@article{rigasOptimizingFutureTelehealth2026,

title = {Optimizing future Telehealth mental health programs: a secondary analysis of a prospective cohort study to identify key predictors of intervention response in the Telehealth intervention program for older adults (TIP-OA)},

author = {C. Rigas and P. Lavin and C. -L. Su and M. Hassan and K. Cinalioglu and B. Vacaflor and E. Dikaios and A. Goodman and M. Ibrahim and J. Gruber and J. Se and N. Sasi and R. Nazar and K. Bodenstein and S. Elbaz and H. Fajzel and S. Berkani and C. Hanganu and H. Noble and K. Looper and S. Bouchard and D. Seitz and S. Kumar and O. Beauchet and C. Launay and E. McDonald and B. Khoury and A. Ryder and B. Battistini and P. Fallavollita and I. Vahia and H. Sekhon and S. Bukhari and S. Rej},

url = {https://www.scopus.com/pages/publications/105038539121?origin=resultslist},

doi = {10.1186/s12888-025-07688-1},

issn = {1471244X (ISSN)},

year  = {2026},

date = {2026-01-01},

journal = {BMC Psychiatry},

volume = {26},

number = {1},

publisher = {BioMed Central Ltd},

abstract = {Background: The Telehealth Intervention Program for Older Adults (TIP-OA) was a volunteer-based phone support program for to older adults during the COVID-19 pandemic. While volunteer-based phone programs can be effective in providing mental health support, there is limited data on the predictors of response to such interventions. This study aimed to examine clinical and demographic predictors of response to the TIP-OA intervention among older adults. Methods: This secondary analysis of a prospective cohort study included 82 TIP-OA users who expressed interest in the program’s research component, met inclusion criteria, and provided informed consent. Participants completed both baseline and 8-week assessments or had 4-week data carried forward using the last observation carried forward (LOCF) method. The intervention consisted of weekly supportive phone calls over eight weeks. Baseline mental health risk level was assessed by clinicians during intake and categorized as low, medium, or high based on symptom severity within specific symptom categories. Associations between baseline risk level and changes in stress (primary outcome), depression, and anxiety (secondary outcomes) were examined. The primary outcome was measured by the Perceived Stress Scale (PSS; scores ranging from 0 (never) to 4 (very often)). Secondary outcomes were measured by the Patient Health Questionnaire-9 (PHQ-9; scores ranging from 0 (not at all) to 3 (nearly every day)), and the Generalized Anxiety Disorder-7 scale (GAD-7; scores can range from 0 (not at all sure) to 3 (nearly every day)). Results: At 8 -week follow-up assessment, participants with higher baseline risk levels showed greater reductions in stress (mean difference in Perceived Stress Scale reduction by 2.13, (F(1,77) = 2.82},

keywords = {80 and over, adult, aged, Anxiety, article, clinical outcome, clinician, cohort analysis, coronavirus disease 2019, COVID-19, demographics, Depression, female, Generalized Anxiety Disorder-7, Geriatric mental health, health hazard, health program, human, human experiment, Humans, informed consent, male, Mental health, Mental Health Teletherapy, mental stress, older adults, Patient Health Questionnaire 9, Perceived Stress Scale, physiological stress, prediction, Predictors of treatment response, Prospective Studies, prospective study, Psychological, psychology, SARS-CoV-2, secondary analysis, Severe acute respiratory syndrome coronavirus 2, Social isolation, social worker, Stress, telehealth, Telemedicine, teletherapy, Therapy, treatment response, very elderly, Volunteer-based intervention},

pubstate = {published},

tppubtype = {article}

}

@article{azziHealthInformationTechnology2026,

title = {Health information technology acceptance by older people: a systematic review},

author = {S. Azzi and O. Daramola and S. Gagnon},

url = {https://www.scopus.com/pages/publications/105035521505?origin=resultslist},

