Barriers and Contributors to Success in Telemedicine: A Qualitative Study of a Struggling Telepsychiatry Project and a Sampling of Highly Successful Programs

  • Carolyn Lauckner University of Georgia
  • Pamela Whitten University of Georgia
Keywords: telemedicine, mental health, psychiatry, videoconferencing, hospitals, rural

Abstract

Telemedicine programs, though popular and increasingly effective, can sometimes fail with little indication as to why they did not succeed. This study has two major components: first, a qualitative analysis of the authors’ failed telepsychiatry project, and second, an interview study completed with personnel from successful telepsychiatry programs. Together, these two efforts help to shed light on what went wrong with the authors’ project, while also providing insight into critical factors for telepsychiatry success. Responses suggest that the sophistication or features of the technology used are not key factors in terms of failure or success. Instead, community, patient-based, and study-specific barriers were the most commonly cited issues that inhibited study recruitment and enrollment. Based on these findings, a series of recommendations are put forth for utilizing technology to address common barriers and increase the likelihood of success in telepsychiatry.

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References

Ruskin PE, Silver-Aylaian M, Kling MA, et al. Treatment outcomes in depression: Comparison of remote treatment through telepsychiatry to in-person treatment. Am J Psychiatry 2004;161(8):1471-1476. Available at: http://journals.psychiatryonline.org/article.aspx?articleid=176978 accessed 26 November 2014.

Bouchard S, Payeur R, Rivard V, et al. Cognitive behavior therapy for panic disorder with agoraphobia in videoconference: Preliminary results. CyberPsychology & Behavior 2000;3(6):999-1007.

Gros DF, Yoder M, Tuerk PW, et al. Exposure therapy for PTSD delivered to veterans via telehealth: Predictors of treatment completion and outcome and comparison to treatment delivered in person. Behav Ther 2011;42(2):276-283.

Urness D, Wass M, Gordon A, et al. Client acceptability and quality of life–telepsychiatry compared to in-person consultation. J Telemed Telecare 2006;12(5):251-254.

Elford D, White H, St John K, et al. A prospective satisfaction study and cost analysis of a pilot child telepsychiatry service in Newfoundland. J Telemed Telecare 2001;7(2):73-81.

Shepherd L, Goldstein D, Whitford H, et al. The utility of videoconferencing to provide innovative delivery of psychological treatment for rural cancer patients: Results of a pilot study. J Pain Symptom Manage 2006;32(5):453-461.

Collie K, Kreshka MA, Ferrier S, et al. Videoconferencing for delivery of breast cancer support groups to women living in rural communities: A pilot study. Psychooncology 2007;16(8):778-782.

Published
2014-12-05
How to Cite
Lauckner, C., & Whitten, P. (2014). Barriers and Contributors to Success in Telemedicine: A Qualitative Study of a Struggling Telepsychiatry Project and a Sampling of Highly Successful Programs. Journal of the International Society for Telemedicine and EHealth, 2(1), 71-76. Retrieved from https://journals.ukzn.ac.za/index.php/JISfTeH/article/view/77
Section
Original Research