Data Sheet 1_Videoconferencing psychotherapy: determining acceptance, drivers and barriers of use.docx

BackgroundWith increasing digitalization in psychotherapy, some healthcare interactions are transitioning to online services. This study examined the acceptance of videoconferencing psychotherapy (VCP) among patients affected by mental health disorders and healthy controls, identifying drivers and barriers.
MethodsA cross-sectional survey study was conducted from February to October 2024 in North Rhine-Westphalia, Germany. Participants were recruited via outpatient clinics, online study platforms, and psychotherapy-related social media. Inclusion criteria were age ≥ 18 years, German language proficiency, and internet access. Sociodemographic, medical, psychotherapeutic anamnesis, and information and communication technologies (ICT) related data were collected. Acceptance of VCP was assessed using an extended Unified Theory of Acceptance and Use of Technology (UTAUT) model.
ResultsOf N = 483 participants, 47.6% (n = 230) reported high, 34.2% (n = 165) moderate and 18.2% (n = 88) low acceptance. Significant predictors included digital overload (β = .14, p = .006), depressive symptoms (β = .11, p = .033), current psychotherapy: outpatient (β = -.34, p = .003), concern: effectiveness (β = -.47, p < .001), concern: emotional expression (β = -.25, p < .001), and the UTAUT predictors: social influence (β = .28, p < .001), performance expectancy (β = .32, p < .001) and effort expectancy (β = .15, p = .001). Explained variance of the final model was 72.9%.
ConclusionsThe moderate to high acceptance indicates that VCP could supplement psychotherapeutic care addressing the global treatment gap. Identified drivers and barriers highlight factors that should be considered to enable broader implementation.

Background
随着心理治疗领域数字化进程的持续深化，部分医疗交互正逐步转向线上服务。本研究针对精神障碍患者与健康对照人群，考察了其对视频会议式心理治疗（videoconferencing psychotherapy, VCP）的接受度，并识别了影响接受度的驱动因素与阻碍因素。
Methods
本研究于2024年2月至10月在德国北莱茵-威斯特伐利亚州开展横断面调查。研究对象通过门诊诊所、线上研究平台及心理治疗相关社交媒体渠道招募。纳入标准为年龄≥18岁、具备德语语言能力且可访问互联网。研究收集了社会人口学特征、医学资料、心理治疗病史以及信息与通信技术（information and communication technologies, ICT）相关数据。采用扩展版技术接受与使用统一理论（Unified Theory of Acceptance and Use of Technology, UTAUT）模型评估受试者对VCP的接受度。
Results
共纳入N=483名受试者，其中47.6%（n=230）报告高接受度，34.2%（n=165）为中等接受度，18.2%（n=88）为低接受度。显著预测因子包括数字过载（β=0.14, p=0.006）、抑郁症状（β=0.11, p=0.033）、当前接受门诊心理治疗（β=-0.34, p=0.003）、对治疗有效性的担忧（β=-0.47, p<0.001）、对情绪表达的担忧（β=-0.25, p<0.001），以及UTAUT模型预测因子：社会影响（β=0.28, p<0.001）、绩效期望（β=0.32, p<0.001）与努力期望（β=0.15, p=0.001）。最终模型的解释方差为72.9%。
Conclusions
中等至高水平的接受度表明，VCP可作为心理治疗服务的补充手段，助力填补全球心理治疗服务缺口。本研究识别的驱动因素与阻碍因素，可为推动VCP的更广泛落地提供关键参考依据。