Annals of Behavioral Medicine

, Volume 40, Issue 1, pp 89–98 | Cite as

Interest in Behavioral and Psychological Treatments Delivered Face-to-Face, by Telephone, and by Internet

  • David C. Mohr
  • Juned Siddique
  • Joyce Ho
  • Jenna Duffecy
  • Ling Jin
  • J. Konadu Fokuo
Original Article

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.

Keywords

Telemental health Behavioral medicine Internet intervention Preferences 

References

  1. 1.
    Mohr DC, Vella L, Hart S, Heckman T, Simon G. The effect of telephone-administered psychotherapy on symptoms of depression and attrition: A meta-analysis. Clinical Psychology: Science and Practice. 2008; 15: 243-253.CrossRefGoogle Scholar
  2. 2.
    Pierce JP, Newman VA, Natarajan L, et al. Telephone counseling helps maintain long-term adherence to a high-vegetable dietary pattern. Journal of Nutrition. 2007; 137: 2291-2296.PubMedGoogle Scholar
  3. 3.
    Curry SJ, McBride C, Grothaus LC, Louie D, Wagner EH. A randomized trial of self-help materials, personalized feedback, and telephone counseling with nonvolunteer smokers. Journal of Consulting and Counseling Psychology. 1995; 63: 1005-1014.Google Scholar
  4. 4.
    Hailey D, Roine R, Ohinmaa A. The effectiveness of telemental health applications: A review. Can J Psychiatry. 2008; 53: 769-778.PubMedGoogle Scholar
  5. 5.
    Spek V, Cuijpers P, Nyklicek I, et al. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychological Medicine. 2007; 37: 319-328.CrossRefPubMedGoogle Scholar
  6. 6.
    Tate DF, Jackvony EH, Wing RR. A randomized trial comparing human e-mail counseling, computer-automated tailored counseling, and no counseling in an Internet weight loss program. Archives of Internal Medicine. 2006; 166: 1620-1625.CrossRefPubMedGoogle Scholar
  7. 7.
    Bee PE, Bower P, Lovell K, et al. Psychotherapy mediated by remote communication technologies: A meta-analytic review. BMC Psychiatry. 2008; 8: 60.CrossRefPubMedGoogle Scholar
  8. 8.
    Schulz PJ, Rubinell S, Hartung U. An internet-based approach to enhance self-managementof chronic low back pain in the italian-speaking population of Switzerland: Results from a pilot study. Int J Public Health. 2007; 52: 286-294.CrossRefPubMedGoogle Scholar
  9. 9.
    Eysenbach G. The law of attrition. J Med Internet Res. 2005; 7: e11.CrossRefPubMedGoogle Scholar
  10. 10.
    Christensen H, Griffiths KM, Farrer L. Adherence in internet interventions for anxiety and depression. J Med Internet Res. 2009; 11: e13.CrossRefPubMedGoogle Scholar
  11. 11.
    Mohr DC, Ho J, Duffecy J, et al. Perceived barriers to psychological treatments and their relationship to depression. Journal of Clinical Psychology. 2010; 66: 394-409.Google Scholar
  12. 12.
    Mohr DC, Hart SL, Howard I, et al. Barriers to psychotherapy among depressed and nondepressed primary care patients. Annals of Behavioral Medicine. 2006; 32: 254-258.CrossRefPubMedGoogle Scholar
  13. 13.
    Kroenke K, Strine TW, Spitzer RL, et al. The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders. 2009; 114: 163-173.CrossRefPubMedGoogle Scholar
  14. 14.
    Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine. 2001; 16: 606-613.CrossRefPubMedGoogle Scholar
  15. 15.
    Kroenke K, Spitzer RL, Williams JB, Monahan PO, Lowe B. Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine. 2007; 146: 317-325.PubMedGoogle Scholar
  16. 16.
    Nelson DE, Powell-Griner E, Town M, Kovar MG. A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. American Journal of Public Health. 2003; 93: 1335-1341.CrossRefPubMedGoogle Scholar
  17. 17.
    Vessey JT, Howard KI. Who seeks psychotherapy? Psychotherapy: Theory, Research, Practice, Training. 1993; 30: 543-553.Google Scholar
  18. 18.
    Hunsley J, Lee CM, Aubry T. Who uses psychological services in Canada? Canadian Psychology. 1999; 40: 232-240.Google Scholar
  19. 19.
    Weddington WW Jr. Adherence by medical-surgical inpatients to recommendations for outpatient psychiatric treatment. Psychotherapy and Psychosomatics. 1983; 39: 225-235.CrossRefPubMedGoogle Scholar
  20. 20.
    Marks GR, Lutgendorf SK. Perceived health competence and personality factors differentially predict health behaviors in older adults. Journal of Aging and Health. 1999; 11: 221-239.CrossRefPubMedGoogle Scholar
  21. 21.
    Tate DF, Jackvony EH, Wing RR. Effects of Internet behavioral counseling on weight loss in adults at risk for type 2 diabetes: A randomized trial. JAMA. 2003; 289: 1833-1836.CrossRefPubMedGoogle Scholar
  22. 22.
    Mohr DC. Telemental health: Reflections on how to move the field forward. Clin Psych: Sci Pra. 2009; 16: 343-347.CrossRefGoogle Scholar

Copyright information

© The Society of Behavioral Medicine 2010

Authors and Affiliations

  • David C. Mohr
    • 1
    • 2
  • Juned Siddique
    • 1
  • Joyce Ho
    • 1
  • Jenna Duffecy
    • 1
  • Ling Jin
    • 1
  • J. Konadu Fokuo
    • 1
  1. 1.Department of Preventive MedicineNorthwestern University, Feinberg School of MedicineChicagoUSA
  2. 2.Hines VA Medical CenterHinesUSA

Personalised recommendations