Attitudes of psychiatrists toward telepsychiatry: A policy Delphi study.

Objectives: To delineate areas of consensus and disagreements among practicing psychiatrists from various levels of clinical experience, hierarchy and organizations, and to test their ability to converge toward agreement, which will enable better integration of telepsychiatry into mental health services. Methods: To study attitudes of Israeli public health psychiatrists, we utilized a policy Delphi method, during the early stages of the COVID pandemic. In-depth interviews were conducted and analyzed, and a questionnaire was generated. The questionnaire was disseminated amongst 49 psychiatrists, in two succeeding rounds, and areas of consensus and controversies were identified. Results: Psychiatrists showed an overall consensus regarding issues of economic and temporal advantages of telepsychiatry. However, the quality of diagnosis and treatment and the prospect of expanding the usage of telepsychiatry to normal circumstances-beyond situations of pandemic or emergency were disputed. Nonetheless, efficiency and willingness scales slightly improved during the 2nd round of the Delphi process. Prior experience with telepsychiatry had a strong impact on the attitude of psychiatrists, and those who were familiar with this practice were more favorable toward its usage in their clinic. Conclusions: We have delineated experience as a major impact on the attitudes toward telepsychiatry and the willingness for its assimilation in clinical practice as a legitimate and trustworthy method. We have also observed that the organizational affiliation significantly affected psychiatrists' attitude, when those working at local clinics were more positive toward telepsychiatry compared with employees of governmental institutions. This might be related to experience and differences in organizational environment. Taken together, we recommend to include hands-on training of telepsychiatry in medical education curriculum during residency, as well as refresher exercises for attending practitioners.

Attitudes of Mental Health Professionals towards Telepsychology during the Pandemic: A Pilot Study.

OBJECTIVE: This pilot study investigated mental health professionals' attitudes towards remote psychological consultations and internet-based interventions. METHODS: An online survey in Italian and English was administered to a sample of 191 psychologists and psychotherapists to collect detailed information about their professional experience providing online psychological interventions a year and a half after the beginning of the SARS-CoV-2 pandemic. RESULTS: The results did not reveal a statistically significant association between the participants' theoretical approaches and the number of patients treated via the online modality. Overall, most of the participants found advantages to the online setting but also noted critical issues regarding privacy and the ease of integrating new technology into their clinical practice. CONCLUSIONS: According to the participants, despite the challenges that must be addressed, telehealth is a viable psychological therapeutic option that is destined to grow in importance in the near future.

Barriers to providing internet-based home care services for urban older adults in China: a qualitative study of the service providers.

BACKGROUND: Due to the increasingly aging population in China and the changes in social and family structure, older adults' care problems are becoming more and more prominent. To meet the home care needs of urban older adults, the Chinese government has launched Internet-Based Home Care Services (IBHCS). Although this model innovation can significantly relieve care problems, more and more evidence shows that there are many barriers in the process of IBHCS supply. The current literature is mostly from the perspective of the service users, and there are very few studies on the experience of service providers. METHODS: In this study, we took a qualitative phenomenological approach and used semi-structured interviews to investigate service providers' daily experiences and the barriers they encounter. A total of 34 staff from 14 Home Care Service Centers (HCSCs) were included. Interviews were transcribed and analyzed using thematic analysis. RESULTS: We identified the barriers that service providers encounter in IBHCS supply: (1) bureaucratic repression: unreasonable policy plans, harsh assessment, excessive paperwork, different preferences of government leaders, and obstacles caused by COVID-19 control lead to a shift of focus in their work; (2) profitability crisis in the market: high service costs, dampened effective demand, government intervention in setting prices, and parent companies' excessively high sales targets hinder the service supply process; (3) client-related challenges: the crisis of confidence, the dilemma of popularizing new technology, and communication barriers lead to rejection by older adults; (4) job dissatisfaction: low and unstable salary, heavy tasks, poor social acceptance of occupations, and lack of professional value reduce work enthusiasm. CONCLUSION: We have investigated the barriers faced by service providers when providing IBHCS for urban older adults in China, providing empirical evidence in the Chinese context for the relevant literature. In order to provide IBHCS better, it is necessary to improve the institutional environment and market environment, strengthen publicity and communication, target customer needs, and adjust the working conditions of front-line workers.

