Systematic Use of Telepsychiatry for Outpatients

Study Overview
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Brief Summary
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Implementation and evaluation of video consultation in psychiatric outpatient treatment. The study will focus on patients' experiences regarding the use of VC. The study will also examine important aspects of the telepsychiatric consultation such as therapeutic alliance, consultation content, psychopathology and satisfaction levels compared to face-to-face consultations.

Official Title
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Systematic Use of Telepsychiatry for Outpatients

Conditions
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Borderline Personality Disorder, Depressive Disorder, Ptsd, Anxiety Disorders

Intervention / Treatment
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* Other: Case management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age > 18 years Danish-speaking. Exclusion Criteria: Exclusion criteria included a diagnosis of schizophrenia or bipolar disorder, or suffering from substance abuse. Additionally, Participants in the VC group were excluded if they did not have a smartphone, tablet, laptop, or personal computer with a webcam.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video group<br>Case management through video format | Other: Case management<br>* Case management cover therapy (psychotherapy/psychoeducation), medication adjustment, training in daily living skills (supportive), and direct consultations in crises.<br>|
| Active Comparator: In-person<br>Case management through in person format | Other: Case management<br>* Case management cover therapy (psychotherapy/psychoeducation), medication adjustment, training in daily living skills (supportive), and direct consultations in crises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The demand for video consultation (VC) in clinical practice. | The demand for VC is evaluated by the percentage of included participants who chose to be in the VC group and the actual use of VC consultation sessions during the study period, including the number of missed appointments and the number of times VC sessions have been converted to telephone or in-person (IP) consultations. | One year | 
| Patients' therapeutic alliance, assessed by working alliance inventory- client version (WAI-C) | Therapeutic alliance is evaluated with the mean change scores in the WAI-C questionnaire at baseline and posttreatment. Score ranging: from 12 to 84. Higher scores indicate a higher therapeutic alliance | Two months. | 
| Patients' satisfaction, assessed by client satisfaction questionnaire 8 (CSQ-8) | Satisfaction is evaluated with the mean change scores in the CSQ-8 questionnaire at baseline and posttreatment. Score ranging: from 8 to 32. Higher scores indicate a higher satisfaction | Two months. | 
| Patients' Symptom level, assessed by Symptom Checklist -10 (SCL-10) | Symptom level is evaluated with the mean change scores in the SCL-10 questionnaire at baseline and posttreatment. Score ranging: from 0 to 100. Lower score indicates lower psychological distress | Two months. | 
| Patients' well-being, assessed by World Health Organisation- Five Well-Being Index (WHO-5) | Well-being level is evaluated with the mean change scores in the WHO-5 questionnaire at baseline and posttreatment. Score ranging: from 0 to 100. Higher scores indicate higher well-being | Two months. | 
| Patients' function, assessed by Sheehan Disability Scale (SDS) | Functional impairment is evaluated with the mean change scores in the SDS questionnaire at baseline and posttreatment. Score ranging: from 0 to 30. lower scores indicate lower functional impairment | Two months. | 
| Patient recovery, assessed by INSPIRE | Patient recovery is evaluated with the mean change scores in the INSPIRE questionnaire at baseline and posttreatment. Score ranging: from 0 to 100. A higher score indicates higher recovery | Two months. | 
| The implementation and integration of VC in clinical practice, as assessed by a checklist developed for the case managers (CM). | The following properties are used to evaluate the implementation and integration properties: type of technology patients use for VC sessions (Smartphone/tablet or personal computer/laptop) patients' physical location during VC session (Home or outdoor) the VC sessions confidentiality (Alone or with other persons) duration of VC session the content of the VC sessions (supportive, therapy, medication management, crisis/acute or mix content) Descriptive statistics will be applied to evaluate the implementation and integration properties. | One year | 
| Patients' experiences regarding the use of VC | Semistructured interviews have been conducted to evaluate participants' experience regarding the use of VC technology in clinical practice. | Two months |