Online consultations in mental healthcare during the COVID-19 outbreak: An international survey study on professionals’ motivations and perceived barriers

Nele A.J. De Witte, Per Carlbring, Anne Etzelmueller, Tine Nordgreen, Maria Karekla, Lise Haddouk, Angélique Belmont, Svein Øverland, Rudy Abi-Habib, Sylvie Bernaerts, Agostino Brugnera, Angelo Compare, Aranzazu Duque, David Daniel Ebert, Jonas Eimontas, Angelos P. Kassianos, João Salgado, Andreas Schwerdtfeger, Pia Tohme, Eva Van Assche, Tom Van Daele

Vitenskapelig artikkel
Internet Interventions, 2021
Online / DOI:

Introduction While the general uptake of e-mental health interventions remained low over the past years, physical distancing and lockdown measures relating to the COVID-19 pandemic created a need and demand for online consultations in only a matter of weeks. Objective This study investigates the uptake of online consultations provided by mental health professionals during lockdown measures in the first wave of the COVID-19 pandemic in the participating countries, with a specific focus on professionals’ motivations and perceived barriers regarding online consultations. Methods An online survey on the use of online consultations was set up in March 2020. The Unified Theory of Acceptance and Use of Technology (UTAUT) guided the deductive qualitative analysis of the results. Results In total, 2082 mental health professionals from Austria, Belgium, Cyprus, France, Germany, Italy, Lebanon, Lithuania, the Netherlands, Norway, Portugal, Spain, and Sweden were included. The results showed a high uptake of online consultations during the COVID-19 pandemic but limited previous training on this topic undergone by mental health professionals. Most professionals reported positive experiences with online consultations, but concerns about the performance of online consultations in a mental health context (e.g., in terms of relational aspects) and practical considerations (e.g., relating to privacy and security of software) appear to be major barriers that hinder implementation. Conclusions This study provides an overview of the mental health professionals’ actual needs and concerns regarding the use of online consultations in order to highlight areas of possible intervention and allow the implementation of necessary governmental, educational, and instrumental support so that online consultations can become a feasible and stable option in mental healthcare.