Internet-based interventions for family carers of people with dementia

There is an urgent global need for accessible, usable, effective and scalable skills training and support programs for carers of people with dementia, particularly in LMICs. WHO's iSupport is filling this gap by providing such a program, accessible for translation and cultural adaptation worldwide. First steps have been undertaken to support the systematic and culturally fair translation and adaptation of the program in several countries. However, while web-based or online programs for dementia carers such as iSupport seem to be promising, the scaling of these programs remains challenging and is a common issue for digital health solutions. In fact, the findings of a first efficacy study from India highlight the need to understand carers' individual situation better and tailor support programs even more to their specific needs. Going forward, iSupport could be improved by adding a mobile phone application to offer more flexibility to users, including an interactive or moderated chat function or more audio-visual materials to the online program to increase its appeal. To assist carers who wish to use more traditional ways of learning, WHO has released the iSupport hardcopy manual, which presents the entire iSupport content in book format. Further robust cultural adaptations and high-quality research investigating the effectiveness of iSupport across different settings and for different groups of carers are required. Finally, in the context of the ongoing COVID-19 pandemic, digital support services such as iSupport are more important than ever and present a real opportunity to build back better, which will help to reach the global target set by WHO that 75% of countries will provide support and training programs for carers and families of people with dementia by 2025. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

A short-term manual for webcam-based telemedicine treatment of Internet use disorders.

In recent decades, the number of people who experience their Internet use behavior as problematic has risen dramatically. In Germany, a representative study from 2013 estimated the prevalence of Internet use disorder (IUD) to be about 1.0%, with higher rates among younger people. A 2020 meta-analysis shows a global weighted average prevalence of 7.02%. This indicates that developing effective IUD treatment programs is more critical than ever. Studies show that motivational interviewing (MI) techniques are widely used and effective in treating substance abuse and IUDs. In addition, an increasing number of online-based health interventions are being developed to provide a low-threshold treatment option. This article presents a short-term online-based treatment manual for IUDs that combines MI techniques with therapy tools from cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT). The manual includes 12 webcam-based therapy sessions, each lasting 50 min. Each session is framed by a standardized beginning, conclusion, outlook, and flexible session content. In addition, the manual contains example sessions to illustrate the therapeutic intervention. Finally, we discuss the advantages and disadvantages of online-based therapy compared to analog treatment settings and provide recommendations for dealing with these challenges. By combining established therapeutic approaches with an online-based therapeutic setting based on flexibility and motivation, we aim to provide a low-threshold solution for treating IUDs.

Informal Caregivers: Helping Those Who Help: Community Nursing Intervention Project: Digital Health Literacy in the Training of Informal Caregivers – Situation Diagnosis

The use of information and communication technologies to promote health literacy has become a working tool for health professionals during the pandemic caused by covid-19. Social isolation had a direct impact on involuntary caregivers, by taking more permanent care of their family members. Access to health information was partially restricted to telephone contact or digital means. The accomplishment of this work aims to present the diagnosis of the health situation of the community nursing intervention project, called: Digital Health Literacy in the Training of Indirect Caregivers. The methodology used was health planning, through the application of a data collection instrument, in the time-space from April 14 to June 30, 2021, to 24 informal caregivers of users enrolled in an integrated continuous care team of the Group of Health Centers Lisbon Norte. It was found that caregivers are mostly female, predominantly caring for people over 80 years of age. Half of the respondents are actively working. There is a weaker level of health literacy in the area of health promotion. In a situation where they do not know how to act, they request support from health professionals, and the search for videos is also referred to as a valid source of information. A better knowledge of the population about the accessibility of health information through digital technologies promotes healthy, preventive, and protective lifestyles. Nurses, as a promoter of better health of the population, play a major role in the training of groups and communities, through information and communication technologies. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Internet Governance: Social Mentality and Public Emotion Analysis on Online Media during the COVID-19 Epidemic in Mainland China

