2.50
Hdl Handle:
http://hdl.handle.net/10755/157762
Type:
Presentation
Title:
Telepsychiatry Program Evaluation
Abstract:
Telepsychiatry Program Evaluation
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Jensen, Lisa A., APRN
P.I. Institution Name:VA Medical Center, Nursing
Title:Associate Chief Nursing
Contact Address:52 Scenic Hills Circle, North Salt Lake, UT, 84054, USA
Contact Telephone:801-712-0412
Purpose: This presentation describes a study of importance to APRNs comparing clinical outcomes of patients receiving psychiatric services through telepsychiatry, with outcomes of patients receiving services through traditional, in person treatment. Rationale/Background: The George E. Wahlen VA Medical Center in Salt Lake City serves one of the largest geographic areas in the VA health care system. Telepsychiatry can be defined as the provision of mental health services through the use of interactive videoconference equipment.  This method of service delivery lends itself particularly well to mental health services and is a useful means for APRNS to provide mental health care to patients in rural areas. There is a need to determine if telepsychiatry services result in comparable outcomes to traditional psychiatric services. Methods: Sixty-one patients participated in the study, thirty-one received in-person services and thirty received telepsychiatry services. Patients were randomly selected from two lists of patients receiving psychiatric services through the Salt Lake City VA Healthcare system. Subjects were predominantly male (95%), with an average age of 54 years. The study consisted of a phone survey and a retrospective chart review. Demographic data, including age, highest grade completed, and religion, was collected. Two instruments were administered over the phone.  These instruments included the Client Satisfaction Questionnaire or CSQ - 8 and the Working Alliance Inventory or WAI. The CSQ - 8 is an eight-item measure, which uses a 4-point Likert-type scale to evaluate client satisfaction with mental health services.  The WAI is composed of 12 questions and uses a 7-point Likert-type scale to measure the working alliance between clients and therapists. Medical records of the 2 groups of patients were also reviewed to compare scores on the Global Assessment of Functioning or GAF scale; number of psychiatric hospitalizations; treatment adherence as measured by missed appointments, provider phone calls between visits, and medication usage. Results: The mean scores of the subject responses on the CSQ-8 and the WAI were measured and independent t-tests were completed. The overall mean score for the two groups on the CSQ-8 was 29, out of a possible 32, indicating a high level of satisfaction. There were no statistically significant differences between the two groups in the scores of satisfaction. Regarding the WAI, there were statistically significant differences between the groups in the areas of goal development (p = .01) and reaching goals (p = .02), but no difference in the quality of the relationship. There were no statistically significant differences between the groups in the areas measured through the medical record review. Implications: This study indicates that the satisfaction level and the ability to form a therapeutic relationship of patients receiving telepsychiatry services, is the same as patients receiving traditional psychiatric services. Telepsychiatry creates more of a challenge for patients in developing and reaching goals than those with traditional services. These results point to the importance of continuing to use telepsychiatry as a treatment modality.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleTelepsychiatry Program Evaluationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157762-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Telepsychiatry Program Evaluation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Jensen, Lisa A., APRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">VA Medical Center, Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Chief Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">52 Scenic Hills Circle, North Salt Lake, UT, 84054, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">801-712-0412</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">lisa41859@yahoo.com, Lisa.Jensen@va.gov</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This presentation describes a study of importance to APRNs comparing clinical outcomes of patients receiving psychiatric services through telepsychiatry, with outcomes of patients receiving services through traditional, in person treatment. Rationale/Background: The George E. Wahlen VA Medical Center in Salt Lake City serves one of the largest geographic areas in the VA health care system. Telepsychiatry can be defined as the provision of mental health services through the use of interactive videoconference equipment.&nbsp; This method of service delivery lends itself particularly well to mental health services and is a useful means for APRNS to provide mental health care to patients in rural areas. There is a need to determine if telepsychiatry services result in comparable outcomes to traditional psychiatric services. Methods: Sixty-one patients participated in the study, thirty-one received in-person services and thirty received telepsychiatry services. Patients were randomly selected from two lists of patients receiving psychiatric services through the Salt Lake City VA Healthcare system. Subjects were predominantly male (95%), with an average age of 54 years. The study consisted of a phone survey and a retrospective chart review. Demographic data, including age, highest grade completed, and religion, was collected. Two instruments were administered over the phone.&nbsp; These instruments included the Client Satisfaction Questionnaire or CSQ - 8 and the Working Alliance Inventory or WAI. The CSQ - 8 is an eight-item measure, which uses a 4-point Likert-type scale to evaluate client satisfaction with mental health services.&nbsp; The WAI is composed of 12 questions and uses a 7-point Likert-type scale to measure the working alliance between clients and therapists. Medical records of the 2 groups of patients were also reviewed to compare scores on the Global Assessment of Functioning or GAF scale; number of psychiatric hospitalizations; treatment adherence as measured by missed appointments, provider phone calls between visits, and medication usage. Results: The mean scores of the subject responses on the CSQ-8 and the WAI were measured and independent t-tests were completed. The overall mean score for the two groups on the CSQ-8 was 29, out of a possible 32, indicating a high level of satisfaction. There were no statistically significant differences between the two groups in the scores of satisfaction. Regarding the WAI, there were statistically significant differences between the groups in the areas of goal development (p = .01) and reaching goals (p = .02), but no difference in the quality of the relationship. There were no statistically significant differences between the groups in the areas measured through the medical record review. Implications: This study indicates that the satisfaction level and the ability to form a therapeutic relationship of patients receiving telepsychiatry services, is the same as patients receiving traditional psychiatric services. Telepsychiatry creates more of a challenge for patients in developing and reaching goals than those with traditional services. These results point to the importance of continuing to use telepsychiatry as a treatment modality.</td></tr></table>en_GB
dc.date.available2011-10-26T20:10:49Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:10:49Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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