Journal article
Demystifying the virtualization process: A call for standard reporting of virtual modifications to evidence-based psychotherapies, using the FRAME model
Translational behavioral medicine, Vol.14(8), pp.452-460
05/22/2024
DOI: 10.1093/tbm/ibae027
PMCID: PMC11282574
PMID: 38777341
Abstract
The sudden onset of the coronavirus disease led to a rapid expansion of video telehealth to deliver mental healthcare. Although video telehealth was not a new clinical practice, there was limited guidance on how best to modify evidence-based psychotherapies (EBPs) for virtual delivery (a process also referred to as virtualization). The virtualization process for EBPs remains unclear as newly emerging reports on this topic do not consistently report modification decisions. This commentary calls attention to the need to improve documentation practices to allow a greater understanding of modifications needed to maximize the positive effects of EBPs transported to a virtual format. We used the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to capture details about the nature, process, and outcomes of intervention modifications across a given clinical setting or population. To illustrate the use of the FRAME, we present a case example describing our experiences with transporting a 1-day in-person Acceptance and Commitment Therapy group workshop to a virtual format. Workshop modifications primarily involved changes to the delivery format, administration procedures, and content. The case example walks through how, why, and by whom specific modifications were made as well as the degree to which fidelity was maintained. In the wake of the telemedicine revolution, further investigation into the virtualization process for EBPs is warranted. Improving reporting practices by using the FRAME or a similar adaptation framework will promote a more rigorous study of virtual modifications to EBPs that inform future guidelines and best practices.
Details
- Title: Subtitle
- Demystifying the virtualization process: A call for standard reporting of virtual modifications to evidence-based psychotherapies, using the FRAME model
- Creators
- Derrecka M Boykin - Michael E. DeBakey VA Medical CenterTracey L Smith - Baylor College of MedicineBarbara Rakel - University of IowaMerlyn Rodrigues - Baylor College of MedicineJennie Embree - University of IowaKen Woods - Michael E. DeBakey VA Medical CenterAngelic D Chaison - Michael E. DeBakey VA Medical CenterLilian Dindo - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Translational behavioral medicine, Vol.14(8), pp.452-460
- DOI
- 10.1093/tbm/ibae027
- PMID
- 38777341
- PMCID
- PMC11282574
- NLM abbreviation
- Transl Behav Med
- eISSN
- 1613-9860
- Grant note
- Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health, Veterans Rural Health Resource Center-Iowa City Veterans Affairs Rehabilitation Research and Development Service 1 I01 RX003117-01A1 / NIH HHS
- Language
- English
- Electronic publication date
- 05/22/2024
- Academic Unit
- Nursing; Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984628219202771
Metrics
8 Record Views