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Non-attendance in randomized remote mental health clinical trial during the COVID-19 pandemic. | LitMetric

Non-attendance in randomized remote mental health clinical trial during the COVID-19 pandemic.

J Psychiatr Res

Postgraduate Program in Psychiatry and Behavioral Sciences, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, RS, Brazil; Department of Psychiatry and Forensic Medicine, Medical School, Universidade Federal Do Rio Grande Do Sul, Hospital de Clínicas de Porto Alegre, RS, Brazil; Program of Anxiety Disorders, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Published: December 2024

AI Article Synopsis

  • The COVID-19 pandemic led to increased psychiatric symptoms among essential service workers, affecting their functionality, quality of life, and relationships.
  • A study of 2097 professionals revealed that 11% did not attend their scheduled remote mental health appointments, with non-attendance linked to irritability and timing during the pandemic's second wave.
  • Factors such as older age and certain coping mechanisms were associated with higher attendance rates, indicating that understanding personal and environmental influences can enhance patient engagement in mental health treatments.

Article Abstract

During the COVID-19 pandemic, a significant increase in psychiatric symptoms was found among essential service professionals (professionals or interns from the health and educational sector) who were exposed to high-risk contamination areas. These symptoms impair functionality, impacting quality of life, work, autonomy, and relationships. Recent data show that brief interventions are effective; however, between 20 and 30% of those individuals often do not attend their scheduled appointments. This study aimed to identify variables related to non-attendance for remote telepsychotherapy among participants with COVID-19-related emotional distress compared to those who initiated treatment. We included 2097 essential service professionals with PROMIS (Patient-Reported Outcomes Measurement Information System) T-scores ≥70 for anxiety, depression, or irritability who scheduled a remote mental health appointment. Participants completed clinical and sociodemographic data, mental health risk and protective factors, and PROMIS subscales. We conducted a binary logistic regression, using attendance vs. non-attendance as the dependent variable and these demographic and clinical characteristics as independent variables. Of the 2097 participants, 230 (11%) did not attend the first session despite three rescheduling attempts. Non-attendance was associated with the presence of irritability and seeking treatment during the second COVID-19 wave. In contrast, anxious symptoms, older age, and coping mechanisms that typically include intellectual and reading activities were associated with attendance. Our findings shed light on non-attendance patterns in mental health services, revealing that personal characteristics and environmental factors significantly contribute to missed appointments. Understanding these dynamics can improve patient engagement and adherence to mental health treatments, particularly in the context of telepsychotherapy during the COVID-19 pandemic.

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Source
http://dx.doi.org/10.1016/j.jpsychires.2024.11.024DOI Listing

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