Barriers to Mental Health Care: Perceived Delivery System Differences
Abstract
Treatment barriers have prompted the development of new models of care. Distance delivery systems bridge the access gap, increasing service availability. Understanding differences between systems can inform system improvements. Sixty participants from the Strongest Families telephone intervention for child behavior difficulties participated. Participants completed a questionnaire to explore differences in perceived treatment barriers (Treatment Barriers Index-TBI) and therapeutic processes (eg, therapeutic alliance, self-disclosure, health outcome) between face-to-face versus distance treatment. The TBI scale has strong internal reliability (Cronbach α: 0.95 [face-to-face]; 0.90 [distance]). Statistically significant differences were found between delivery system TBI mean scores, indicating fewer barriers with distance treatment. Therapeutic process differences between delivery modes suggest enhanced therapeutic alliance and self-disclosure scores with distance treatment. Increased access, convenience, and sense of privacy (visual anonymity) offered by a distance delivery system may provide an enhanced experience for some individuals.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Telephone interventions might overcome fear of being judged by visual appearance and promote disclosure to mental health experts.
“results from a survey study suggest that telephone interventions might overcome fear of being judged by visual appearance and promote disclosure to mental health experts (Lingley-Pottie et al., 2013).”
From How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention (2023) · cites this paper as Lingley-Pottie et al., 2013
Cites
The online disinhibition effect
Suler, J. (2004) · CyberPsychology & Behavior · doi:10.1089/1094931041291295 · Cited by 4,375 · see citing works
Confronting a traumatic event: Toward an understanding of inhibition and disease.
Pennebaker, J. W., & Beall, S. K. (1986) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.95.3.274 · Cited by 1,898 · see citing works
Plan 9 From Cyberspace: The Implications of the Internet for Personality and Social Psychology
McKenna, K. Y. A., & Bargh, J. A. (2000) · Personality and Social Psychology Review · doi:10.1207/s15327957pspr0401_6 · Cited by 1,507 · see citing works
Self-disclosure in computer-mediated communication: The role of self-awareness and visual anonymity
Joinson, A. N. (2001) · European Journal of Social Psychology · doi:10.1002/ejsp.36 · Cited by 1,458 · see citing works
Beldarrain, Y. (2006) · Distance Education · doi:10.1080/01587910600789498 · Cited by 866 · see citing works
Self-monitoring: Appraisal and reappraisal.
Gangestad, S. W., & Snyder, M. (2000) · Psychological Bulletin · doi:10.1037/0033-2909.126.4.530 · Cited by 788 · see citing works
Kazdin, A. E., Holland, L., Crowley, M. J., & Breton, S. J. (1997) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1997.tb01621.x · Cited by 373 · see citing works
Emotion in psychotherapy: A practice‐friendly research review
Greenberg, L. S., & Pascual‐Leone, A. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20252 · Cited by 371 · see citing works
Palermo, T. M., Wilson, A. C., Peters, M., Lewandowski, A., & Somhegyi, H. (2009) · Pain · doi:10.1016/j.pain.2009.07.034 · Cited by 368 · see citing works
Confiding in others and illness rate among spouses of suicide and accidental-death victims.
Pennebaker, J. W., & O'Heeron, R. C. (1984) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.93.4.473 · Cited by 316 · see citing works
Internet-based mental health programs: A powerful tool in the rural medical kit
Griffiths, K. M., & Christensen, H. (2007) · Australian Journal of Rural Health · doi:10.1111/j.1440-1584.2007.00859.x · Cited by 270 · see citing works
Delivering Cognitive-Behavior Therapy for Panic Disorder with Agoraphobia in Videoconference
Bouchard, S., Paquin, B., Payeur, R., Allard, M., Rivard, V., Fournier, T., Renaud, P., & Lapierre, J. (2004) · Telemedicine Journal and e-Health · doi:10.1089/153056204773644535 · Cited by 267 · see citing works
Psychotherapy using distance technology: A comparison of face-to-face, video, and audio treatment.
Day, S. X., & Schneider, P. L. (2002) · Journal of Counseling Psychology · doi:10.1037/0022-0167.49.4.499 · Cited by 214 · see citing works
Kazdin, A. E., Marciano, P. L., & Whitley, M. K. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.4.726 · Cited by 188 · see citing works
Bringing theory to research on computer-mediated comforting communication
Caplan, S. E., & Turner, J. S. (2005) · Computers in Human Behavior · doi:10.1016/j.chb.2005.08.003 · Cited by 181 · see citing works
Shyness 1: Distance Treatment of Social Phobia Over the Internet
Titov, N., Andrews, G., Schwencke, G., Drobny, J., & Einstein, D. (2008) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670802119762 · Cited by 180 · see citing works
An Exploratory Study of Client Perceptions of Internet Counseling and the Therapeutic Alliance
Leibert, T. W., Archer, J., Munson, J., & York, G. (2006) · Journal of Mental Health Counseling · doi:10.17744/mehc.28.1.f0h37djrw89nv6vb · Cited by 172 · see citing works
Beattie, A., Shaw, A., Kaur, S., & Kessler, D. (2009) · Health Expectations · doi:10.1111/j.1369-7625.2008.00531.x · Cited by 170 · see citing works
Privacy, emotional closeness, and openness in cyberspace
Ben‐Ze’ev, A. (2003) · Computers in Human Behavior · doi:10.1016/s0747-5632(02)00078-x · Cited by 153 · see citing works
Attrition in the treatment of childhood anxiety disorders.