Based on a systematical discussion of the logical relationship between social mentality as a psychological basis of social actions and institutions and social governance, and the online emotion as the core element of the dynamic tendency of internet-based social mentality to form emotional energy to promote the operation of the internet society, this paper conducts an empirical study on the online social mentality and public sentiment guidance during the COVID-19 epidemic in mainland China. We use more than 1 million Weibo dynamic data of 104 accounts of three different types including official media, self-media, and big V media and conduct emotional calculation and judgment to address our objectives. The results show that the public sentiment presented by Weibo as the carrier is mainly positive, among which the official media play a positive role in guiding emotions, while the role played by big Vs' is limited during the COVID-19 epidemic. There exists different public sentiment stemmed from the regional differences brought by the heterogeneity of social governance, economic and social development beyond the media guidance. The study provides valuable internet governance experience on how the government can guide the public to respond to and deal with the crisis with a positive attitude when major public health emergencies occur in the future. © 2022 IEEE.

The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial.

Background: Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulness-based approaches could improve these complications. Therefore, this study aimed to investigate the effect of Internet-delivered mindfulness stress reduction combined with acceptance and commitment therapy (IMSR-ACT) on QOL and HA of caregivers of patients infected by COVID-19. Methods: In this randomized clinical trial, 72 people from Golpayegan city, Iran, who had a patient with COVID-19 in their family were selected from March to June 2020. A caregiver with a score above 27 on the Health Anxiety inventory (HAI-18) was selected using simple random sampling. Participants were assigned in the intervention or control group by permuted block random allocation. The intervention group was trained by MSR and ACT techniques for 9 weeks accomplished via WhatsApp. All participants completed the QOLQuestionnaire-12 (SF-12) items and HAI-18 before and after completing IMSR-ACT sessions. The data were analyzed through SPSS-23 software, using Chi square, independent and paired t-test, and analysis of covariance, and P-value<0.05 was considered as significant. Results: The results showed that the intervention group compared to the control group had a significant decrease in all subscales of HAI after the intervention including worry about consequences (5.78±2.66 vs. 7.37±1.34, P=0.004) and awareness of bodily sensation or changes (8.90±2.77 vs. 11.75±2.30, P=0.001), worry about health (10.94±2.38 vs. 13.09±1.92, P=0.001), and total score of HAI (25.62±4.93 vs. 32.25±3.93, P=0.001). Also, the intervention group compared to the control group had better QOL after the intervention in general health perceptions (3.03±0.96 vs. 2.43±0.95, P=0.01), mental health (7.12±2.25 vs. 6.34±1.85 and P=0.01) and mental component summary) 16.78±3.75 vs. 15.43±3.05, P=0.01), physical component summary (16.06±2.66 vs. 15.19±2.25, P=0.01), and total score of SF-12 (32.84±5.39 vs. 30.62±4.34, P=0.004). Conclusion: Internet-delivered MSR combined with ACT could improve the HA and QOL of caregivers with patients infected by COVID-19. Thus, it can used in other similar situations for now and future. Also, it seems to be a useful approach for caregivers of the other illnesses. Trial Registration Number: IRCT20180909040974N.

Teachers' Scaffolding Strategies in Internet-based ELT Classes

Social distancing due to COVID-19 has necessitated the immediate implementation of Internet-based English language teaching (ELT) in developing countries. This abrupt transition from face-to-face to online learning and teaching environment has brought up many concerns, particularly about maintaining ELT education in crises, one of which is how teachers scaffold students in Internet-based classrooms. Although there is an extensive body of research devoted to scaffolding students' learning in face-to-face ELT classes, effective teachers' scaffolding strategies in online classes are still worth receiving further scholarly attention. Therefore, this article reviews contemporary research on scaffolding strategies for teachers to apply in their Internet-based ELT classes. After discussing the inherent difference between scaffolding and support, and the relationship of scaffolding, support, and linguistic competence, the author synthesizes and systemizes scaffolding functions, intentions, and strategies applicable to the Internet-based English class. The author also suggests practical recommendations that teachers can utilize to scaffold students in differential teaching and learning contexts on the Internet. Finally, this article addresses some common challenges and suggests solutions for teachers to conduct scaffolding strategies effectively in Internet-based ELT classrooms. © 2022 Editorial Board TESL - EJ. All rights reserved.

