Digital Collateral Information Through Electronic and Social Media in Psychotherapy: Comparing Clinician-reported Trends Before and During the COVID-19 Pandemic.
Journal
Journal of psychiatric practice
ISSN: 1538-1145
Titre abrégé: J Psychiatr Pract
Pays: United States
ID NLM: 100901141
Informations de publication
Date de publication:
01 09 2023
01 09 2023
Historique:
medline:
11
9
2023
pubmed:
8
9
2023
entrez:
7
9
2023
Statut:
epublish
Résumé
Patient clinical collateral information is critical for providing psychiatric and psychotherapeutic care. With the shift to primarily virtual care triggered by the COVID-19 pandemic, psychotherapists may have received less clinical information than they did when they were providing in-person care. This study assesses whether the shift to virtual care had an impact on therapists' use of patients' electronic and social media to augment clinical information that may inform psychotherapy. In 2018, we conducted a survey of a cohort of psychotherapists affiliated with McLean Hospital. We then reapproached the same cohort of providers for the current study, gathering survey responses from August 10, 2020, to September 1, 2020, for this analysis. We asked clinicians whether they viewed patients' electronic and social media in the context of their psychotherapeutic relationship, what they viewed, how much they viewed it, and their attitudes about doing so. Of the 99 respondents, 64 (64.6%) had viewed at least 1 patient's social media and 8 (8.1%) had viewed a patient's electronic media. Of those who reported viewing patients' media, 70 (97.2%) indicated they believed this information helped them provide more effective treatment. Compared with the 2018 prepandemic data, there were significantly more clinicians with>10 years of experience reporting media use in therapy. There was also a significant increase during the pandemic in the viewing of media of adult patients and a trend toward an increase in viewing of media of older adult patients. Review of patients' electronic and social media in therapy became more common among clinicians at a large psychiatric teaching hospital during the COVID-19 pandemic. These findings support continuing research about how reviewing patients' media can inform and improve clinical care.
Sections du résumé
BACKGROUND
Patient clinical collateral information is critical for providing psychiatric and psychotherapeutic care. With the shift to primarily virtual care triggered by the COVID-19 pandemic, psychotherapists may have received less clinical information than they did when they were providing in-person care. This study assesses whether the shift to virtual care had an impact on therapists' use of patients' electronic and social media to augment clinical information that may inform psychotherapy.
METHODS
In 2018, we conducted a survey of a cohort of psychotherapists affiliated with McLean Hospital. We then reapproached the same cohort of providers for the current study, gathering survey responses from August 10, 2020, to September 1, 2020, for this analysis. We asked clinicians whether they viewed patients' electronic and social media in the context of their psychotherapeutic relationship, what they viewed, how much they viewed it, and their attitudes about doing so.
RESULTS
Of the 99 respondents, 64 (64.6%) had viewed at least 1 patient's social media and 8 (8.1%) had viewed a patient's electronic media. Of those who reported viewing patients' media, 70 (97.2%) indicated they believed this information helped them provide more effective treatment. Compared with the 2018 prepandemic data, there were significantly more clinicians with>10 years of experience reporting media use in therapy. There was also a significant increase during the pandemic in the viewing of media of adult patients and a trend toward an increase in viewing of media of older adult patients.
CONCLUSIONS
Review of patients' electronic and social media in therapy became more common among clinicians at a large psychiatric teaching hospital during the COVID-19 pandemic. These findings support continuing research about how reviewing patients' media can inform and improve clinical care.
Identifiants
pubmed: 37678366
doi: 10.1097/PRA.0000000000000727
pii: 00131746-202309000-00005
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
367-372Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
K.J.R. has performed scientific consultation for Bioxcel, Bionomics, Acer, Takeda, and Jazz Pharma and serves on Scientific Advisory Boards for Sage and the Brain Research Foundation; he has received sponsored research support from Takeda, Brainsway, and Alto Neuroscience. None of this work is related to the current study. I.V.V. receives current research support from the National Institute on Aging, the National Institute of Mental Health, the Once Upon a Time Foundation, and the Harvard Dean’s Initiative on Aging. K.J.R. was previously an investigator of the Howard Hughes Medical Institute and receives current research support from the National Institutes of Health, the National Institute of Mental Health, and the Once Upon a Time Foundation. The remaining authors declare no conflicts of interest.
Références
Kemp S. Digital 2020: Global Digital Overview. DataReportal; 2020. Accessed June 17, 2022. https://datareportal.com/reports/digital-2020-global-digital-overview
Drouin M, McDaniel BT, Pater J, et al. How parents and their children used social media and technology at the beginning of the COVID-19 pandemic and associations with anxiety. Cyberpsychol Behav Soc Netw. 2020;23:727–736.
