PDF(Pubmed)
Abstract：
UNASSIGNED: Telehealth services ensure the delivery of healthcare services to a wider range of consumers through online platforms. Nonetheless, the acceptance and uptake of telehealth remain elusive. This study aims to understand the (a) uptake and (b) acceptability of telemedicine, (c) if therapeutic alliance mediates the relationship between the frequency of consultations with clinicians and the uptake of telemedicine in patients with early psychosis, and (d) role of education in moderating the relationship between therapeutic alliance and the uptake of telemedicine for their mental healthcare.
UNASSIGNED: A convenience sample of outpatients (n = 109) seeking treatment for early psychosis and their care providers (n = 106) were recruited from a tertiary psychiatric care centre. Sociodemographic and clinical characteristics, therapeutic alliance (Working Alliance Inventory), and telemedicine use were captured through self-administered surveys. The moderated mediation analysis was performed using PROCESS macro 3.4.1 with therapeutic alliance and level of education as the mediating and moderating factors, respectively.
UNASSIGNED: The acceptance of telemedicine was high (possibly will use: 47.7%; definitely will use: 26.6%) whilst the uptake was low (11%). Therapeutic alliance mediated the relationship between the frequency of consultation and the uptake of telemedicine (β: 0.326; CI: 0.042, 0.637). This effect was moderated by the level of education (β: -0.058; p < 0.05).
UNASSIGNED: Therapeutic alliance mediates the relationship between the frequency of consultations and the uptake of telemedicine services with the level of education moderating this mediation. Focusing on the patients with lower education to improve their telemedicine knowledge and therapeutic alliance might increase the uptake.
UNASSIGNED: A convenience sample of outpatients (n = 109) seeking treatment for early psychosis and their care providers (n = 106) were recruited from a tertiary psychiatric care centre. Sociodemographic and clinical characteristics, therapeutic alliance (Working Alliance Inventory), and telemedicine use were captured through self-administered surveys. The moderated mediation analysis was performed using PROCESS macro 3.4.1 with therapeutic alliance and level of education as the mediating and moderating factors, respectively.
UNASSIGNED: The acceptance of telemedicine was high (possibly will use: 47.7%; definitely will use: 26.6%) whilst the uptake was low (11%). Therapeutic alliance mediated the relationship between the frequency of consultation and the uptake of telemedicine (β: 0.326; CI: 0.042, 0.637). This effect was moderated by the level of education (β: -0.058; p < 0.05).
UNASSIGNED: Therapeutic alliance mediates the relationship between the frequency of consultations and the uptake of telemedicine services with the level of education moderating this mediation. Focusing on the patients with lower education to improve their telemedicine knowledge and therapeutic alliance might increase the uptake.
摘要：
■远程医疗服务确保通过在线平台向更广泛的消费者提供医疗服务。尽管如此，远程医疗的接受和接受仍然难以捉摸。本研究旨在了解远程医疗的（a）吸收和（b）可接受性，（c）如果治疗联盟调解与临床医生的咨询频率与早期精神病患者的远程医疗的摄取之间的关系，（d）教育在调节治疗联盟与接受远程医疗对其精神保健之间的关系中的作用。
■从三级精神病护理中心招募了寻求早期精神病治疗的门诊患者（n=109）及其护理提供者（n=106）的便利样本。社会人口统计学和临床特征，治疗联盟(工作联盟清单)，和远程医疗的使用是通过自我管理的调查获得的。以治疗联盟和教育水平为中介和调节因素，使用PROCESS宏3.4.1进行调节中介分析。分别。
■远程医疗的接受度很高（可能会使用：47.7％；肯定会使用：26.6％），而吸收率很低（11％）。治疗联盟介导了咨询频率与远程医疗摄取之间的关系（β：0.326；CI：0.042，0.637）。这种效应受教育程度的调节(β:-0.058;p<0.05)。
■治疗联盟通过调节这种调解的教育水平来调解咨询频率与远程医疗服务的吸收之间的关系。专注于受教育程度较低的患者，以提高他们的远程医疗知识和治疗联盟可能会增加吸收。
■从三级精神病护理中心招募了寻求早期精神病治疗的门诊患者（n=109）及其护理提供者（n=106）的便利样本。社会人口统计学和临床特征，治疗联盟(工作联盟清单)，和远程医疗的使用是通过自我管理的调查获得的。以治疗联盟和教育水平为中介和调节因素，使用PROCESS宏3.4.1进行调节中介分析。分别。
■远程医疗的接受度很高（可能会使用：47.7％；肯定会使用：26.6％），而吸收率很低（11％）。治疗联盟介导了咨询频率与远程医疗摄取之间的关系（β：0.326；CI：0.042，0.637）。这种效应受教育程度的调节(β:-0.058;p<0.05)。
■治疗联盟通过调节这种调解的教育水平来调解咨询频率与远程医疗服务的吸收之间的关系。专注于受教育程度较低的患者，以提高他们的远程医疗知识和治疗联盟可能会增加吸收。
