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Marriage and Family Therapists’ Use and Comfort with Online Communication with Clients

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Abstract

Despite the growth in computer and Internet use, marriage and family therapists’ (MFT) use of such technologies to communicate with clients has received limited attention. The purpose of the current research was to understand the frequency and ways in which MFTs are communicating online with clients and identify their level of comfort with online treatments. We administered a survey to practicing MFTs across the US to identify the frequency with which they used online communications with their clients, and the extent to which they felt comfortable using online communications in various treatment modalities. Implications for research, training, and practice are discussed.

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Notes

  1. We also collected data on student therapists’ use of technology in their practice, but are limiting the findings in this publication to the data gathered on the professionals.

  2. States included: Alaska, Arizona, California, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nevada, New Hampshire, New Mexico, New York, North Carolina, North Dakota, Oklahoma, Oregon, Pennsylvania, South Dakota, Texas, Utah, and Washington.

References

  • Aguilera, A., & Muñoz, R. F. (2011). Text messaging as an adjunct to CBT in low-income populations: A usability and feasibility pilot study. Professional Psychology: Research and Practice, 42(6), 472–478. doi:10.1037/a0025499.

    Article  Google Scholar 

  • Bacigalupe, G., & Lambe, S. (2011). Virtualizing intimacy: Information communication technologies and transnational families in therapy. Family Process, 50(1), 12–26. doi:10.1111/j.1545-5300.2010.01343.x.

    Article  PubMed  Google Scholar 

  • Bauer, S., Okon, E., Meermann, R., & Kordy, H. (2012). Technology-enhanced maintenance of treatment gains in eating disorders: Efficacy of an intervention delivered via text messaging. Journal of Clinical and Consulting Psychology, 80(4), 700–706. doi:10.1037/a0028030.

    Article  Google Scholar 

  • Best, M. L., & Maclay, C. M. (2002). Community internet access in rural areas: Solving the economic sustainability puzzle. In G. Kirkman, J. Sachs, K. Schwab, & P. Corneilus (Eds.), The global information technology report 2001–2002: Readiness for the networked world (pp. 76–89). Oxford: Oxford University Press.

    Google Scholar 

  • Bischoff, R. J. (2004). Considerations in the use of telecommunications as a primary treatment medium: The application of behavioral telehealth to marriage and family therapy. American Journal of Family Therapy, 32, 173–187. doi:10.1080/01926180490437376.

    Article  Google Scholar 

  • Carlbring, P., Nilsson-Ihrfelt, E., Waara, J., Kollenstam, C., Buhrman, M., Kaldo, V., et al. (2005). Treatment of panic disorder: Live therapy vs. self-help via the internet. Behaviour Research and Therapy, 43, 1321–1333. doi:10.1016/j.brat.2004.10.002.

    Article  PubMed  Google Scholar 

  • Castaño, P. M., Bynum, J., Andrés, R., Lara, M., & Westhoff, C. (2012). Effect of daily text messages on oral contraceptive continuation. Obstetrics and Gynecology, 119(1), 14–20. doi:10.1097/AOG.0b013e31823d4167.

    Article  PubMed  Google Scholar 

  • Ellis, A. R., Konrad, T. R., Thomas, K. C., & Morrissey, J. P. (2009). County-level estimates of mental health professional supply in the United States. Psychiatric Services, 60(10), 1315–1322. doi:10.1176/appi.ps.60.10.1315.

    Article  PubMed  Google Scholar 

  • Fischer, H. H., Moore, S. L., Ginosar, D., Davidson, A. J., Rice-Peterson, C. M., Durfee, M. J., et al. (2012). Care by cell phone: Text messaging for chronic disease management. American Journal of Managed Care, 18(2), 42–47.

    Google Scholar 

  • Foreman, K. F., Stockl, K. M., Le, L. B., Fisk, E., Shah, S. M., Lew, H. C., et al. (2012). Impact of a text messaging pilot program on patient medication adherence. Clinical Therapeutics, 34(5), 1084–1091. Retrieved from doi:10.1016/j.clinthera.2012.04.007.

    Google Scholar 

  • Grubaugh, A. L., Cain, G. D., Elhai, J. D., Patrick, S. L., & Frueh, C. B. (2008). Attitudes toward medical and mental health care delivered via telehealth applications among rural and urban primary care patients. Journal of Nervous and Mental Disease, 196(2), 166–170. doi:10.1097/NMD.0b013e318162aa2d.

    Article  PubMed  Google Scholar 

  • Hailey, D., Roine, R., & Ohinmaa, A. (2008). The effectiveness of telemental health applications: A review. The Canadian Journal of Psychiatry, 53(11), 769–778.

    Google Scholar 

  • Harwood, T. M., & L’Abate, L. (2009). Self-help in mental health: A critical review. New York: Springer.

