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	<title>
		Bringing Specialty Telebehavioral Medicine Home: Feasibility of a Quality Improvement Pilot for Medically Complex Patients
							| Telehealth and Medicine Today
			</title>

	
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<meta name="DC.Creator.PersonalName" content="Lillian M. Christon"/>
<meta name="DC.Creator.PersonalName" content="Jennifer Correll"/>
<meta name="DC.Creator.PersonalName" content="Wendy Balliet"/>
<meta name="DC.Creator.PersonalName" content="Eva R. Serber"/>
<meta name="DC.Creator.PersonalName" content="Sharlene Wedin"/>
<meta name="DC.Creator.PersonalName" content="Rebecca Kilpatrick"/>
<meta name="DC.Creator.PersonalName" content="Lauren Holland-Carter"/>
<meta name="DC.Creator.PersonalName" content="Stacey Maurer"/>
<meta name="DC.Creator.PersonalName" content="Jimmy McElligott"/>
<meta name="DC.Creator.PersonalName" content="Kelly Barth"/>
<meta name="DC.Creator.PersonalName" content="Jeffrey Borckardt"/>
<meta name="DC.Date.created" scheme="ISO8601" content="2019-06-17"/>
<meta name="DC.Date.dateSubmitted" scheme="ISO8601" content="2019-04-09"/>
<meta name="DC.Date.issued" scheme="ISO8601" content="2019-04-23"/>
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<meta name="DC.Description" xml:lang="en" content="Objectives: The aims of this quality improvement project were twofold: Phase 1: conduct a needs assessment study for home-based telebehavioral medicine (H-TBM) among medically complex patients living in rural areas seeking care at an academic medical center (AMC) in a Behavioral Medicine Clinic, and Phase 2: evaluate the feasibility of a pilot implementation of H-TBM to improve therapy access for these underserved patients.
Results: The needs assessment study supported patient interest and need for H-TBM services. In the pilot, patients and providers were “satisfied to completely satisfied” using H-TBM. Patients engaging in H-TBM (Phase 2) reported significantly lower acute distress after H-TBM sessions than they experienced prior to sessions (t(29)=4.26; p&amp;lt;.001).
Conclusion: Results demonstrated preliminary acceptance by and feasibility for Behavioral Medicine Clinic patients with complex medical conditions to receive psychotherapy via H-TBM (in their homes), reducing their travel burden. H-TBM services offer the following benefits to chronically ill patients: they help to manage psychosocial complications associated with chronic disease and to prepare for intensive medical interventions."/>
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<meta name="DC.Rights" content="Copyright (c) 2019 Lillian M. Christon, Jennifer Correll, Wendy Balliet, Eva R. Serber, Sharlene Wedin, Rebecca Kilpatrick, Lauren Holland-Carter, Stacey Maurer, Jimmy McElligott, Kelly Barth, Jeffrey Borckardt"/>
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<meta name="DC.Title" content="Bringing Specialty Telebehavioral Medicine Home: Feasibility of a Quality Improvement Pilot for Medically Complex Patients"/>
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<meta name="citation_author" content="Lillian M. Christon"/>
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<meta name="citation_author" content="Jennifer Correll"/>
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<meta name="citation_author" content="Wendy Balliet"/>
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<meta name="citation_author" content="Sharlene Wedin"/>
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<meta name="citation_author" content="Rebecca Kilpatrick"/>
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<meta name="citation_author" content="Lauren Holland-Carter"/>
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<meta name="citation_author" content="Stacey Maurer"/>
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<meta name="citation_author" content="Jimmy McElligott"/>
<meta name="citation_author_institution" content="Department of Pediatrics, Center for Telehealth, Medical University of South Carolina"/>
<meta name="citation_author" content="Kelly Barth"/>
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<meta name="citation_author" content="Jeffrey Borckardt"/>
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<meta name="citation_title" content="Bringing Specialty Telebehavioral Medicine Home: Feasibility of a Quality Improvement Pilot for Medically Complex Patients"/>
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<meta name="citation_date" content="2019/06/17"/>
<meta name="citation_doi" content="10.30953/tmt.v4.152"/>
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<meta name="citation_keywords" xml:lang="en" content="Feasibility"/>
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	<h1 class="page_title">
		Bringing Specialty Telebehavioral Medicine Home: Feasibility of a Quality Improvement Pilot for Medically Complex Patients
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					<h2 class="pkp_screen_reader">Authors</h2>
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											<li>
							<span class="name">
								Lillian M. Christon, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
											<li>
							<span class="name">
								Jennifer Correll, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
											<li>
							<span class="name">
								Wendy Balliet, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
											<li>
							<span class="name">
								Eva R. Serber, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
											<li>
							<span class="name">
								Sharlene Wedin, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
											<li>
							<span class="name">
								Rebecca Kilpatrick, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
											<li>
							<span class="name">
								Lauren Holland-Carter, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
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							<span class="name">
								Stacey Maurer, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
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							<span class="name">
								Jimmy McElligott, MD
							</span>
															<span class="affiliation">
									Department of Pediatrics, Center for Telehealth, Medical University of South Carolina
																	</span>
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								Kelly Barth, DO
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
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								Jeffrey Borckardt, PhD
							</span>
															<span class="affiliation">
									Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
																	</span>
																				</li>
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							<a href="https://doi.org/10.30953/tmt.v4.152">
								https://doi.org/10.30953/tmt.v4.152
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									<section class="item keywords">
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										Keywords:
				</h2>
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											Home-Based Telebehavioral Medicine (H-TBM), 											Behavioral Medicine, 											Chronic Illnesses or Medical Conditions, 											Feasibility, 											Psychological Services, 											Needs Assessment									</span>
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					<p><strong>Objectives</strong>: The aims of this quality improvement project were twofold: Phase 1: conduct a needs assessment study for home-based telebehavioral medicine (H-TBM) among medically complex patients living in rural areas seeking care at an academic medical center (AMC) in a Behavioral Medicine Clinic, and Phase 2: evaluate the feasibility of a pilot implementation of H-TBM to improve therapy access for these underserved patients.</p>
<p><strong>Results</strong>: The needs assessment study supported patient interest and need for H-TBM services. In the pilot, patients and providers were “satisfied to completely satisfied” using H-TBM. Patients engaging in H-TBM (Phase 2) reported significantly lower acute distress after H-TBM sessions than they experienced prior to sessions (t(29)=4.26; p&lt;.001).</p>
<p><strong>Conclusion</strong>: Results demonstrated preliminary acceptance by and feasibility for Behavioral Medicine Clinic patients with complex medical conditions to receive psychotherapy via H-TBM (in their homes), reducing their travel burden. H-TBM services offer the following benefits to chronically ill patients: they help to manage psychosocial complications associated with chronic disease and to prepare for intensive medical interventions.</p>
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																			<span>2019-06-17</span>
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