Vogels EA, Perrin A, Rainie L, et al. 53% of Americans Say the Internet Has Been Essential During the COVID-19 Outbreak. Pew Research Center: Internet, Science & Tech; 2020. Accessed June 20, 2022. https://www.pewresearch.org/internet/2020/04/30/53-of-americans-say-the-internet-has-been-essential-during-the-covid-19-outbreak/
Hankoff LD. Denial of illness in schizophrenic outpatients: effects of psychopharmacological treatment. Arch Gen Psychiatry. 1960;3:657–664.
Lawver T. A Proposal for including patient-generated web-based creative writing material into psychotherapy: advantages and challenges. Psychiatry (Edgmont). 2008;5:56–61.
Merchant RM, Southwick L, Beidas RS, et al. Effect of integrating patient-generated digital data into mental health therapy: a randomized controlled trial. Psychiatr Serv. 2023;74:876–879.
Guntuku SC, Ramsay JR, Merchant RM, et al. Language of ADHD in adults on social media. J Atten Disord. 2019;23:1475–1485.
Coppersmith G, Dredze M, Harman C. Quantifying mental health signals in Twitter In: Proceedings of the Workshop on Computational Linguistics and Clinical Psychology: From Linguistic Signal to Clinical Reality. Association for Computational Linguistics; 2014:51–60 . Accessed June 17, 2022. https://aclanthology.org/W14-3207.pdf
Hoogendoorn M, Berger T, Schulz A, et al. Predicting social anxiety treatment outcome based on therapeutic email conversations. IEEE J Biomed Health Inform. 2017;21:1449–1459.
Swartz HA, Novick DM. Psychotherapy in the digital age: what we can learn from interpersonal psychotherapy. Am J Psychother. 2020;73:15–21.
Di Matteo D, Fine A, Fotinos K, et al. Patient willingness to consent to mobile phone data collection for mental health apps: structured questionnaire. JMIR Ment Health. 2018;5:e56.
Rieger A, Gaines A, Barnett I, et al. Psychiatry outpatients’ willingness to share social media posts and smartphone data for research and clinical purposes: survey study. JMIR Form Res. 2019;3:e14329.
Deen SR, Withers A, Hellerstein DJ. Mental health practitioners’ use and attitudes regarding the internet and social media. J Psychiatr Pract. 2013;19:454–463.
Hobbs KW, Monette PJ, Owoyemi P, et al. Incorporating information from electronic and social media into psychiatric and psychotherapeutic patient care: survey among clinicians. J Med Internet Res. 2019;21:e13218.
Anderson M, Vogels EA. Americans turn to technology during COVID-19 outbreak, say an outage would be a problem. Pew Research Center. 2020. Accessed June 20, 2022. https://www.pewresearch.org/fact-tank/2020/03/31/americans-turn-to-technology-during-covid-19-outbreak-say-an-outage-would-be-a-problem
Schreurs K, Quan-Haase A, Martin K. Problematizing the digital literacy paradox in the context of older adults’ ICT use: aging, media discourse, and self-determination. Can J Commun. 2017;42:359–377. doi:10.22230/cjc.2017v42n2a3130
doi: 10.22230/cjc.2017v42n2a3130
Torous J, Wisniewski H, Liu G, et al. Mental health mobile phone app usage, concerns, and benefits among psychiatric outpatients: comparative survey study. JMIR Ment Health. 2018;5:e11715.
Auxier B. How Americans See Digital Privacy Issues Amid the COVID-19 Outbreak. Pew Research Center; 2020. Accessed June 20, 2022. https://www.pewresearch.org/fact-tank/2020/05/04/how-americans-see-digital-privacy-issues-amid-the-covid-19-outbreak/
Brohi SN, Jhanjhi N, Brohi NN, et al. Key applications of state-of-the-art technologies to mitigate and eliminate COVID-19. TechRxiv. 2020. Preprint. https://doi.org/10.36227/techrxiv.12115596.v2
doi: 10.36227/techrxiv.12115596.v2
Lallie HS, Shepherd LA, Nurse JRC, et al. Cyber security in the age of COVID-19: a timeline and analysis of cyber-crime and cyber-attacks during the pandemic. Computers & Security. 2021;105:102248. https://doi.org/10.1016/j.cose.2021.102248
doi: 10.1016/j.cose.2021.102248
Shachar C, Engel J, Elwyn G. Implications for telehealth in a postpandemic future: regulatory and privacy issues. JAMA. 2020;323:2375–2376.
Torous J, Bucci S, Bell IH, et al. The growing field of digital psychiatry: current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry. 2021;20:318–335.
Zhu D, Paige SR, Slone H, et al. Exploring telemental health practice before, during, and after the COVID-19 pandemic. J Telemed Telecare. 2021:1357633X211025943. doi:10.1177/1357633X211025943. [Online ahead of print].
doi: 10.1177/1357633X211025943