doi = {10.1186/s12982-026-01658-y},

issn = {30050774 (ISSN)},

year  = {2026},

date = {2026-01-01},

journal = {Discover public health},

volume = {23},

number = {1},

publisher = {BioMed Central Ltd},

abstract = {Background: The increasing ageing population has led to the development of Health Information Technologies (HIT) for older individuals. However, there is a lack of clarity on which HIT older people are more likely to accept and the factors influencing their intention for acceptance. Methods: A systematic literature review was conducted following PRISMA guidelines. Four academic databases were searched: Scopus, PubMed, the Web of Science, and the Cumulative Index to Nursing and Allied Health Literature, which resulted in the retrieval of 4941 articles. A total of 51 primary studies from 2007 to 2025 that satisfied the inclusion criteria and were subjected to quality assessment and used for the study. This review was registered in PROSPERO (CRD 420251271463). Results: The study revealed that older people have a higher intention to accept assistive technologies over mobile health/eHealth. Older people’s HIT acceptance is influenced by personal, social, and technology design factors. There is a lack of geographical diversity of studies, with few coming from regions like Asia and Africa, hindering a global understanding of HIT acceptance factors. Notably, nearly half of the studies (45.09%) did not employ a theoretical framework, suggesting a lack of grounding in established knowledge and theoretical validity. While theories like the Technology Acceptance Model and the Unified Theory of Acceptance and Use of Technology and their extensions are commonly used, other frameworks, such as the Theory of Reasoned Action, Theory of Planned Behaviour, and Social Cognitive Theory, have been underexplored. Conclusion: The study highlights the need for more rigorous research with diverse geographical representation and the application of broader theoretical perspectives to deepen understanding of HIT acceptance among older people. It also specifies the imperatives for user-centredness in developing HIT products by manufacturers. © The Author(s) 2026.},

keywords = {Acceptance, Adoption, adult, Africa, aged, aging, assistive technology, conceptual framework, Elderly people, female, Healthcare technology, human, Information retrieval, male, Medical informatics, older adults, Preferred Reporting Items for Systematic Reviews and Meta-Analyses, quality control, review, Social Cognitive Theory, systematic review, telehealth, Theory of Planned Behavior, Theory of Reasoned Action, validity, Web of Science},

pubstate = {published},

tppubtype = {article}

}

@article{sekhon_isolating_2022,

title = {Isolating together during COVID-19: Results from the Telehealth Intervention Program for older adults},

author = {H. Sekhon and P. Lavin and B. Vacaflor and C. Rigas and K. Cinalioglu and C. -L. Su and K. Bodenstein and E. Dikaios and A. Goodman and F. C. Raymond and M. Ibrahim and M. Bein and J. Gruber and J. Se and N. Sasi and C. Walsh and R. Nazar and C. Hanganu and S. Berkani and I. Royal and A. Schiavetto and K. Looper and C. Launay and E. G. McDonald and D. Seitz and S. Kumar and O. Beauchet and B. Khoury and S. Bouchard and B. Battistini and P. Fallavollita and M. Miresco and M. -A. Bruneau and I. Vahia and S. Bukhari and S. Rej},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85140408885&doi=10.3389%2ffmed.2022.948506&partnerID=40&md5=914f535ebf7ead4bbacb04ee66f75e17},

doi = {10.3389/fmed.2022.948506},

issn = {2296858X},

year  = {2022},

date = {2022-01-01},

journal = {Frontiers in Medicine},

volume = {9},

publisher = {Frontiers Media S.A.},

abstract = {Background: A pressing challenge during the COVID-19 pandemic and beyond is to provide accessible and scalable mental health support to isolated older adults in the community. The Telehealth Intervention Program for Older Adults (TIP-OA) is a large-scale, volunteer-based, friendly telephone support program designed to address this unmet need. Methods: A prospective cohort study of 112 TIP-OA participants aged ≥60 years old was conducted in Quebec, Canada (October 2020–June 2021). The intervention consisted of weekly friendly phone calls from trained volunteers. The primary outcome measures included changes in scores of stress, depression, anxiety, and fear surrounding COVID-19, assessed at baseline, 4 and 8-weeks. Additional subgroup analyses were performed with participants with higher baseline scores. Results: The subgroup of participants with higher baseline depression scores (PHQ9 ≥10) had significant improvements in depression scores over the 8-week period measured [mean change score = −2.27 (±4.76), 95%CI (−3.719, −0.827)},