VIEWS AND PERCEPTIONS OF GYM MEMBERS ON LIVE-STREAM FITNESS CLASSES

In Greece, as in many other countries, gyms were forced to temporarily close due to the COVID-19 pandemic. Responding to this new reality, some gyms and exercise trainers provided free online classes through social media platforms. The aim of the present research was to explore the views and perceptions of gym members on live-stream fitness classes. The research comprised 191 gym members who participated in online fitness classes that were broadcast in real-time through social media platforms during the Greek gyms' closure, and the instructor was not able to see the participants in question. As it was documented, live-stream fitness classes have a broad spectrum of attendants. Most of them were highly satisfied with the internet-based programmes, and although digital exercise classes lacked face-to-face communication, they did offer a feeling of interaction. On the other hand, there were various positive and negative comments on the feedback/instructions provided by the trainers, on the content/design of the exercise sessions and on the expertise/credentials of the fitness instructors. Since online exercise classes continue to be popular among exercisers, the opinions of gym members form a valuable source of knowledge that could be effectively used by fitness instructors in order to update their way of delivering internet-based classes. © 2022, Drustvo Pedagoga Tjelesne i Zdravstvene Kulture. All rights reserved.

Innovative technology-enhanced social work service during COVID-19: How 'Garden on the Balcony' promoted resilience, community bonds and a green lifestyle

The ongoing COVID-19 pandemic has motivated social workers to reckon with and transform traditions in service delivery. The development, application, and evaluation of technology-enhanced practices have become more vital than ever. Garden on the Balcony (GOB) was an innovative internet-based social work service designed to respond rapidly to the COVID-19 outbreak in Beijing. This paper introduces the underlying perspectives and design of GOB and reports participants' reflections on the program to understand its mechanisms and implications. Interview data from GOB participants were collected 4 months after the program ended. Thematic analysis generated three major themes, suggesting that GOB had (a) promoted individual resilience and family cohesion;(b) built online and offline community bonds;and (c) cultivated a green lifestyle and spiritual reflection on life. This study demonstrates a practical example of the effective use of technology-enhanced practice.

Creating solace and hope during COVID-19: An innovative Internet-based social work intervention

During megacity lockdown, a team of social work practitioners and researchers in Beijing developed a rapid, innovative, Internet-based intervention that provided social-emotional support for participating families through indoor micro-gardening. As COVID-19 continues to restrict in-person interactions and traditional social activities, this type of online social-emotional support and community building should become a major social work method for crisis intervention and service provision. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Coparenting autistic children during COVID-19: Emerging insights from practice

Globally, parents and caregivers of children with autism have been particularly impacted by the recent changes due to COVID-19. Reduced access to schools, community supports, and therapeutic services makes parenting more challenging during the pandemic, and especially for parents with children with autism and who are experiencing family breakdown. There remains little guidance to assist coparenting autistic children during COVID-19 after separation and divorce. This brief paper summarizes emerging issues arising in clinical practice to offer recommendations for social work practice. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Abstract (French) A l'echelle mondiale, les parents et les soignants d'enfants autistes ont ete particulierement touches par les recents changements dus au COVID-19. L'acces reduit aux ecoles, aux soutiens communautaires et aux services therapeutiques rend la parentalite plus difficile pendant la pandemie, et en particulier pour les parents d'enfants autistes et qui vivent une rupture familiale. Il existe peu de services de conseils pour aider les enfants autistes en garde partagee apres une separation et un divorce survenus pendant le COVID-19. Ce bref document inventorie les problemes emergents qui se posent dans la pratique clinique pour offrir des recommandations pour la pratique du travail social. (PsycInfo Database Record (c) 2022 APA, all rights reserved) Abstract (Spanish) A nivel mundial, los padres y cuidadores de ninos con autismo se han visto particularmente afectados por los cambios recientes debido a COVID-19. El acceso reducido a escuelas, apoyos comunitarios y servicios terapeuticos hace que la crianza de los hijos sea mas desafiante durante la pandemia, y especialmente para los padres con ninos con autismo y que estan experimentando una ruptura familiar. Sigue habiendo poca orientacion para ayudar a criar ninos autistas durante el COVID-19 despues de la separacion y el divorcio. Este breve articulo resume los problemas emergentes que surgen en la practica clinica para ofrecer recomendaciones para la practica del Trabajo Social. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

MQTT equipped Intrusion detection system for IoT devices based Machine Learning Algorithms

In the era of COVID19, the world has shifted to an online presence and is now forced to embrace the usage of digital technology in their daily lives. With the meteoric rise of internet-based devices, there is a requirement for a protocol for secure communication between these devices. Message Queueing Telemetry Transport (MQTT) is the standard protocol for IoT devices. The MQTT implementation with IDS have very prominent usability and has huge potential for increasing efficiency. Therefore, in this paper, an IDS has been proposed with MQTT as a protocol for IoT devices, using machine learning to improve the pattern recognition of the IDS. The proposed system has been tested with three machine learning algorithms, namely, and the results show that they are adequate for the MQTT protocol © 2022 IEEE.

The effectiveness of an internet-based support program on maternal self-efficacy, postpartum depression and social support for primiparous women during the COVID-19 pandemic: Randomized controlled trial.

Background: Many primiparous women usually encounter various parenting and mental health issues after childbirth. The effects of intervention based on internet platform on parenting and mental health outcomes for Chinese first-time mothers remain unknown during the COVID-19 pandemic. Therefore, our research aimed to evaluate the effectiveness of an internet-based support program (ISP) on maternal self-efficacy (MSE), postpartum depression (PPD) and social support for primiparous women amid the pandemic. Methods: A multicenter randomized controlled trial (RCT) was conducted. From May 2020 to March 2021, 242 primiparous women were recruited in the maternity wards of two hospitals in Shenzhen City, China and randomly assigned to the intervention group and the control group. Women in control group (n = 118) received the routine postpartum care, and women in intervention group (n = 118) accessed to the ISP intervention (expert education and peer support) and routine postpartum care. Intervention outcomes were measured at baseline before randomization (T0), post-intervention (T1), and three-month follow up (T2) through questionnaires. The chi-square (χ2), the independent sample t-test and the repeated measures multivariate analysis of covariance were performed, and the two-tailed p-value <0.05 was regarded as statistically significant. Results: In comparison with women in the control group, women in the intervention group had a significantly higher score of MSE at T1 (mean: 73.53, standard deviation [SD]: 6.21) and at T2 (mean: 72.90, SD: 6.73); and a lower score of PPD at T1(mean: 6.03, SD: 2.50) and T2 (mean: 5.70, SD: 2.23); and a higher score of social support at T1 (mean: 45.70, SD: 3.73), but no significant difference at T2 (mean: 42.90, SD: 3.29). Conclusions: The effect of ISP was evaluated to significantly increase the levels of MSE, social support, and to alleviate PPD symptoms for Chinese first-time mothers. As an effective and easily accessible intervention, ISP could become a significant source for health professionals to support primiparous women on parenting and mental health during the COVID-19 pandemic. Trial registration: The trial is registered at the Chinese Clinical Trials Registry (ChiCTR2000033154).

Digital technologies for mental health improvements in the COVID-19 pandemic: a scoping review.

Digital technologies have been used to support mental health services for two decades, but the COVID-19 pandemic created a particular opportunity for greater utilization and more data-driven assessment of these digital technologies. This research aims to offer a scoping review of the characteristics and effectiveness of digital interventions that were employed to improve mental health in the real context of COVID-19 pandemic. A combination of search terms was applied for automatic search of publications in the relevant databases. The key features of included studies were extracted, including the intervention, participant, and study details. A total of 20 eligible studies were included in the final review, which were conducted across different geographic regions and among diverse cultural groups. Among them, fourteen studies mainly reported the impact of digital technologies on general population, while only one published study developed specific interventions for the isolated COVID-19 depressed patients in hospitals. Digital technologies identified in this review were mainly developed via web-based and mobile-based platforms, such as social networking and video conferencing applications. But less than half of them were aligned with theoretical approaches from standardized psychological treatments. Most of the studies have reported positive effects of digital technologies, either on improving general mental and emotional well-being or addressing specific conditions (e.g., depression, stress, and anxiety). This scoping review suggests that digital technologies hold promise in bridging the mental health-care gap during and after the COVID-19 pandemic, and calls for more rigorous studies to identify pertinent features that are likely to achieve more effective mental health outcomes.

