Web-based consulting, clinical and behavioral health research literature citations

Preliminary efficacy of a web-based family problem-solving treatment program for adolescents with traumatic brain injury. Wade, S. L., Chertkoff Walz, N., Carey, J., C., & Williams, K. Journal of Head Trauma Rehabilitation, 23(6), 2008, 369-377.

This study provides preliminary evidence of the feasibility and efficacy of family-centered online intervention for improving adolescent and family adaptation following pediatric TBI.
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Clinical supervision of a client with traumatic brain injury in a host home placement using video teleconferencing: A case study. McGrath, N., Dowds, M., M., & Goldstein, R. Journal of Head Trauma Rehabilitation, 23(6), 2008, 388-393

Video Teleconferencing might be liberally substituted for in-person supervision visits in the context of an ongoing clinical relationship during community reintegration following TBI.
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Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial. O'Reilly, R.; Bishop, J.; Maddox, K.; Hutchinson, L.; Fisman, M.; Takhar, J. Psychiatric Services. 58(6), Jun 2007, 836-843.

Conclusions: Psychiatric consultation and short-term follow-up can be as effective when delivered by telepsychiatry as when provided face to face. These findings do not necessarily mean that other types of mental health services, for example, various types of psychotherapy, are as effective when provided by telepsychiatry.
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The e-Mental Health Consultation Service: Providing Enhanced Primary-Care Mental Health Services Through Telemedicine. Neufeld, J. D.; Yellowlees, P. M.; Hilty, D. M.; Cobb, H.; Bourgeois, J. A. Psychosomatics: Journal of Consultation Liaison Psychiatry. 48(2), Mar-Apr 2007, 135-141.

This model of comprehensive rural outpatient primary mental health care delivered at a distance shows promise for wider application and deserves further study.
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Diagnostic reliability of telepsychiatry in American Indian veterans. Shore, J. H.; Savin, D.; Orton, H.; Beals, J.; Manson, S. M. American Journal of Psychiatry. 164(1), Jan 2007, 115-118.

Conclusions: Overall, SCID assessment by live interactive videoconferencing did not differ significantly from face-to-face assessment in this population. Videoconferencing is a viable vehicle for clinical and research purposes.
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Feasibility of Telecognitive Assessment in Dementia. Cullum, C. M.; Weiner, M. F.; Gehrmann, H. R.; Hynan, L S. Assessment. 3(4), Dec 2006, 385-390.

Highly similar test scores were obtained when participants were tested in-person or via VC. Telecognitive assessment appears to be a valid means to conduct neuropsychological evaluation of older adults with cognitive impairment. Furthermore, continued development of VC technology has implications for expanding neuropsychological assessment options in under-served populations.
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Videoconferencing-based cognitive-behavioral therapy for obsessive-compulsive disorder. Himle, J. A.; Fischer, D. J.; Muroff, J. R.; Van Etten, M. L.; Lokers, L. M.; Abelson, J. L.; Hanna, G. L. Behaviour Research and Therapy. 44(12), Dec 2006, 1821-1829.

This pilot study suggests that videoconferencing-based CBT is a promising method to bring appropriate treatment to thousands who live far distances from well-trained therapists.
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The Utility of Videoconferencing to Provide Innovative Delivery of Psychological Treatment for Rural Cancer Patients: Results of a Pilot Study. Shepherd, L.; Goldstein, D.; Whitford, H.; Thewes, B.; Brummell, V.; Hicks, M. Journal of Pain and Symptom Management. 32(5), Nov 2006, 453-461.

These preliminary positive results provide a firm basis to conduct a randomized controlled trial of face-to-face interaction vs. videoconferencing.
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Randomized Clinical Trial of Telepsychiatry through Videoconference versus Face-to-Face Conventional Psychiatric Treatment. De Las Cuevas, C.; Arredondo, M. T.; Cabrera, M. F.; Sulzenbacher, H.; Meise, U. Telemedicine and e-Health. 12(3), Jun 2006, 341-350.

