Interest in Behavioral and Psychological Treatments Delivered Face-to-Face, by Telephone, and by Internet
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ORIGINAL ARTICLE
Interest in Behavioral and Psychological Treatments Delivered Face-to-Face, by Telephone, and by Internet David C. Mohr, Ph.D. & Juned Siddique, Dr.P.H. & Joyce Ho, Ph.D. & Jenna Duffecy, Ph.D. & Ling Jin, M.S. & J. Konadu Fokuo, B.A.
Published online: 21 July 2010 # The Society of Behavioral Medicine 2010
Abstract Little is known about the acceptability of internet and telephone treatments, or what factors might influence patient interest in receiving treatments via these media. This study examined the level of interest in face-to-face, telephone, and internet treatment and factors that might influence that interest. Six hundred fifty-eight primary care patients were surveyed. Among patients interested in some form of behavioral treatment, 91.9% were interested or would consider face-to-face care compared to 62.4% for telephone and 48.0% for internet care. Symptom severity was unrelated to interest in treatment delivery medium. Interest in specific treatment targeting mental health, lifestyle, or pain was more strongly predictive of interest in face-to-face treatment than telephone or internet treatments. Only interest in lifestyle intervention was predictive of interest in internet-delivered treatment. Time constraints as a barrier were more predictive of interest in telephone and internet treatments compared to face-to-face. These findings provide some support for the notion that telephone and internet treatments may overcome barriers. People who seek help with lifestyle change may be more open to internet-delivered treatments, while interest in internet intervention does not appear to be associated with the desire for help in mental health, pain, or tobacco use. D. C. Mohr (*) : J. Siddique : J. Ho : J. Duffecy : L. Jin : J. K. Fokuo Department of Preventive Medicine, Northwestern University, Feinberg School of Medicine, 680 N. Lakeshore Drive, Suite 1220, Chicago, IL 60611, USA e-mail: [email protected] D. C. Mohr Hines VA Medical Center, Hines, IL, USA
Keywords Telemental health . Behavioral medicine . Internet intervention . Preferences
Introduction Traditional face-to-face behavioral treatments are empirically supported and widely used for a variety of treatment targets, most notably mental health, lifestyle (diet and exercise), smoking cessation, and pain management. Over the past decade, there has been a large increase in research examining the use of telecommunications technologies to deliver psychological and behavioral treatments that target these problems. Telephone-administered treatments have been shown to be effective for mental health problems [1], lifestyle (weight loss and exercise) interventions [2], smoking cessation [3], and pain management [4]. A growing body of research also supports the efficacy of internet-based interventions for these treatment targets [4–8]. While much has been made about the potential for telecommunications technologies to overcome barriers to behavioral treatments, little is known about the broader acceptability of these treatment delivery me
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