    Google Scholar 

  • Jerome, L. W., & Zaylor, C. (2000). Cyberspace: Creating a therapeutic environment for telehealth applications. Professional Psychology: Research and Practice, 31, 478–483. doi:10.1037/0735-7028.31.5.478.

    Article  Google Scholar 

  • Karhula, T., Kauppila, T., Elonheimo, O., & Brommels, M. (2011). Use of email in communication between the finnish primary healthcare system and general practitioners. Informatics in Primary Care, 19(1), 25–32. doi:10.1186/1472-6947-5-2.

    PubMed  Google Scholar 

  • Mackinnon, A., Griffiths, K., & Christensen, H. (2008). Comparative randomised trial of online cognitive-behavioural therapy and an information website for depression: 12-month outcomes. The British Journal of Psychiatry, 192, 130–134. doi:10.1192/bjp.bp.106.032078.

    Article  PubMed  Google Scholar 

  • Menachemi, N., Prickett, C. T., & Brooks, R. G. (2011). The use of physician-patient email: A follow-up examination of adoption and best-practice adherence 2005–2008. Journal of Medical Internet research, 13(1), e23. doi:10.2196/jmir.1578.

  • Moore, S. (2011). Text, tweets, and patient portals. Oncology Nursing Forum, 38(4), 393.

    Article  PubMed  Google Scholar 

  • National Board of Certified Counselors. (2008). The practice of Internet counseling. Greensboro, NC: Center for Credentialing and Education, Inc. Retrieved from http://www.nbcc.org/Assets/Ethics/internetCounseling.pdf.

  • Negretti, M. A., & Wieling, E. (2001). The use of communication technology in private practice: Ethical implications and boundary dilemmas in therapy. Contemporary Family Therapy, 23(3), 275–293.

    Article  Google Scholar 

  • Neville, R. G., Marsden, W., McCowan, C., Pagliari, C., Mullen, H., & Fannin, A. (2004). A survey of GP attitudes to and experiences of email consultations. Informatics in Primary Care, 12(4), 201–205.

    PubMed  Google Scholar 

  • Nickelson, D. W. (1998). Telehealth and the evolving health care system: Strategic opportunities for professional psychology. Professional Psychology: Research and Practice, 29(6), 527–535. doi:10.1037/0735-7028.29.6.527.

    Article  Google Scholar 

  • Northey, W. F. (2005). Studying marriage and family therapists in the 21st century: Methodological and technological issues. Journal of Marital and Family Therapy, 31(1), 99–105. doi:10.1111/j.1752-0606.2005.tb01546.x.

    Article  PubMed  Google Scholar 

  • Papacharissi, Z., & Rubin, A. M. (2000). Predictors of Internet use. Journal of Broadcasting and Electronic Media, 44(2), 175–196.

    Article  Google Scholar 

  • Petrie, K. J., Perry, K., Broadbent, E., & Weinman, J. (2012a). A text message programme designed to modify patients’ illness and treatment beliefs improves self-reported adherence to asthma preventer medication. British Journal of Health Psychology, 17(1), 74–84.

    Article  PubMed  Google Scholar 

  • Petrie, K. J., Perry, K., Broadbent, E., & Weinman, J. (2012b). A text message programme designed to modify patients’ illness and treatment beliefs improves self-reported adherence to asthma preventer medication. British Journal of Health Psychology, 17(1), 74–84. doi:10.1111/j.2044-8287.2011.02033.x.

    Article  PubMed  Google Scholar 

  • Reese, C. S., & Stone, S. (2005). Therapeutic alliance in face-to-face versus videoconferenced psychotherapy. Professional Psychology: Research and Practice, 36, 649–653. doi:10.1037/0735-7028.36.6.649.

    Article  Google Scholar 

  • Ritterband, L. M., & Tate, D. F. (2009). The science of internet interventions. Annuals of Behavioral Medicine, 38(1), 1–3. doi:10.1007/s12160-009-9132-5.

    Article  Google Scholar 

  • Robinson, P. H., & Serfaty, M. A. (2001). The use of e-mail in the identification of bulimia nervosa and its treatment. European Eating Disorders Review, 9, 182–193. doi:10.1002/erv.411.

    Article  Google Scholar 

  • Ruskin, P. E., Silver-Aylaian, M., Kling, M. A., Reed, S. A., Bradham, D. D., Hebel, J. R., et al. (2004). Treatments outcomes in depression: Comparison of remote treatment through telepsychiatry to in-person treatment. American Journal of Psychiatry, 161(8), 1471–1476. doi:10.1176/appi.ajp.161.8.1471.

    Article  PubMed  Google Scholar 

  • Schopp, L., Johnstone, B., & Merrell, D. (2000). Telehealth and neuropsychological assessment: New opportunities for psychologists. Professional Psychology: Research and Practice, 31(2), 179–183. doi:10.1037/0735-7028.31.2.179.

