Language
English
Publication Date
7-27-2024
Journal
Translational Behavioral Medicine
DOI
10.1093/tbm/ibae027
PMID
38777341
PMCID
PMC11282574
PubMedCentral® Posted Date
5-22-2024
PubMedCentral® Full Text Version
Post-print
Abstract
The sudden onset of the coronavirus disease led to a rapid expansion of video telehealth to deliver mental healthcare. Although video telehealth was not a new clinical practice, there was limited guidance on how best to modify evidence-based psychotherapies (EBPs) for virtual delivery (a process also referred to as virtualization). The virtualization process for EBPs remains unclear as newly emerging reports on this topic do not consistently report modification decisions. This commentary calls attention to the need to improve documentation practices to allow a greater understanding of modifications needed to maximize the positive effects of EBPs transported to a virtual format. We used the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to capture details about the nature, process, and outcomes of intervention modifications across a given clinical setting or population. To illustrate the use of the FRAME, we present a case example describing our experiences with transporting a 1-day in-person Acceptance and Commitment Therapy group workshop to a virtual format. Workshop modifications primarily involved changes to the delivery format, administration procedures, and content. The case example walks through how, why, and by whom specific modifications were made as well as the degree to which fidelity was maintained. In the wake of the telemedicine revolution, further investigation into the virtualization process for EBPs is warranted. Improving reporting practices by using the FRAME or a similar adaptation framework will promote a more rigorous study of virtual modifications to EBPs that inform future guidelines and best practices.
Keywords
Humans, Telemedicine, Psychotherapy, COVID-19, Evidence-Based Practice, SARS-CoV-2, implementation science, acceptance and commitment therapy, telemedicine, psychotherapy, brief psychotherapies
Published Open-Access
yes
Recommended Citation
Boykin, Derrecka M; Smith, Tracey L; Rakel, Barbara; et al., "Demystifying the Virtualization Process: A Call for Standard Reporting of Virtual Modifications to Evidence-Based Psychotherapies, Using the Frame Model" (2024). Faculty and Staff Publications. 6021.
https://digitalcommons.library.tmc.edu/baylor_docs/6021
Included in
Medical Sciences Commons, Medical Specialties Commons, Mental and Social Health Commons, Psychiatry and Psychology Commons