The exclusion of telehealth training and education in behavioral health degree programs contributes to the challenges in telehealth delivery. This qualitative study was designed to assess the impact of telehealth training during a behavioral health degree program on perceptions of providing telehealth services. Fifteen interviews were conducted using a semi-structured interview guide. A narrative inquiry approach was employed, allowing for the participants to use narrative story to describe and discuss experiences. Analysis revealed three themes: (1) facilitators for delivering telehealth services; (2) challenges encountered when delivering telehealth service; and (3) overall satisfaction with delivering telehealth services. Key facilitators for delivering telehealth services include training, intervention curriculum, and ongoing telehealth supervision. Barriers to telehealth service delivery included issues of telehealth operations and technology. Making telehealth training widely accessible, as opposed to a continuing education option, is essential to promoting the utilization of the treatment modality.
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Manuscript authors will provide a copy of the semi-structured interview guide upon request.
Machalicek W, Lequia J, Pinkelman S, et al. Behavioral telehealth consultation with families of children with autism spectrum disorder. Behavioral Intervention. 2016;31(3): 223-50.
American Hospital Association. Fact sheet: Telehealth, https://www.aha.org/system/files/2019-02/fact-sheet-telehealth-2-4-19.pdf (Accessed Jul 18, 2019)
Burke BL, Hall RW. Telemedicine: pediatric applications. Pediatrics. 2015;136(1): e293-308.
Tuckson RV, Edmunds M, Hodgkins ML. Telehealth. New England Journal of Medicine. 2017;377(16):1585-1592.
Dorsey ER, Topol EJ. State of telehealth. New England Journal of Medicine. 2016; 375(2):154-61.
Weinstein RS, Lopez AM, Joseph BA, et al. Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. American Journal of Medicine. 2014: 127(3):183-187.
Edirippulige S, Armfield NR. Education and training to support the use of clinical telehealth: a review of the literature. Journal of Telemedicine and Telecare. 2017;23(2): 273-82.
California Telehealth Resource Center. Your resource for telehealth success: California telehealth resource center, https://www.caltrc.org/knowledge-center/training/ (Accessed Jul 18, 2019)
Papanagnou D, Sicks S, Hollander JE. Training the next generation of care providers: focus on telehealth. Healthcare Transformation. 2015;1(1):52-63.
Callan JE, Maheu MM, Bucky SF. Crisis in the behavioral health classroom: enhancing knowledge, skills, and attitudes in telehealth training. In: Callan JE, Maheu MM, Bucky SF. Career Paths in Telemental Health. New York, Springer, 2017, pp. 63-80.
Perry K, Gold S, Shearer EM. Identifying and addressing mental health providers’ perceived barriers to clinical video telehealth utilization. Journal of Clinical Psychology. 2015;71(6):513-526.
Traube DE, Hsiao HY, Rau A, et al. Advancing home based parenting programs through the use of telehealth technology. Journal of Child and Family Studies. 2019;29(1):44-53.
Cooper HE, Camic PM, Long DL, et al. APA handbook of research methods in psychology, Vol 1: Foundations, planning, measures, and psychometrics. Washington D.C.:American Psychological Association, 2012.
Miles MB, Huberman AM. Qualitative data analysis (4th ed.). Thousand Oaks: Sage; 2019.
Thomas S. Narrative inquiry: Embracing the possibilities. Qualitative Research Journal. 2012;12(2):206-221.
Haydon G, Browne G, van der Riet, P. Narrative inquiry as a research methodology exploring person centred care in nursing. Collegian. 2018;25(1):125-129.
Padgett DK. Qualitative methods in social work research. Vol. 36. Thousand Oaks: Sage Publications, 2016.
Knudsen LR, De Thurah A, Lomborg K. Experiences with telehealth followup in patients with rheumatoid arthritis: a qualitative interview study. Arthritis Care Research 2018;70(9):1366-72.
van Houwelingen CT, Moerman AH, Ettema RG, et al. Competencies required for nursing telehealth activities: A Delphi-study. Nurse Education Today. 2016;39:50-62.
Utidjian L, Abramson E. Pediatric telehealth: opportunities and challenges. Pediatric Clinics of North America. 2016;63(2):367-78.
Yasini M, Beranger J, Desmarais P, et al. mHealth quality: a process to seal the qualified mobile health apps. Exploring Complexity in Health: An Interdisciplinary Systems Approach: Proceedings of MIE2016. 2016;228:205.
This work was supported by funding from the Coalition for Research on Engagement and Well-Being, Overdeck Family Foundation, and Parson Foundation.
All protocols were approved by the Institutional Review Board of the University of Southern California (USC).
Conflict of Interest
The authors have no commercial associations to disclose that might create a conflict of interest in connection with this submitted manuscript. This research was funded by the Overdeck Family Foundation, Parsons Foundation, and QueensCare Foundation.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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Traube, D.E., Cederbaum, J.A., Taylor, A. et al. Telehealth Training and Provider Experience of Delivering Behavioral Health Services. J Behav Health Serv Res (2020). https://doi.org/10.1007/s11414-020-09718-0