Kendall, P. C., & Sugarman, A. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.65.5.883 · Cited by 140 · see citing works
An investigation of session impact and alliance in internet based psychotherapy: Preliminary results
Reynolds, D. J., Stiles, W. B., & Grohol, J. M. (2006) · Counselling and Psychotherapy Research · doi:10.1080/14733140600853617 · Cited by 125 · see citing works
Attrition in the treatment of childhood anxiety disorders.
Kendall, P. C., & Sugarman, A. (1997) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.65.5.883 · Cited by 107 · see citing works
Computer‐Based Intervention with Coaching: An Example Using the Incredible Years Program
Taylor, T. Κ., Webster-Stratton, C. H., Feil, E. G., Broadbent, B., Widdop, C., & Severson, H. H. (2008) · Cognitive Behaviour Therapy · doi:10.1080/16506070802364511 · Cited by 106 · see citing works
Group versus individual phone-based obesity treatment for rural women
Befort, C. A., Donnelly, J. E., Sullivan, D. K., Ellerbeck, E. F., & Perri, M. G. (2010) · Eating Behaviors · doi:10.1016/j.eatbeh.2009.08.002 · Cited by 105 · see citing works
Cunningham, C. E., Deal, K., Rimas, H. L., Buchanan, D. H., Gold, M., Sdao-Jarvie, K., & Boyle, M. (2008) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-008-9238-4 · Cited by 104 · see citing works
Helping construct desirable identities: A self-presentational view of psychotherapy.
Kelly, A. E. (2000) · Psychological Bulletin · doi:10.1037/0033-2909.126.4.475 · Cited by 99 · see citing works
Seid, M., Sobo, E. J., Gelhard, L. R., & Varni, J. W. (2004) · Ambulatory Pediatrics · doi:10.1367/a03-198r.1 · Cited by 92 · see citing works
Telehealth and rural depression: Physician and patient perspectives.
Swinton, J. J., Robinson, W. D., & Bischoff, R. J. (2009) · Families, Systems, & Health · doi:10.1037/a0016014 · Cited by 62 · see citing works
Seid, M., Opipari‐Arrigan, L., Gelhard, L. R., Varni, J. W., & Driscoll, K. A. (2009) · Academic Pediatrics · doi:10.1016/j.acap.2008.12.003 · Cited by 59 · see citing works
A therapeutic alliance can exist without face-to-face contact
Lingely-Pottie, P., & McGrath, P. J. (2006) · Journal of Telemedicine and Telecare · doi:10.1258/135763306779378690 · Cited by 46 · see citing works
Self-citationCharacteristics of secrets and the frequency, reasons and effects of secrets keeping and disclosure
Vrij, A., Nunkoosing, K., Paterson, B., Oosterwegel, A., & Soukara, S. (2002) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.652 · Cited by 45 · see citing works
Lingley‐Pottie, P., & McGrath, P. J. (2007) · Advances in Nursing Science · doi:10.1097/01.ans.0000300184.94595.25 · Cited by 39 · see citing works
Self-citationTelehealth: a child and family-friendly approach to mental health-care reform
Lingley‐Pottie, P., & McGrath, P. J. (2008) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2008.008001 · Cited by 29 · see citing works
Self-citationA paediatric therapeutic alliance occurs with distance intervention
Lingley‐Pottie, P., & McGrath, P. J. (2008) · Journal of Telemedicine and Telecare · doi:10.1258/jtt.2008.080101 · Cited by 19 · see citing works
Self-citationDevelopment and Initial Validation of the Treatment Barrier Index Scale
Lingley‐Pottie, P., & McGrath, P. J. (2011) · Advances in Nursing Science · doi:10.1097/ans.0b013e3182186cc0 · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Le, L. K.-D., Sanci, L., Chatterton, M. L., Kauer, S., Buhagiar, K., & Mihalopoulos, C. (2019) · Journal of Medical Internet Research · doi:10.2196/13065 · Cited by 35 · see citing works
Thielecke, J., Buntrock, C., Freund, J., Braun, L., Ebert, D. D., Berking, M., Baumeister, H., & Titzler, I. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100671 · Cited by 10 · see citing works
- Authors
- Lingley-Pottie, P., McGrath, P. J., & Andreou, P.
- Affiliations
- Dalhousie University (CA)
- Venue
- Advances in Nursing Science
- Published
- 2013-01
- Volume
- 36
- Issue
- 1
- Pages
- 51-61
- ISSN
- 0161-9268 (ISSN-L)
- OpenAlex
- W2016348254
- Cited by
- 27
- References
- 35
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 1 · 2013: 1
- FWCI
- 3.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Nursing Science (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- barriers to treatment, telemedicine, access to mental health care, telephone-delivered intervention, therapeutic relationship, self-disclosure, health care access
- MeSH terms
- Mental Disorders, Delivery of Health Care, Humans, Nova Scotia, Pediatric Nursing, Surveys and Questionnaires, Telephone, Patient Satisfaction, Telemedicine, Remote Consultation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review