scholarly journals Navigating the cartographies of trust: how patients and carers establish the credibility of online treatment claims

2019 ◽  
Vol 41 (S1) ◽  
pp. 50-64 ◽  
Author(s):  
Alan Petersen ◽  
Claire Tanner ◽  
Megan Munsie
ASHA Leader ◽  
2013 ◽  
Vol 18 (1) ◽  
pp. 12-13
Author(s):  
Kristen Chmela

In November, Kristen Chmela—executive director of the Chmela Fluency Center in Long Grove, Ill.—chatted with participants from ASHA’s online conference, Case Studies in Fluency Disorders. The Leader listened in.


2020 ◽  
Author(s):  
Weihong Kuang ◽  
Guojun Zeng ◽  
Yunbo Nie ◽  
Yan Cai ◽  
Jin Li ◽  
...  

UNSTRUCTURED The COVID-19 pandemic spurred unprecedented progress on a paradigm shift to telemedicine to limit exposure to the virus. Telemedicine has many benefits. In the West China Hospital of Sichuan University, we use it to do COVID-19 related tele-educations to health professionals and general population, tele-diagnosis, online treatment and internet-based drug prescription and delivery. However, at our practices, we are noticing that many older adults could not make appointment with doctors due to their difficulty using the internet-based platform. We worried that older adults who need healthcare the most are not well prepared for this rapid change. We need to pay attention to avoid causing treatment disparities for vulnerable older adults 60 years of age and over. Researchers and policy makers should work together to study effective strategies and make proper policies to mitigate barriers older adults face when using telemedicine.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Phillipa Louise Brothwood ◽  
Julian Baudinet ◽  
Catherine S. Stewart ◽  
Mima Simic

Abstract Background This study examined the experiences of young people and their parents who attended an intensive day treatment programme for eating disorders online during the global COVID-19 pandemic. Methods Online questionnaires were completed by 14 adolescents (12–18 years) and their parents (n = 19). The questionnaires included a mixture of rating questions (Likert scale) and free text responses. Free text responses were analysed using reflexive thematic analysis. Results Three main themes were identified: 1) New discoveries, 2) Lost in translation and 3) The best of a bad situation. This study provides insight into the benefits and pitfalls of online treatment delivery in the adolescent day programme context, which has rapidly had to become part of the everyday therapeutic practice. Results indicate that there are advantages and disadvantages to this, and that parents and young people’s views differed. Conclusions This study suggests that the increased accessibility provided by online working does not necessarily translate to increased connection. Given the importance of therapeutic alliance in treatment outcomes, this will be an important consideration for future developments of online intensive treatments.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A144-A145
Author(s):  
Jack Edinger ◽  
Jack Edinger ◽  
Rachel Manber

Abstract Introduction Many sleep apnea patients suffer from comorbid insomnia disorder. Although cognitive behavioral insomnia therapy (CBTI) is recommended as the first line insomnia treatment for such patients, access to trained providers of this treatment remains limited. The current study is testing he efficacy of an online CBTI among CPAP treated sleep apnea patient with comorbid insomnia. Methods Patients enrolled in this trial complete baseline measures and then are randomized to either an online version of Cognitive Behavioral Insomnia Therapy (CBTI) or no additional treatment beyond their CPAP therapy (CTRL). After 8 weeks of treatment all patients are reassessed. The current report considers changes in scores on the ISI and Epworth Sleepiness Scale (ESS) as well as average minutes of nightly CPAP use from pre-treatment to the end of the initial 8 weeks of online treatment relative to the no treatment CTRL. The sample for this report included the first 276 participants enrolled in this trial (mean age = 56.5±12.5 yrs; 58.7% females). Results Those receiving online CBTI showed greater reductions in their ISI scores from baseline to the end of the initial 8-week treatment phase than did those in the CTRL group (p = .0001). Average ISI score improvements among those receiving online CBTI moved patients from moderately severe insomnia to mild insomnia symptoms. In contrast, no differences were noted between the online CBTI and CTRL groups in regard to pre- to post-treatments changes on the ESS (p= .2541) scores or amount of CPAP use (p = .4383). Conclusion Whereas online CBTI does not seem to reduce daytime sleepiness or improve CPAP adherence among patients with comorbid sleep apnea and insomnia, it appears to be an effective intervention for reducing insomnia severity for this patient group. Support (if any) National Heart. Lung and Blood Institute Grant # 1R01HL130559-01A1


2018 ◽  
Vol 26 ◽  
pp. S315 ◽  
Author(s):  
H. Nero ◽  
J. Dahlberg ◽  
L.E. Dahlberg

2017 ◽  
Vol 42 ◽  
pp. 47-48
Author(s):  
Elisa Fiorina ◽  
Veronica Ferrero ◽  
Francesco Pennazio ◽  
Guido Baroni ◽  
Giuseppe Battistoni ◽  
...  

Author(s):  
Simon W Stevens ◽  
Stephen Moloney ◽  
Anna Bangiri ◽  
Andrew Blackmore ◽  
Clare Hart ◽  
...  

Author(s):  
Björn Meyer

Online treatment programmes extend the reach and effectiveness of psychological interventions for suicide prevention. Such programmes could teach individuals relevant self-management techniques, including emotion regulation or other techniques used in cognitive behaviour therapy (CBT). Advantages such as privacy, low-threshold accessibility, scalability, flexibility, affordability, and standardization increase the appeal of online treatment programmes, but limitations and risks must be considered, including data security breaches, insufficient integration with other care services, lacking efficacy, and potential harm. Many online treatment programmes are broadly CBT-based, but evidence suggests that they might be improved by addressing suicide-specific issues in a more targeted manner. Because online programmes differ in content, interactivity, and other aspects, the safety and efficacy of each programme must be examined separately, but methodologically adequate trials are still rare. Research suggests that safe and effective online treatment programmes for suicide prevention should be developed, and must prove their merit in adequately designed studies.


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