note = {Publisher: Frontiers Media S.A.},

keywords = {aged, Anxiety, article, cohort analysis, controlled study, coronavirus disease 2019, demographics, Depression, Fear, female, human, longitudinal study, major clinical study, male, Patient Health Questionnaire 9, physiological stress, prospective study, Quebec, telehealth},

pubstate = {published},

tppubtype = {article}

}

@article{marcotte-beaumier_role_2021,

title = {The role of intolerance of uncertainty and working alliance in the outcome of cognitive behavioral therapy for generalized anxiety disorder delivered by videoconference: Mediation analysis},

author = {G. Marcotte-Beaumier and S. Bouchard and P. Gosselin and F. Langlois and G. Belleville and A. Marchand and M. J. Dugas},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85103169307&doi=10.2196%2f24541&partnerID=40&md5=6d4abe613d27257552970428c3a84bb4},

doi = {10.2196/24541},

issn = {23687959},

year  = {2021},

date = {2021-01-01},

journal = {JMIR Mental Health},

volume = {8},

number = {3},

publisher = {JMIR Publications Inc.},

abstract = {Background: Previous meta-analyses have shown a significant relationship between working alliance and treatment outcome in general. Some studies have examined the relationship between working alliance and treatment outcome during telepsychotherapy, but to the best of our knowledge, no study has examined the mediating role of individual components of the working alliance. Objective: As part of a clinical trial of cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) delivered by videoconference (VC), the aim of this study is to examine the mediating role of intolerance of uncertainty on the relationship between the components of the working alliance and treatment outcome. Methods: A sample of 46 adults with primary GAD received 15 sessions of CBT for GAD delivered over VC. Participants completed the measure of working alliance immediately after the fifth therapy session. The degree of change in intolerance of uncertainty (a key psychological process) was assessed from pre- to posttreatment. Treatment outcome was assessed via changes in GAD symptoms from pretreatment to the 6-month follow-up. Results: The results revealed that the therapeutic bond did not predict treatment outcome (r=-0.23; P=.12). However, agreement on therapeutic goals and tasks did predict treatment outcome (r=-0.42; P=.004 and r=-0.37; P=.01, respectively). In addition, the relationship between consensus on therapeutic tasks and treatment outcome was completely mediated by changes in intolerance of uncertainty (unstandardized β=-0.03; r2=0.12), whereas consensus relative to treatment goals had a direct impact on treatment outcome. Conclusions: These results provide a better understanding of the differential role of the components of the working alliance in telepsychotherapy as a facilitative factor for changes in key cognitive processes, leading to therapeutic change. © 2021 JMIR Publications Inc. All Rights Reserved.},

note = {Publisher: JMIR Publications Inc.},

keywords = {adult, article, clinical article, cognitive behavioral therapy, consensus, controlled study, female, follow up, generalized anxiety disorder, human, male, mediation analysis, outcome assessment, randomized controlled trial, telehealth, therapeutic alliance, treatment outcome, uncertainty, videoconferencing},

pubstate = {published},

tppubtype = {article}

}

@article{khazaal_editorial_2018,

title = {Editorial: Computers and games for mental health and well-being},

author = {Y. Khazaal and J. Favrod and A. Sort and F. Borgeat and S. Bouchard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045511603&doi=10.3389%2ffpsyt.2018.00141&partnerID=40&md5=51e50eac3fa902a4358d2bbf8562179c},

doi = {10.3389/fpsyt.2018.00141},

issn = {16640640 (ISSN)},

year  = {2018},

date = {2018-01-01},

journal = {Frontiers in Psychiatry},

volume = {9},

number = {APR},

publisher = {Frontiers Media S.A.},

note = {Publisher: Frontiers Media S.A.},

keywords = {augmented reality, