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Examining clinicians' concerns delivering telemental health interventions directly to autistic individuals during COVID-19.
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- Author(s): Adams L;Adams L;Adams L; Adamo N; Adamo N; Adamo N; Hollocks MJ; Hollocks MJ; Hollocks MJ; Valmaggia L; Valmaggia L; Brewster A; Brewster A; Watson J; Watson J; Krisson M; Krisson M; Simonoff E; Simonoff E; Simonoff E
- Source:
Research in autism spectrum disorders [Res Autism Spectr Disord] 2022 Jun; Vol. 94, pp. 101956. Date of Electronic Publication: 2022 Mar 29.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101300021 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1750-9467 (Print) NLM ISO Abbreviation: Res Autism Spectr Disord Subsets: PubMed not MEDLINE
- Publication Information: Original Publication: Amsterdam : Elsevier
- Abstract: Background: The COVID-19 pandemic necessitated the adoption of telemental health (TMH). Pre-pandemic, clinicians had voiced many TMH concerns, but these had not been investigated with respect to autism spectrum disorder (ASD) even with it being known that there are distinct ASD-associated challenges for in-person mental health interventions.
Method: A convenience sample of ( n = 55) clinicians completed an online survey regarding their perspectives of adopting TMH interventions in ASD, with closed- and open-answered questions. Quantitative and qualitative data were analysed descriptively/inferentially and via Content Analysis, respectively.
Results: Multiple clinicians endorsed each TMH challenges/barrier previously identified as concerns in the non-ASD literature. However, overall levels of concern over challenges/barriers were low, and challenges were more likely to be predicted than experienced and considered to be case/presentation specific. Challenges that were considered ASD-specific included the exacerbation of those associated with in-person delivery in ASD, alongside difficulties with trust and appropriate remote social behaviour. On average, clinicians indicated a preference for 50% TMH interventions post-pandemic. Clinicians' perceived technological competence and extent of professional experience with ASD were not significantly associated with levels of concern, nor number of experienced challenges, with TMH interventions in ASD.
Conclusion: In support of the existing TMH literature, challenges/barriers were more likely to be predicted than experienced and were considered to be case/presentation-specific, though this may be more variable in ASD owing to the well-established marked heterogeneity in this population. Remote provision of interventions exacerbated in-person ASD-associated challenges, as predicted, but clinician-level factors appeared not to impact TMH perceptions.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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J Autism Dev Disord. 2022 Aug;52(8):3686-3697. (PMID: 34448995) - Contributed Indexing: Keywords: ASD; Mental health interventions; Telehealth; Telepsychiatry
- Publication Date: Date Created: 20220404 Latest Revision: 20221221
- Publication Date: 20221221
- Accession Number: PMC8963796
- Accession Number: 10.1016/j.rasd.2022.101956
- Accession Number: 35369648
- Source:
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