Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from India
Aim: We aimed to assess the service user’s acceptability, feasibility, and attitude toward telemedicine practice and compare it with in-person consultation in substance use disorder (SUD). Materials and Methods: We recruited 15 adult patients with SUD who accessed both telemedicine and in-person car...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-07-01
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| Series: | Indian Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_167_23 |
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| author | Abhishek Ghosh Tathagata Mahintamani P. V. Aswathy Debasish Basu Surendra K. Mattoo B. N. Subodh Renjith R. Pillai Manpreet Kaur |
| author_facet | Abhishek Ghosh Tathagata Mahintamani P. V. Aswathy Debasish Basu Surendra K. Mattoo B. N. Subodh Renjith R. Pillai Manpreet Kaur |
| author_sort | Abhishek Ghosh |
| collection | DOAJ |
| description | Aim:
We aimed to assess the service user’s acceptability, feasibility, and attitude toward telemedicine practice and compare it with in-person consultation in substance use disorder (SUD).
Materials and Methods:
We recruited 15 adult patients with SUD who accessed both telemedicine and in-person care. We conducted in-depth interviews on awareness and access, facilitators and barriers, treatment satisfaction, and therapeutic relationship in the telemedicine context. We performed a conventional content analysis of the interview excerpts and used inductive and deductive coding. We assumed that social, personal, and logistic contexts influence patients’ perceptions and experiences with telemedicine-based addiction care (TAC).
Results:
Most participants were middle-aged men (40.5 years, 86.7%), dependent on two or more substances (86.7%), and had a history of chronic, heavy substance use (use ~16 years, dependence ~11.5 years). Patients’ perspectives on TAC could broadly be divided into three phases: pre-consultation, consultation, and post-consultation. Patients felt that TAC improved treatment access with adequate autonomy and control; however, there were technical challenges. Patients expressed privacy concerns and feared experiencing stigma during teleconsultation. They reported missing the elaborate inquiry, physical examination, and ritual of visiting their doctors in person. Additionally, personal comfort and technical difficulties determine the satisfaction level with TAC. Overall perception and suitability of TAC and the decision to continue it developed in the post-consultation phase.
Conclusion:
Our study provides an in-depth insight into the barriers and facilitators of telemedicine-based SUD treatment access, use, and retention; it also helps to understand better the choices and preferences for telehealth care vis-à-vis standard in-person care for SUDs. |
| format | Article |
| id | doaj-art-923a0a497f564ac0a3dacb835a8fb030 |
| institution | Kabale University |
| issn | 0019-5545 1998-3794 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Psychiatry |
| spelling | doaj-art-923a0a497f564ac0a3dacb835a8fb0302025-02-07T11:22:48ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-07-0165777478410.4103/indianjpsychiatry.indianjpsychiatry_167_23Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from IndiaAbhishek GhoshTathagata MahintamaniP. V. AswathyDebasish BasuSurendra K. MattooB. N. SubodhRenjith R. PillaiManpreet KaurAim: We aimed to assess the service user’s acceptability, feasibility, and attitude toward telemedicine practice and compare it with in-person consultation in substance use disorder (SUD). Materials and Methods: We recruited 15 adult patients with SUD who accessed both telemedicine and in-person care. We conducted in-depth interviews on awareness and access, facilitators and barriers, treatment satisfaction, and therapeutic relationship in the telemedicine context. We performed a conventional content analysis of the interview excerpts and used inductive and deductive coding. We assumed that social, personal, and logistic contexts influence patients’ perceptions and experiences with telemedicine-based addiction care (TAC). Results: Most participants were middle-aged men (40.5 years, 86.7%), dependent on two or more substances (86.7%), and had a history of chronic, heavy substance use (use ~16 years, dependence ~11.5 years). Patients’ perspectives on TAC could broadly be divided into three phases: pre-consultation, consultation, and post-consultation. Patients felt that TAC improved treatment access with adequate autonomy and control; however, there were technical challenges. Patients expressed privacy concerns and feared experiencing stigma during teleconsultation. They reported missing the elaborate inquiry, physical examination, and ritual of visiting their doctors in person. Additionally, personal comfort and technical difficulties determine the satisfaction level with TAC. Overall perception and suitability of TAC and the decision to continue it developed in the post-consultation phase. Conclusion: Our study provides an in-depth insight into the barriers and facilitators of telemedicine-based SUD treatment access, use, and retention; it also helps to understand better the choices and preferences for telehealth care vis-à-vis standard in-person care for SUDs.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_167_23barriersfacilitatorsqualitative analysistelemedicine-based addiction care (tac) |
| spellingShingle | Abhishek Ghosh Tathagata Mahintamani P. V. Aswathy Debasish Basu Surendra K. Mattoo B. N. Subodh Renjith R. Pillai Manpreet Kaur Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from India Indian Journal of Psychiatry barriers facilitators qualitative analysis telemedicine-based addiction care (tac) |
| title | Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from India |
| title_full | Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from India |
| title_fullStr | Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from India |
| title_full_unstemmed | Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from India |
| title_short | Service users’ perception and attitude toward telemedicine-based treatment for substance use disorders: A qualitative study from India |
| title_sort | service users perception and attitude toward telemedicine based treatment for substance use disorders a qualitative study from india |
| topic | barriers facilitators qualitative analysis telemedicine-based addiction care (tac) |
| url | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_167_23 |
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