Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders
Objectives: Despite the benefits of geriatric telepsychiatry, the lack of support from the staff remains one of the major challenges it faces. We wanted to explore whether negative opinions towards telepsychiatry in nursing home (NH) stakeholders were affected by prior experience with this modality...
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| Format: | Article |
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Elsevier
2025-06-01
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| Series: | Archives of Gerontology and Geriatrics Plus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2950307825000323 |
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| author | S Pirbay, MD S Abou Kassm, MD, MPH C Di-Maggio, MD F Naudet, MD, PhD D Drapier, MD, PhD D Somme, MD, PhD G Robert, MD, PhD |
| author_facet | S Pirbay, MD S Abou Kassm, MD, MPH C Di-Maggio, MD F Naudet, MD, PhD D Drapier, MD, PhD D Somme, MD, PhD G Robert, MD, PhD |
| author_sort | S Pirbay, MD |
| collection | DOAJ |
| description | Objectives: Despite the benefits of geriatric telepsychiatry, the lack of support from the staff remains one of the major challenges it faces. We wanted to explore whether negative opinions towards telepsychiatry in nursing home (NH) stakeholders were affected by prior experience with this modality and by the level of geriatric psychiatric care provided in NH. Methods: We conducted an opinion survey towards telepsychiatry among NH stakeholders (executive managers and care providers) from 10 NH, divided into 5 groups of differing levels of geriatric psychiatric care: Group A used telepsychiatry, Group B had the smallest level of psychiatry care (i.e. without any mental health professional visit), Group C had visiting nurses of general psychiatry, Group D had visiting geriatric psychiatry nurses, Group E had mobile teams including nurses and geriatric psychiatrists. Results: 216 (78.5 %) questionnaires were returned We found significant differences among the groups (Mean Group A (meanA)=63.5, standard error of the mean Group A (SEMA)=1.6); meanB=67.9, SEMB=2.2; meanC=75.6, SEMC=1.6; meanD=69.6, SEMD=2.1; meanE=73.1, SEME=1.9; F(4208)=6.6333, p = 4.824 × 10–5). All groups except group B were significantly different from group A, even after adjusting for age, gender, professional category and knowledge of telepsychiatry. Discussion: Negative opinions towards telepsychiatry were negatively associated with telepsychiatry use in the NH and positively associated with a high level of geriatric psychiatric care, specifically the presence of mobile geriatric psychiatry teams. Conclusions: Our findings suggest that telepsychiatry and face-to-face geriatric psychiatry are in competition. Telepsychiatry acceptance program should aim at describing its complementarity to usual geriatric psychiatry care. |
| format | Article |
| id | doaj-art-00a29c409fd940b5a8542d1a0de2ca6a |
| institution | Kabale University |
| issn | 2950-3078 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Archives of Gerontology and Geriatrics Plus |
| spelling | doaj-art-00a29c409fd940b5a8542d1a0de2ca6a2025-08-20T03:48:27ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-06-012210015010.1016/j.aggp.2025.100150Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholdersS Pirbay, MD0S Abou Kassm, MD, MPH1C Di-Maggio, MD2F Naudet, MD, PhD3D Drapier, MD, PhD4D Somme, MD, PhD5G Robert, MD, PhD6Academic Department of adult psychiatry, Centre Hospitalier Guillaume Régnier, 108 Boulevard du Général Leclerc, Rennes, FranceAcademic Department of adult psychiatry, Centre Hospitalier Guillaume Régnier, 108 Boulevard du Général Leclerc, Rennes, France; Corresponding author at: 108, avenue general Leclerc, 35703 Rennes Cedex, France.Centre Hospitalier Guillaume Régnier, 108 Boulevard du Général Leclerc, Rennes, FranceAcademic Department of adult psychiatry, Centre Hospitalier Universitaire, 2 rue Henri le guilloux, Rennes, France; Univ Rennes, CHU Rennes, Inserm, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, CIC 1414 (Centre d'Investigation Clinique de Rennes), F-35000 Rennes, France; Faculty of Medecine, University of Rennes 1, 2 avenue du Professeur Léon Bernard, FranceAcademic Department of adult psychiatry, Centre Hospitalier Guillaume Régnier, 108 Boulevard du Général Leclerc, Rennes, France; Faculty of Medecine, University of Rennes 1, 2 avenue du Professeur Léon Bernard, FranceUniv Rennes, CHU Rennes, CNRS, Inserm, Arènes - UMR 6051, RSMS -U 1309 – Service de Gériatrie F-35000 Rennes, FranceAcademic Department of adult psychiatry, Centre Hospitalier Guillaume Régnier, 108 Boulevard du Général Leclerc, Rennes, France; Faculty of Medecine, University of Rennes 1, 2 avenue du Professeur Léon Bernard, FranceObjectives: Despite the benefits of geriatric telepsychiatry, the lack of support from the staff remains one of the major challenges it faces. We wanted to explore whether negative opinions towards telepsychiatry in nursing home (NH) stakeholders were affected by prior experience with this modality and by the level of geriatric psychiatric care provided in NH. Methods: We conducted an opinion survey towards telepsychiatry among NH stakeholders (executive managers and care providers) from 10 NH, divided into 5 groups of differing levels of geriatric psychiatric care: Group A used telepsychiatry, Group B had the smallest level of psychiatry care (i.e. without any mental health professional visit), Group C had visiting nurses of general psychiatry, Group D had visiting geriatric psychiatry nurses, Group E had mobile teams including nurses and geriatric psychiatrists. Results: 216 (78.5 %) questionnaires were returned We found significant differences among the groups (Mean Group A (meanA)=63.5, standard error of the mean Group A (SEMA)=1.6); meanB=67.9, SEMB=2.2; meanC=75.6, SEMC=1.6; meanD=69.6, SEMD=2.1; meanE=73.1, SEME=1.9; F(4208)=6.6333, p = 4.824 × 10–5). All groups except group B were significantly different from group A, even after adjusting for age, gender, professional category and knowledge of telepsychiatry. Discussion: Negative opinions towards telepsychiatry were negatively associated with telepsychiatry use in the NH and positively associated with a high level of geriatric psychiatric care, specifically the presence of mobile geriatric psychiatry teams. Conclusions: Our findings suggest that telepsychiatry and face-to-face geriatric psychiatry are in competition. Telepsychiatry acceptance program should aim at describing its complementarity to usual geriatric psychiatry care.http://www.sciencedirect.com/science/article/pii/S2950307825000323TelemedicineTelepsychiatryNursing homesMobile teamsOpinion surveyAcceptability |
| spellingShingle | S Pirbay, MD S Abou Kassm, MD, MPH C Di-Maggio, MD F Naudet, MD, PhD D Drapier, MD, PhD D Somme, MD, PhD G Robert, MD, PhD Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders Archives of Gerontology and Geriatrics Plus Telemedicine Telepsychiatry Nursing homes Mobile teams Opinion survey Acceptability |
| title | Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders |
| title_full | Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders |
| title_fullStr | Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders |
| title_full_unstemmed | Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders |
| title_short | Association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders |
| title_sort | association of negative opinions towards telepsychiatry with its prior use and the level of geriatric psychiatry care among nursing home stakeholders |
| topic | Telemedicine Telepsychiatry Nursing homes Mobile teams Opinion survey Acceptability |
| url | http://www.sciencedirect.com/science/article/pii/S2950307825000323 |
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