TY  - JOUR
AU  - Zentner, Kristen
AU  - Gaine, Graham
AU  - Ethridge, Paige
AU  - Surood, Shireen
AU  - Abba-Aji, Adam
PY  - 2022
DA  - 2022/5/13
TI  - Clinicians’ Attitudes Toward Telepsychology in Addiction and Mental Health Services, and Prediction of Postpandemic Telepsychology Uptake: Cross-sectional Study
JO  - JMIR Form Res
SP  - e35535
VL  - 6
IS  - 5
KW  - mental health
KW  - telepsychology
KW  - clinician attitude
KW  - unified theory of acceptance and use of technology
KW  - therapeutic alliance
AB  - Background: The COVID-19 pandemic has resulted in unprecedented uptake of telepsychology services; however, clinicians have mixed attitudes toward virtual technologies. Objective: This study (1) explored clinicians’ experiences of and intentions to use video, telephone, and in-person services, and (2) tested the utility of the unified theory of acceptance and use of technology (UTAUT) to predict clinicians’ intentions to offer telepsychology after the COVID-19 pandemic. Methods: Clinician satisfaction and therapeutic alliance were compared across in-person, video, and telephone services, while technology attitudes and intention to use after the pandemic were compared across video and telephone services among 118 addiction and mental health clinicians during the COVID-19 pandemic. Results: Clinicians reported more positive experiences with in-person services than both virtual technologies; further, clinicians reported greater positive experiences, attitudes, and intentions to use video services than telephone services across measures. Based on the UTAUT, performance expectancy positively predicted concurrent intentions to use video services (β=0.46; P<.001) and telephone services (β=0.35; P<.001) after the pandemic. Social influence (β=0.24; P=.004) and facilitating conditions (β=0.19; P=.03) additionally predicted the intention to use telephone services. Conclusions: Clinicians rated in-person services more positively than virtual technologies, with video services perceived more positively than telephone services. Performance expectancy was the primary facilitator of the uptake of both virtual modalities. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2022/5/e35535
UR  - https://doi.org/10.2196/35535
UR  - http://www.ncbi.nlm.nih.gov/pubmed/35559793
DO  - 10.2196/35535
ID  - info:doi/10.2196/35535
ER  -