No statistically significant differences were observed when the efficacy of video-conference telepsychiatry treatment was compared to face-to-face conventional psychiatric treatment efficacy. This study demonstrated that telepsychiatry treatment through video-conference has equivalent efficacy to face-to-face psychiatric treatment. Telepsychiatry showed to be an effective mean of delivering mental health services to psychiatric outpatients living in remote areas with limited resources.
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Telepsychiatry with incarcerated youth. Myers, K.; Valentine, J.; Morganthaler, R.; Melzer, S. Journal of Adolescent Health. 38(6), Jun 2006, 643-648.

Youth expressed confidence with the psychiatrist's recommendations but expressed concerns about privacy. Conclusions: Telepsychiatry can successfully deliver services to incarcerated adolescents with a wide range of psychiatric needs. A patient-centered approach that directly assesses adolescents' satisfaction is recommended to ensure youths' optimal involvement in needed services.
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An online family intervention to reduce parental distress following pediatric brain injury. Wade, S. L.; Carey, J.; Wolfe, C. R. Journal of Consulting and Clinical Psychology. 74(3), Jun 2006, 445-454.

Findings suggest that an online, skill-building approach can be effective in facilitating parental adaptation after TBI.
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Use of Video Conferencing for Psychiatric and Forensic Evaluations. Lexcen, F. J.; Hawk, G. L.; Herrick, S.; Blank, M. B. Psychiatric Services. 57(5), May 2006, 713-715.

Results suggest that providers can expect remote interviews to provide clinical information similar to that obtained by in-person interviews.
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Telepsychiatry for treating rural American Indian Youth. Savin, D.; Garry, M. T.; Zuccaro, P.; Novins, D. Journal of the American Academy of Child & Adolescent Psychiatry. 45(4), Apr 2006, 484-488.

The high patient and provider satisfaction we observed supports the use of telepsychiatry. The cost is similar to and considerably more convenient than the cost of providing face-to-face psychiatric services to this population.
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Telemedicine as a means of delivering cognitive-behavioural therapy to rural and remote mental health clients. Griffiths, L.; Blignault, I.; Yellowlees, P. Journal of Telemedicine and Telecare. 12(3), 2006, 136-140.

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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Client acceptability and quality of life--telepsychiatry compared to in-person consultation. Urness, D.; Wass, M.; Gordon, A.; Tian, E.; Bulger, T.
Journal of Telemedicine and Telecare. 12(5), 2006, 251-254.

Telepsychiatry clients felt that they could present the same information as in person (93%), were satisfied with their session (96%), and were comfortable in their ability to talk (85%); this was similar to the in-person clients. They reflected slightly lower levels of satisfaction regarding feeling supported and encouraged than did the in-person clients. Both telepsychiatry clients and traditional face-to-face psychiatry clients were satisfied with their experience of mental health care service provision, and mental health improvements were evident in the telepsychiatry patients.
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Can Telepsychiatry Replace In-Person Psychiatric Assessments? A Review and Meta-Analysis of Comparison Studies. Hyler, S. E.; Gangure, D. P.; Batchelder, S. T. CNS Spectrums. 10(5), May 2005, 403-413.

Conclusion: Out of a large telepsychiatry literature published over the past 40+ years, only a handful of studies have attempted to compare telepsychiatry with l-P directly using standardized assessment instruments that permit meaningful comparisons. However, in those studies, the current meta-analysis concludes there is no difference in accuracy or satisfaction between the two modalities. Over the next few years, we expect telepsychiatry to replace l-P in certain research and clinical situations.
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Cognitive intervention for community-dwelling older persons with memory problems: Telemedicine versus face-to-face treatment. Poon, P.; Hui, E.; Dai, D.; Kwok, T.; Woo, J. International Journal of Geriatric Psychiatry. 20(3), Mar 2005, 285-286.

Conclusions: Telemedicine was a feasible, effective and acceptable means in providing cognitive assessment and intervention to older persons with mild cognitive deficits. Promoting such a program to other community settings would further enhance the accessibility of dementia service to the community.
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Remote psychotherapy for terminally ill cancer patients. Cluver, J. S.; Schuyler, D.; Frueh, B. C.; Brescia, F.; Arana, G. W. Journal of Telemedicine and Telecare. 11(3), 2005, 157-159.

