Evidence of phone vs video-conferencing for mental health treatments: A review of the literature.
Open accessAbstract
Purpose of review The goal of this paper is to provide a comparative review of using phone (audio-only) or video for mental health treatments. Our review includes evidence of phone and video's effectiveness in terms of reduced symptomology, retention, satisfaction, therapeutic alliance, and other outcomes of interest. This review also discusses how patients and providers' experiences and attitudes differ between these two modalities. Finally, we present information on different usage rates of phone and video across patient populations and mental health provider types, and different implementation strategies.Recent findings Treatments through phone and video are both able to reduce symptoms related to mental health conditions and have both been found to be non-inferior to in-person care. Both phone and video are more convenient to patients. Video offers important visual information that can be important to diagnosing mental health conditions. Phone, however, is more broadly accessible and may come with fewer technological issues. In the context of mental health care, where non-verbal cues are tied to symptomology and diagnosing, and a strong relationship between patient and provider can enhance treatment, we encourage the use of video, especially for psychotherapeutic services. However, as phone is more accessible, we ultimately recommend an accommodating approach, one that flexibly makes use of both phone and video. Future studies on telehealth should focus on direct, head-to-head comparisons between phone and video and conduct more rigorous testing on whether clinical differences exist.
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Compared to in-person interventions, remote approaches have shown similar effects on improving psychological outcomes.
“Compared to in-person interventions, remote approaches have shown similar effects on improving psychological outcomes [60].”
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- Authors
- Chen, P. V., Helm, A., Caloudas, S. G., Ecker, A., Day, G., Hogan, J., & Lindsay, J.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- Corresponding author
- Chen, Patricia V.
- Venue
- Current Psychiatry Reports
- Published
- 2022-09-02
- Volume
- 24
- Issue
- 10
- Pages
- 529-539
- ISSN
- 1523-3812 (ISSN-L)
- 1535-1645
- PMC
- PMC9437398
- OpenAlex
- W4294190212
- Cited by
- 73
- References
- 80
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 23 · 2023: 23
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Current Psychiatry Reports (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons-TMC (Texas Medical Center) (submittedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (T32HD007339)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- telemedicine, telephone therapy, videoconferencing, psychotherapy, symptom relief, treatment retention, patient satisfaction, therapeutic relationship, nonverbal cues, access to mental health care, provider attitudes, implementation strategies
- MeSH terms
- Mental Disorders, Humans, Mental Health, Psychotherapy, Telemedicine, Videoconferencing
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