Journal article
Comparison of Treatment Modality Crossovers in Telehealth and In-Person Behavioral Health Treatment in Rural Communities
Telemedicine journal and e-health, Vol.30(3), pp.677-684
03/01/2024
DOI: 10.1089/tmj.2023.0220
PMID: 37751202
Abstract
Background:Treatment crossovers occur when one mode of treatment is begun and then a different mode of treatment is utilized. Treatment crossovers are frequently examined in randomized controlled trials, but have been rarely noted or quantitatively evaluated in usual care treatment studies. The purpose of this analysis is to examine the extent of modality crossovers during behavioral health treatment.
Methods:The nonrandomized, prospective, multisite research design involved two active treatment groups—a telehealth treatment cohort and an in-person treatment cohort. Treatment modality (telehealth or in person) during each encounter was compared overall and across two time periods (pre- and during the COVID-19 pandemic) between the telehealth cohort and the in-person cohort.
Results:Overall, modality crossovers were relatively uncommon (6.3%). However, patients in the in-person treatment cohort were more than twice as likely to have an encounter through telehealth (8.5%) than patients in the telehealth treatment cohort were to have an in-person encounter (3.4%) even though they had the same average number of encounters. The occurrence of off-mode encounters was particularly influenced by the onset of the COVID-19 pandemic.
Conclusions:In this multisite usual care study comparing telehealth and in-person behavioral health treatment, modality crossovers were more common in the in-person cohort than the telehealth cohort, especially during the COVID-19 pandemic. Because telehealth availability has increased, crossovers are likely to increase in patients receiving multiple encounters for behavioral or chronic conditions and their occurrence should be noted by both researchers and practitioners.
Details
- Title: Subtitle
- Comparison of Treatment Modality Crossovers in Telehealth and In-Person Behavioral Health Treatment in Rural Communities
- Creators
- Marcia M. Ward - University of IowaDivya Bhagianadh - Rutgers, The State University of New JerseyKnute D. Carter - University of IowaFred Ullrich - University of IowaJames P. Marcin - University of California, DavisCarly McCord - Texas A&M UniversityKari Beth Law - West Virginia UniversityEve-Lynn Nelson - University of Kansas Medical CenterKimberly A.S. Merchant - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Telemedicine journal and e-health, Vol.30(3), pp.677-684
- DOI
- 10.1089/tmj.2023.0220
- PMID
- 37751202
- NLM abbreviation
- Telemed J E Health
- ISSN
- 1530-5627
- eISSN
- 1556-3669
- Language
- English
- Electronic publication date
- 09/25/2023
- Date published
- 03/01/2024
- Academic Unit
- Rural Telehealth Research Center; Health Management and Policy; Biostatistics
- Record Identifier
- 9984472535602771
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