Participants reported strong positive perceptions and acceptance after almost all therapy sessions, regardless of service delivery mode. The study suggests that there may be a role for the delivery of psychotherapy using low-bandwidth videophones.
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Diagnostic accuracy of telehealth community dementia assessments. Loh, P. P. K.; Maher, S.; Goldswain, P.; Flicker, L.; Ramesh, P.; Saligari, J. Journal of the American Geriatrics Society. 53(11), Nov 2005, 2043-2044.

This preliminary study has demonstrated that it is feasible to diagnose AD via telehealth videoconferencing with high sensitivity and specificity. Despite its shortcomings, telehealth might break down the tyranny of distance and provide improved access to an ever-increasing older population.
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Manitoba's Rural and Northern Community-Based Training Program for Psychology Interns and Residents. McIlwraith, R. D.; Dyck, K. G.; Holms, V. L.; Carlson, T. E.; Prober, N. G. Professional Psychology: Research and Practice. 36(2), Apr 2005, 164-172.

This article describes a unique internship training experience developed by the Department of Clinical Health Psychology of the Faculty of Medicine of the University of Manitoba. Interns live in and provide services to remote northern communities for half of the internship year and receive supervision from a psychologist in the community, supplemented by telehealth. The department also offers a full-year, postdoctoral rural residency. Ten interns and 4 residents have been trained so far. The community-based generalist training model and responses to the challenges, for both supervisors and trainees, of working in small underserved communities are described.
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Telehealth Brain Injury Training for Rural Behavioral Health Generalists: Supporting and Enhancing Rural Service Delivery Networks. Schopp, L. H.; Johnstone, B.; Reid-Arndt, S. Professional Psychology: Research and Practice. 36(2), Apr 2005, 158-163.

Telehealth offers potential for rural clinicians to receive support, reduce professional isolation, gain working knowledge of specialty conditions, and deliver high-quality services for their rural clients.
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Clinical Supervision in Rural Settings: A Telehealth Model. Wood, J. A. V.; Miller, T. W.; Hargrove, D. S. Professional Psychology: Research and Practice. 36(2), Apr 2005, 173-179.

The task of providing supervisory services to clinical interns, trainees, and new psychologists in rural settings is often complicated by a host of environmental and economic constraints. Given the reemergence of telecommunication applications as a means of transcending similar obstacles in service delivery, the authors discuss the use of telecommunication technology as a means of enabling the traditional supervisor-supervisee relationship in settings in which face-to-face contact is difficult if not impossible. The evolution of tele-supervision is discussed, followed by an outline of an integrated model of tele-supervision and the goals, benefits, and challenges associated with the use of telecommunications technology in clinical supervision.
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Delivery of child development services by videoconferencing: A review of four years' experience in Queensland. Bailey, M. A.; Smith, A. C.; Fitzgerald, A.; Taylor, E. Journal of Telemedicine and Telecare. 11(Suppl2), 2005, 1-3.

The average number of attendees for each videoconference was five per site, including allied health staff, nurses and pediatricians. The delivery of child development services via videoconference has been shown to be useful in Queensland, especially for allied health staff working in regional and remote areas. The growth of the program indicates its acceptance as a mainstream child development service in Queensland.
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Telehealth service delivery for persons with alcoholism. Frueh, B. C.; Henderson, S.; Myrick, H. Journal of Telemedicine and Telecare. 11(7), 2005, 372-375.

The results demonstrate the feasibility of using videoconferencing for service delivery to adults with AUD, and encourage the future performance of randomized controlled trials.
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Evaluation of a rural telepsychiatry service. Greenwood, J.; Chamberlain, C.; Parker, G. Australasian Psychiatry. 12(3), Sep 2004, 268-272.

Conclusions: Although face-to-face psychiatry was preferred by this sample, the telepsychiatry component was highly rated and preferred over travel to larger centres for face-to-face consultation, by residents of rural and remote locations. Certain issues are of more concern in telepsychiatry than face-to-face psychiatry, including confidentiality, rapport, explanation and education.
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Treatment outcomes in depression: Comparison of remote treatment through telepsychiatry to in-person treatment. Ruskin, P. E.; Silver-Aylaian, M.; Kling, M. A.; Reed, S. A.; Bradham, D. D.; Hebel, J. R.; Barrett, D.; Knowles III, F.; Hauser, P. American Journal of Psychiatry. 161(8), Aug 2004, 1471-1476.

