., López, C. M., & Acierno, R. (2018). Treatment satisfaction of home-based telehealth versus in-person delivery of prolonged exposure for combat-related PTSD in veterans. Journal of Telemedicine and Telecare, 24(1), 51–55.
Gustavson, K., Knudsen, A. K., Nesvåg, R., Knudsen, G. P., Vollset, S. E., & Reichborn-Kjennerud, T. (2018). Prevalence and stability of mental disorders among young adults: Findings from a longitudinal study. BMC Psychiatry, 18(1), 1–15.
Heinlen, K. T., Welfel, E. R., Richmond, E. N., & Rak, C. F. (2003). The scope of webcounseling: A survey of services and compliance with NBCC standards for the ethical practice of webcounseling. Journal of Counseling & Development, 81(1), 61–69.
Hill, R. D., Luptak, M. K., Rupper, R. W., Bair, B., Peterson, C., Dailey, N., & Hicken, B. L. (2010). Review of veterans health administration telemedicine interventions. Am J Manag Care, 16(12), 302–310.
Himle, M. B., Freitag, M., Walther, M., Franklin, S. A., Ely, L., & Woods, D. W. (2012). A randomized pilot trial comparing videoconference versus face-to-face delivery of behavior therapy for childhood tic disorders. Behaviour Research and Therapy, 50(9), 565–570.
Howland, M., Tennant, M., Bowen, D. J., Bauer, A. M., Fortney, J. C., Pyne, J. M., Shore, J., & Cerimele, J. M. (2021). Psychiatrist and psychologist experiences with telehealth and remote collaborative care in primary care: A qualitative study. The Journal of Rural Health, 37(4), 780–787.
Hyler, S. E., & Gangure, D. P. (2002). Technological advances in telepsychiatry. Primary Psychiatry, 9(9), 24–28.
Johnson, G. R. (2014). Toward uniform competency standards in telepsychology: A proposed framework for Canadian psychologists. Canadian Psychology/Psychologie Canadienne, 55(4), 291.
Kao, S. C., Lin, C. E., & Chiu, N. Y. (2006). A proposed e-care center for mental health interventions. Journal of Psychiatric Practice®, 12(3), 180–186.
Kasckow, J., Felmet, K., Appelt, C., Thompson, R., Rotondi, A., & Haas, G. (2014). Telepsychiatry in the assessment and treatment of schizophrenia. Clinical Schizophrenia & Related Psychoses, 8(1), 21-27A.
Knapp, S., & Slattery, J. M. (2004). Professional Boundaries in Nontraditional Settings. Professional Psychology: Research and Practice, 35(5), 553.
Li, S. H., Beames, J. R., Newby, J. M., Maston, K., Christensen, H., & Werner-Seidler, A. (2021). The impact of COVID-19 on the lives and mental health of Australian adolescents. European Child & Adolescent Psychiatry, 1–13.
Liu, S., Yang, L., Zhang, C., Xiang, Y.-T., Liu, Z., Hu, S., & Zhang, B. (2020). Online mental health services in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e17–e18.
M Kuo, G., D Ma, J., C Lee, K., & E Bourne, P. (2011). Telemedicine, genomics and personalized medicine: Synergies and challenges. Current Pharmacogenomics and Personalized Medicine (Formerly Current Pharmacogenomics), 9(1), 6–13.
Maheu, M. M., McMenamin, J., & Pulier, M. L. (2013). Optimizing the use of technology in psychology with best practice principles. Psychologist’s Desk Reference.
Manchanda, M., & McLaren, P. (1998). Cognitive behaviour therapy via interactive video. Journal of Telemedicine and Telecare, 4(1_suppl), 53–55.
Martinez, A. B., Co, M., Lau, J., & Brown, J. S. (2020). Filipino help-seeking for mental health problems and associated barriers and facilitators: A systematic review. Social Psychiatry and Psychiatric Epidemiology, 55(11), 1397–1413.
McCord, C., Bernhard, P., Walsh, M., Rosner, C., & Console, K. (2020). A consolidated model for telepsychology practice. Journal of Clinical Psychology, 76(6), 1060–1082.
Mishna, F., Fantus, S., & McInroy, L. B. (2017). Informal use of information and communication technology: Adjunct to traditional face-to-face social work practice. Clinical Social Work Journal, 45(1), 49–55.
Mohammed, Z., Arafa, A., Atlam, E.-S., El-Qerafi, N., El-Shazly, M., Al-Hazazi, O., & Ewis, A. (2021). Psychological problems among university students in Saudi Arabia during the COVID-19 pandemic. Authorea Preprints.
Moitra, M., Santomauro, D., Degenhardt, L., Collins, P. Y., Whiteford, H., Vos, T., & Ferrari, A. (2021). Estimating the risk of suicide associated with mental disorders: A systematic review and meta-regression analysis. Journal of Psychiatric Research, 137, 242–249.
Morland, L. A., Poizner, J. M., Williams, K. E., Masino, T. T., & Thorp, S. R. (2015). Home-based clinical video teleconferencing care: Clinical considerations and future directions. International Review of Psychiatry, 27(6), 504–512.
Muzafar, S., & Jhanjhi, N. Z. (2020). Success Stories of ICT Implementation in Saudi Arabia. In Employing Recent Technologies for Improved Digital Governance (pp. 151–163). IGI Global.
