Evidence map›Paper›PMID 39946715›Full record

ArticleJournal of medical Internet research2025

Relative Preference for In-Person, Telehealth, Digital, and Pharmacologic Mental Health Care After the COVID-19 Pandemic: Cross-Sectional Questionnaire Study.

E Marie Parsons, Zoë G Figueroa, Michele Hiserodt, Talea Cornelius, Michael W Otto

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

E Marie ParsonsDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, United States.ORCID 0000-0003-4977-7964
Zoë G FigueroaDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, United States.ORCID 0009-0004-3917-9711
Michele HiserodtDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, United States.ORCID 0000-0002-7381-3454
Talea CorneliusCenter for Behavioral Cardiovascular Health, Columbia University Irving Medical Center, New York, NY, United States.ORCID 0000-0001-7181-0981
Michael W OttoDepartment of Psychological and Brain Sciences, Boston University, Boston, MA, United States.ORCID 0000-0002-8915-7578

Funding

Roybal Center for Fearless Behavior Change - renewal Behavioral Intervention Development (BID) CoreP30AG064198 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Ian Matthew Kronish · 2019 to 2026
$7.4M
Supporting Roybal P30 Centers Through a Single DSMBFR24AG064191 · NIA · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI Karina W. Davidson · 2019 to 2026
$6.0M
NIA NIH HHS P30 AG064198NIA NIH HHS R24 AG064191
6 · The paper itself

Abstract

backgroundMost adults and children in the United States fail to receive timely care for mental health symptoms, with even worse rates of care access for individuals who belong to racial and ethnic minority groups. Digital (ie, app-based) care has proven to be an efficacious and empirically supported treatment option with the potential to address low rates of care and reduce care disparities, yet little is known about the relative preference for such treatment. Furthermore, the rapid adoption of telehealth care during the COVID-19 pandemic may have shifted care preferences.

objectiveThis study aimed to examine relative treatment preferences for 4 different types of mental health care: in-person psychological care, telehealth psychological care, digital treatment, or pharmacologic care. Care preferences were also examined relative to potential predictors of care use (ie, gender, race, age, stigma, discrimination, and level of shame).

methodsIn this cross-sectional online survey study of adults (N=237, mean age 35 years, range 19-68 years), we ranked 4 mental health care modalities based on care preference: (1) in-person care, (2) telehealth care, (3) digital care, and (4) pharmacologic care. Preference for treatment modality was assessed based on vignette presentation for generalized anxiety disorder and insomnia. In addition, participants completed self-report questionnaires for demographics, symptom severity, and psychological and stigma-related variables.

resultsWe found no difference in overall preference for in-person versus both telehealth and digital care. For both generalized anxiety disorder and insomnia, participants preferred in-person care to telehealth care, although this finding was attenuated amongst older participants for insomnia treatment. Participants' depressed mood was associated with a greater relative preference for pharmacologic care. There was no evidence of differential preference for digital care according to demographics, symptom severity, or psychological and stigma-related variables.

conclusionsThese results indicate that digital care now competes well in terms of treatment preference with in-person, telehealth, and pharmacologic treatment options.

Indexed as

COVID-19Mental DisordersMental Health ServicesPatient PreferenceTelemedicineAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2Surveys and QuestionnairesUnited Statesadultagedigital CBTdigital healthgeneralized anxiety disorderinsomniastigmatelehealth

Identifiers

PMID39946715
PMCPMC11888065

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.