Conclusions: Remote treatment of depression by means of telepsychiatry and in-person treatment of depression have comparable outcomes and equivalent levels of patient adherence, patient satisfaction, and health care cost.
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Telemedicine and coping skills groups for Pacific Island veterans with post-traumatic stress disorder: A pilot study. Morland, L. A.; Pierce, K.; Wong, M. Y. Journal of Telemedicine and Telecare. 10(5), 2004, 286-289.

There was no difference between levels of patient satisfaction or clinician satisfaction at weeks 4 or 8. Patients' retention of information was similar in the two groups. The results show that videoconferencing can be used to provide coping skills groups for veteran patients with PTSD who reside in remote rural locations.
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Child and adolescent telepsychiatry in New South Wales: Moving beyond clinical consultation. Starling, J.; Rosina, R.; Nunn, K.; Dossetor, D. Australasian Psychiatry. 11(Suppl1), Oct 2003, S117-S119.

There were 136 rural families, 20 rural clinicians and eight psychiatrists. Overall, satisfaction was high with the rural families and clinicians being the most satisfied (95-99% very or mostly satisfied). These initiatives included telenursing, professional skills development, sabbaticals for rural clinicians and a clinical skills workshop for rural clinicians. This study confirms telepsychiatry as a useful service for remote and rural children and families.
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The effectiveness of telepsychiatry measured using the Health of the Nation Outcome Scale and the Mental Health Inventory. Kennedy, C.; Yellowlees, P. Journal of Telemedicine and Telecare. 9(1), 2003, 12-16.

Similarly, the MHI results showed a significant difference on all subscales between the initial assessment and follow-up groups, but no significant difference between the face-to-face and telepsychiatry groups. Individuals who used and did not use telepsychiatry all had improved health outcome scores on the HoNOS and MHI during the study period. Telepsychiatry was as effective as face-to-face care.
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Client satisfaction in a feasibility study comparing face-to-face interviews with telepsychiatry. Bishop, J. E.; O'Reilly, R. L.; Maddox, K.; Hutchinson, L . J. Journal of Telemedicine and Telecare. 8(4), 2002, 217-221.

Patient satisfaction with the services was assessed using the Client Satisfaction Questionnaire (CSQ-8), completed four months after the initial consultation. The mean scores were 25.3 in the FTF group and 21.6 in the videoconferencing group. Although there was a trend in favour of the FTF service, the difference was not significant. Patient satisfaction is only one component of evaluation. The efficacy of telepsychiatry must also be measured relative to that of conventional, FTF care before policy makers can decide how extensively telepsychiatry should be implemented.
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Reliability of telepsychiatry assessments: Subjective versus observational ratings. Jones III, B. N.; Johnston, D.; Reboussin, B.; McCall, W. V. Journal of Geriatric Psychiatry and Neurology. 14(2), Sum 2001, 66-71.

Future studies should emphasize the accuracy of telemedicine ratings that require visual observation of behavior, which is crucial to clinical assessment of psychogeriatric conditions.
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Application of telepsychiatry: A preliminary study. Matsuura, S.; Hosaka, T.; Yukiyama, T.; Ogushi, Y.; Okada, Y.; Haruki, Y.; Nakamura, M. Psychiatry and
Clinical Neurosciences. 54(1), Feb 2000, 55-58.

This study verifies that telepsychiatry is a reliable method of assessing patient conditions. It may be used to provide much needed mental health-care services to patients whose access to them is restricted.
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Applicability of telemedicine for assessing patients with schizophrenia: Acceptance and reliability. Zarate Jr., C. A.; Weinstock, L.; Cukor, P.; Morabito, C.; et al Journal of Clinical Psychiatry. 58(1), Jan 1997, 22-25.

Higher bandwidth resulted in more reliable assessment of negative symptoms and was preferred over low bandwidth, although patients' and raters' acceptance of video was good in both conditions. Video consultation proved to be a reliable method of assessing schizophrenic patients with limited access to consultation.
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Pilot studies of telemedicine for patients with obsessive-compulsive disorder. Baer, L.; Cukor, Peter; J., Michael A.; Leahy, L.; et al American Journal of Psychiatry. 152(9), Sep 1995, 1383-1385.

Reliability was excellent in both conditions, and there was no degradation in reliability when the assessment was conducted by video.

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