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This review covers the therapeutic use of such technologies, whether they are delivered via telephones or computers, as well as their use in supervising and training program staff members.

From this small study, the authors concluded that these therapist factors likely play less of a role in Web-delivered interventions than they do in ones delivered in person. Some participants i.

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These reviewers also found that research generally indicated that video conferencing was cost-effective relative to in-person treatment, especially when costs related to travel and expenses for counselors were taken into. Myy report on focus groups conducted with users of telemental health services and their therapists in frontier areas found that both therapists and consumers expressed a high level of satisfaction with such services LaMendola, Overall, participants in those studies receiving Web-based services perceived their relationship with the counselor delivering those services to be moderate or high in strength in most cases, measured with the Working Alliance Inventory, and in one case, with the Agnew Relationship Measure.

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Similarly, a review of computerized CBT interventions by Green and Iverson found good evidence to support the use of such interventions for anxiety disorders, depressive disorders, eating disorders, smoking cessation, and problem drinking. A more recent review by Sucala et al.

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These three studies involved relatively brief interventions, and the authors of the largest of them O'Reilly et al. Thus, readers should not accept the presentation of one article's findings as an endorsement of one position over another. One development in computer technology that has received a good deal of attention in behavioral health is the use of virtual reality VR software.

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Barak et al. For example, van Bastelaar, Pouwer, Cuijpers, Riper, and Snoek reported on a Dutch Web site deed to reduce depression among people with type 1 or 2 diabetes.

However, text-based interventions are discussed in a separate section of this literature review. Many research studies of these interventions exclude participants who lack reading skills or have problems chagting written comprehension, but as Andersson noted, multimedia technology may make this limitation irrelevant. Connect to a teacher up until test day.

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Another potential concern with video conferencing is whether or not interventions developed for delivery in person croim be adapted to this medium. A survey conducted in Los Angeles of adolescents and young adults who onlone homeless found that 62 percent owned cell phones, and 40 percent had phones that were currently operational Rice et al. Our school community gathered to celebrate Black History Month.

Riva and colleagues reported on the development of an open-source VR platform that enables providers to de and deliver new VR environments according to their clients' specific needs.

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For example, a review of VA's Abe Indian Telemental Health Clinics indicated that telemental health services mental health services delivered using various telecommunication technologies provided by these clinics were well-received by clients, generally showed diagnostic reliability, and were less expensive than the same services provided in person Shore et al. A review by Simpson focused on the use of video conferencing to conduct psychotherapy and also observed a lack of rigor in most of the research.

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Also, research suggests that, for some clients e. BBA trained athletes take responsibility for their choices. In addition to its use in exposure therapy, VR technology has potential uses in clinical role-playing, efficacy-building exercises, and skills training and practice Botella et al. The authors also observed a of methodological problems with many of the studies of video conferencing interventions and noted that many counselors remain wary of trying such interventions in spite of research suggesting their effectiveness.

For example, interventions can be categorized as either synchronous involving communications occurring in real time or asynchronous occurring outside real time, with some delay between the sending and receiving of the communication; Suler, ; Yellowlees et al.

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Dorstyn, Mathias, and Denson conducted a meta-analytic review of telephone-based counseling interventions for people with acquired physical disabilities e. They were also unable to draw conclusions about the effectiveness of such communications because of the poor quality of the research.

Feee such as bandwidth, image resolution, and display size may affect clients' and counselors' experiences with video conferencing ATA, The authors also noted that although data are limited, the available research indicates that these interventions will perform as well in community settings as they do in research trials. An earlier review by Palmqvist, Carlbring, and Anderssonbased on fewer studies, also found that such interventions promised to be more cost-effective.

For example, in a Canadian study, Germain, Marchand, Bouchard, Guay, and Drouin found that ratings of the strength of therapeutic alliances for clients with PTSD did not differ ificantly between clients treated via video conferencing and those treated in person.

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His mother crom father could neither read nor write. Adding phone calls to a Web-based intervention may also improve treatment compliance and outcomes Graham et al.

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In an evaluation of ojline acceptability of a computer-delivered CBT intervention for depression, free were ificantly more likely to have a favorable response than were men; no relationship between age and treatment acceptability was found Cavanagh et al. An evaluation of telemental health services i. However, most of the studies they reviewed had methodological problems, such as small sample sizes, high dropout rates, and a lack of randomization, which limited their ability to draw firm conclusions about effectiveness.

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Suler and Anthony discussed the psychology of text-based interactions, with particular attention to how they affect therapeutic relationships. Because a good deal of the research in this area has been conducted outside the United States, studies involving foreign populations are identified as such; those that are not so identified should be assumed to have taken place in the United States.

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