Erratum: Age, motivation, and emotion regulation skills predict treatment outcome in an internet-based self-help intervention for COVID-19 related psychological distress.

[This corrects the article DOI: 10.3389/fpubh.2022.835356.].

Online interviews for qualitative health research in Africa: a scoping review.

Online interviews can be powerful tools in global health research. In this article, we review the literature on the use of and challenges associated with online interviews in health research in Africa and make recommendations for future online qualitative studies. The scoping review methodology was used. We searched on Medline and Embase in March 2022 for qualitative articles that used internet-based interviews as a data collection method. Following full-text reviews, we included nine articles. We found that online interviews were typically conducted via Microsoft Teams, Zoom, Skype, WhatsApp, Facebook Messaging and E-mail chats. Online interviews were used in Africa because of the restrictions imposed by the coronavirus disease 2019 pandemic and the need to sample participants across multiple countries or communities. Recruitment for online interviews occurred online, interviews were characterised by inaudible sounds, the inability to use video options and the challenges of including people with low income and education. We recommend that researchers critically evaluate the feasibility of online interviews within a particular African locality before fully implementing this data collection approach. Researchers may also collaborate with community-based organisations to help recruit a more socioeconomically diverse sample because of the potential of excluding participants with limited internet access.

Digital mental health interventions for obsessive compulsive and related disorders: A brief review of evidence-based interventions and future directions

Individuals with obsessive compulsive and related disorders (OCRDs), including obsessive compulsive disorder (OCD), body dysmorphic disorder (BDD), trichotillomania (hair-pulling disorder), excoriation (skin-picking) disorder, and hoarding disorder, suffer from distressing or impairing obsessive preoccupation and/or time-consuming compulsive behaviors. OCRDs are often severe, chronic, and associated with significant psychiatric comorbidity and functional impairment. Cognitive behavioral therapy (CBT) has been shown to be efficacious for all the OCRDs. However, most individuals with an OCRD do not receive CBT, and of those who do, not all respond or respond fully to treatment. The COVID-19 pandemic has deepened the chasm between those who need mental health care and access to clinical services. Digital mental health interventions (DMHIs) have emerged over the past two decades as a solution to the access to care gap, and acceptance of digital solutions was catalyzed by the pandemic. DMHIs have the potential to address unmet mental health needs by offering scalable, low-stigma, cost-effective solutions. This paper reviews current evidence-based DMHIs for OCRDs and describes areas for future research.

The Impact of Mindful Meditation on Health Care Workers During the COVID-19 Pandemic.

Background: The COVID-19 pandemic placed a spotlight on health care workers as the world struggled with mental health crises. As the number of COVID-19 cases rose exponentially, this also paralleled health care workers' perceived stress burden and increased risk for mental health trauma. This research project assessed the impact of a mobile mindful meditation application on health care workers' perceived stress levels during a pandemic. Methodology: Through quasi-experimental design, researchers assessed the effect of using a mobile mindful meditation (Synctuition) app on health care workers' stress levels. Participants listened for 20 to 30 minutes daily for 30 days. Participants perceived stress levels were measured with Cohen's Perceived Stress Scale. Results: Of the 100 participants, there was a statistically significant decrease in perceived stress reduction between the groups across various categories. The pretest perceived stress scores were reduced from moderate to low stress postintervention after using the mindful meditation application. Implications for Practice: Reducing stress in health care workers can potentially increase the quality of life for health care workers. and lowering stress levels can potentially improve the quality of care provided.