Acceptability and feasibility of telehealth as a training modality for trainee psychologist placements: a COVID-19 response study
Suzanne Cosh, Kylie Rice, Warren Bartik, Amanda Jefferys, Alice Hone, Clara Murray, Amy D. Lykins
Abstract
Objective This study examined the extent to which telehealth placements are feasible for developing perceived competence as a psychologist and are an acceptable training modality for provisional psychologists. Method Fifteen provisional psychologists who undertook a postgraduate placement using telehealth completed an online survey. Acceptability and attitudes towards future telehealth service provision were assessed via Likert scales and open-ended questions. Feasibility was assessed via comparison using Wilcoxon Rank Signed tests of pre- and post-placement self-efficacy using the Psychology Counsellor Self-Efficacy Scale. Open-ended questions were analysed using content analysis. Results Participants reported high satisfaction with the telehealth placement. Perceived self-efficacy improved between pre- and post-placement on all competencies except for research. Students reported that a telehealth placement enabled them to improve in all areas, with particular benefits including rapport building, therapeutic questioning, and management of safety and ethical concerns. Challenges of a telehealth placement included assessing mental status, isolation from peers, and technical difficulties. Students reported positive attitudes towards future use of telehealth. Conclusions Telehealth appears to offer an acceptable, feasible and valuable training experience for developing competence for provisional psychologists. Undertaking a telehealth placement may help prepare clinicians for future use of telehealth, especially in relation to ethics and risk management.