    Article  Google Scholar 

  • Shapiro, J. R., Bauer, S., Andrews, E., Pisetsky, E., Bulik-Sullivan, B., Hamer, R. M., et al. (2010). Mobile therapy: Use of text-messaging in the treatment of bulimia nervosa. International Journal of Eating Disorders, 43(6), 513–519. doi:10.1002/eat.20744.

    Article  PubMed  Google Scholar 

  • Simms, D. C., Gibson, K., & O’Donnell, S. (2011). To use or not to use: Clinicians’ perceptions of telemental health. Canadian Psychology/Psychologie Canadienne, 52(1), 41–51. doi:10.1037/a0022275.

    Article  Google Scholar 

  • Singh, H., Fox, S. A., Petersen, N. J., Shethia, A., & Street Jr, R. L. (2009). Older patients’ enthusiasm to use electronic mail to communicate with their physicians: cross-sectional survey. Journal of Medical Internet Research, 11(2). doi:10.2196/jmir.1143.

  • Spek, V., Cuijpers, P., Nyklicek, I., Riper, H., Keyzer, J., & Pop, V. (2007). Internet-based cognitive behavior therapy for mood and anxiety disorders: A meta-analysis. Psychological Medicine, 37(3), 319–328. doi:10.1037/0022-006X.74.4.677.

    Google Scholar 

  • Stockwell, M. S., Kharbanda, E. O., Martinez, R. A., Lara, M., Vawdrey, D., Natarajan, K., et al. (2012). Text4Health: Impact of text message reminder-recalls for pediatric and adolescent immunizations. American Journal of Public Health, 102(2), e15–e21. doi:10.2105/AJPH.2011.300331.

    Article  PubMed  PubMed Central  Google Scholar 

  • Tambling, R., Johnson, L., Templeton, G. G., & Melton, M. (2007). Using web-based technology to facilitate client engagement. Contemporary Family Therapy: An International Journal, 29(3), 177–183. doi:10.1007/s10591-007-9037-z.

    Article  Google Scholar 

  • VandenBos, G. R., & Williams, S. (2000). The internet versus the telephone: What is telehealth, anyway? Professional Psychology: Research and Practice, 31(5), 450–492. doi:10.1037/0735-7028.31.5.490.

    Google Scholar 

  • Virji, A., Yarnall, K. S. H., Krause, K. M., Pollak, K. I., Scannell, M. A., Gradison, M., et al. (2006). Use of email in a family practice setting: opportunities and challenges in patient- and physician-initiated communication. BMC Medicine, 4, 18–27. doi:10.1186/1741-7015-4-18.

    Article  PubMed  PubMed Central  Google Scholar 

  • Watkins, D. C., Smith, L. C., Kerber, K., Kuebler, J., & Himle, J. A. (2011). Email reminders as a self-management tool in depression: a needs assessment to determine patients’ interests and preferences. Journal of Telemedicine and Telecare, 17(7), 378–381. doi:10.1258/jtt.2011.110105.

    Article  PubMed  Google Scholar 

  • Wiersma, J. E., Titov, N., VanSchaik, D. J. F., Van Oppen, P., Beekman, A. T. F., Culjpers, P., et al. (2011). Treating chronic symptoms of depression in the virtual clinic: Findings on chronicity of depression in patients treated with internet-based computerized cognitive behavior therapy for depression. Psychotherapy and Psychosomatics. doi:10.1159/000323167.

    PubMed  Google Scholar 

  • Wooton, B. M., Titov, N., Dear, B. F., Spence, J., & Kemp, A. (2011). The acceptability of internet-based treatment and characteristics of an adult sample with obsessive compulsive disorder: An internet survey. PLoS ONE, 6(6), e20548. doi:10.1371/journal.pone.0020548.

    Article  Google Scholar 

  • Young, K. S. (2005). An empirical examination of client attitudes towards online counseling. CyberPsychology and Behavior, 8(2), 172–177. doi:10.1089/cpb.2005.8.172.

    Article  PubMed  Google Scholar 

  • Yuen, E. K., Goetter, E. M., Herbet, J. D., & Forman, E. M. (2012). Challenges and opportunities in Internet-mediated telemental health. Professional Psychology, Research and Practice, 43, 1–8. doi:10.1037/a0025524.

    Article  Google Scholar 

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Acknowledgments

This project was funded by the Alaska Association for Marriage and Family Therapy.

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Correspondence to Katherine M. Hertlein.

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Hertlein, K.M., Blumer, M.L.C. & Smith, J.M. Marriage and Family Therapists’ Use and Comfort with Online Communication with Clients. Contemp Fam Ther 36, 58–69 (2014). https://doi.org/10.1007/s10591-013-9284-0

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