Nakash, O., Lambez, T., Cohen, M., & Nagar, M. (2019). Religiosity and barriers to mental healthcare: A qualitative study among clients seeking community mental health services. Mental Health, Religion & Culture, 22(5), 437–452.
Norman, S. (2006). The use of telemedicine in psychiatry. Journal of Psychiatric and Mental Health Nursing, 13(6), 771–777.
Ogbo, F. A., Mathsyaraja, S., Koti, R. K., Perz, J., & Page, A. (2018). The burden of depressive disorders in South Asia, 1990–2016: Findings from the global burden of disease study. BMC Psychiatry, 18(1), 1–11.
Pankey, T. L., Heredia, D., Vencill, J. A., & Gonzalez, C. A. (2021). Gender-Affirming Telepsychology During and After the COVID-19 Pandemic: Recommendations for Adult Transgender and Gender Diverse Populations. Journal of Health Service Psychology, 47(4), 181–189.
Perrin, P. B., Rybarczyk, B. D., Pierce, B. S., Jones, H. A., Shaffer, C., & Islam, L. (2020). Rapid telepsychology deployment during the COVID-19 pandemic: A special issue commentary and lessons from primary care psychology training. Journal of Clinical Psychology, 76(6), 1173–1185.
Poh Li, L., Jaladin, R. A. M., & Abdullah, H. S. (2013). Understanding the two sides of online counseling and their ethical and legal ramifications. Procedia-Social and Behavioral Sciences, 103, 1243–1251.
Poletti, B., Tagini, S., Brugnera, A., Parolin, L., Pievani, L., Ferrucci, R., Compare, A., & Silani, V. (2021). Telepsychotherapy: A leaflet for psychotherapists in the age of COVID-19. A review of the evidence. Counselling Psychology Quarterly, 34(3–4), 352–367.
Rahman, R., & Al-Borie, H. M. (2021). Strengthening the Saudi Arabian healthcare system: Role of vision 2030. International Journal of Healthcare Management, 14(4), 1483–1491.
Reese, R. J., Mecham, M. R., Vasilj, I., Lengerich, A. J., Brown, H. M., Simpson, N. B., & Newsome, B. D. (2016). The effects of telepsychology format on empathic accuracy and the therapeutic alliance: An analogue counselling session. Counselling and Psychotherapy Research, 16(4), 256–265.
Robotham, D., Satkunanathan, S., Doughty, L., & Wykes, T. (2016). Do we still have a digital divide in mental health? A five-year survey follow-up. Journal of Medical Internet Research, 18(11), e309.
Sampaio, M., Haro, M. V. N., De Sousa, B., Melo, W. V., & Hoffman, H. G. (2021). Therapists Make the Switch to Telepsychology to Safely Continue Treating Their Patients During the COVID-19 Pandemic. Virtual Reality Telepsychology May Be Next. Frontiers in Virtual Reality, 1.
Schulze, N., Reuter, S. C., Kuchler, I., Reinke, B., Hinkelmann, L., Stoeckigt, S., Siemoneit, H., & Tonn, P. (2019). Differences in attitudes toward online interventions in psychiatry and psychotherapy between health care professionals and nonprofessionals: A survey. Telemedicine and E-Health, 25(10), 926–932.
Totten, A. M., Womack, D. M., Eden, K. B., McDonagh, M. S., Griffin, J. C., Grusing, S., & Hersh, W. R. (2016). Telehealth: Mapping the evidence for patient outcomes from systematic reviews.
Trompeter, N., Johnco, C., Zepeda-Burgos, R. M., Schneider, S. C., Cepeda, S. L., Buissonniѐre-Ariza, L., Guttfreund, D., & Storch, E. A. (2022). Mental Health Literacy and Stigma Among Salvadorian Youth: Anxiety, Depression and Obsessive-Compulsive Related Disorders. Child Psychiatry & Human Development, 53(1), 48–60.
van Leeuwen, H., Sinnaeve, R., Witteveen, U., Van Daele, T., Ossewaarde, L., Egger, J. I., & van den Bosch, L. (2021). Reviewing the availability, efficacy and clinical utility of Telepsychology in dialectical behavior therapy (Tele-DBT). Borderline Personality Disorder and Emotion Dysregulation, 8(1), 1–15.
Vanheusden, K., Mulder, C. L., van der Ende, J., van Lenthe, F. J., Mackenbach, J. P., & Verhulst, F. C. (2008). Young adults face major barriers to seeking help from mental health services. Patient Education and Counseling, 73(1), 97–104.
Vicente, J. B., Mariano, P. P., Buriola, A. A., Paiano, M., Waidman, M. A. P., & Marcon, S. S. (2013). Acceptance of patients with mental illness: A family perspective. Revista Gaúcha de Enfermagem, 34, 54–61.
Walker, H. (2006). Computer-based education for patients with psychosis. Nursing Standard, 20(30).
Watzlaf, V. J., Zhou, L., DeAlmeida, D. R., & Hartman, L. M. (2017). A systematic review of research studies examining telehealth privacy and security practices used by healthcare providers. International Journal of Telerehabilitation, 9(2), 39.
Published
2022-10-03
How to Cite
Alhur, A., & Alhur, A. A. (2022). The Acceptance of Digital Health: What about Telepsychology and Telepsychiatry?. Jurnal Sistem Informasi, 18(2), 18-35. https://doi.org/10.21609/jsi.v18i2.1143