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De invloed van beeldbellen op geestelijke gezondheidszorg - Een evaluatie binnen de intensieve psychiatrische gezinszorg

Kip, Hanneke (2013) De invloed van beeldbellen op geestelijke gezondheidszorg - Een evaluatie binnen de intensieve psychiatrische gezinszorg.

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Abstract:Background Video calling is a form of eHealth in which conversational partners see each other on viewing screens. It is a suitable instrument to cope with increasing healthcare costs and to meet demands of clients. Usage in mental health care increases, but research on optimal development, implementation, experiences and expectations is scarce. Also, the literature is ambiguous on the advantages, disadvantages and conditions of the use of video calling in mental healthcare. The current study focuses on the influence of video calling on mental health care, according to users. This is accomplished by describing the development and implementation with the CeHRes Roadmap, searching for experienced and expected advantages, disadvantages and conditions and by determining for which type of client video calling is suitable. Methods The current study focuses on video calling in a mental health institution. A pilot with video calling was applied in an intensive family treatment in which social workers visited parents at home. About half of the face-to-face contacts were substituted with video calling. The process was described through document analyses, conversations with stakeholders and interviews with users. Semi-structured interviews with social workers and parents who did and did not use video calling were used to collect experiences and expectations. Social workers could sign themselves up for the pilot and parents were recruited by the social workers. All groups were asked about advantages, disadvantages and conditions and they graded their experience with or expectation of video calling. Results The advantages and disadvantages were classified into two categories: content and practical. Important experienced and expected advantages were goal-oriented communication that was more to the point and saved time for the parents and social workers. Also, some respondents stated that video calling did not influence the nature of the contact and the results of the treatment. Significant disadvantages were missing information because of the restricted visual range, being less able to work with emotions, more distant contact, and technical problems because of a slow internet connection and/or computer. The two groups that did not use video calling expected less advantages that concerned content and mentioned more disadvantages. Important conditions are a combination of face-to-face contact and video calling, clear goals, appropriate equipment, and being able to change the proportion of video calling and face-to-face contact. The analysis of the development and implementation showed that the perspective of the parents was missing and that there was no structured implementation. Recommendations Video calling is a suitable and valuable instrument for the intensive family treatment if four necessary conditions are met: the technical standards have to be met, the clients cannot have a negative attitude towards video calling, the bond between family and social worker has to be established before video calling starts, and clearness has to be created through setting concrete goals. Also, the CeHRes Roadmap should be used from the start to guide the development and implementation to prevent problems. The most important practical recommendation is to only use video calling in very clear and concrete contexts. Also, more research has to be done on implementation with social workers and clients because the expectations of these groups are rather negative. More research on conditions is necessary to support the current study’s results. In order to enhance the evidence base, more effect research and cost-effectiveness analyses have to be performed.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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