Telemedicine as a means of delivering cognitive-behavioural therapy to rural and remote mental health clients

被引:65
|
作者
Griffiths, L
Blignault, I
Yellowlees, P
机构
[1] Queensland Hlth, Integrated Mental Hlth Programme, Cairns, Australia
[2] Univ New S Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia
[3] Univ Calif Davis, Sacramento, CA 95817 USA
关键词
D O I
10.1258/135763306776738567
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
We explored the feasibility and acceptability of delivering cognitive-behavioural therapy (CBT) via video-conference to clients with depression and/or anxiety living in rural north Queensland. The study involved 15 mental health clients and their five case managers. First, each case manager was instructed in the use of telemedicine for clinical consultation, and given training in CBT. This was done via videoconference. Then the clients were introduced to telemedicine. Following six to eight intensive weekly sessions of CBT, there was improvement in certain clinical outcome measures (i.e. the Mental Health Inventory and the Health of the Nation Outcome Scale). There was a significant improvement (P < 0.05 using a t-test) in the client Mental Health Inventory scores before (mean = 109) and after treatment (mean = 148). However, in the absence of a control condition, it was not possible to conclude that the treatment had a specific effect on the disorders studied. Both clients and case managers found telemedicine consultations acceptable. Clients' ratings ranged from 3 to 4.5, while case mangers' ratings ranged from 3 to 5 ('average' to 'much better than average').
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页码:136 / 140
页数:5
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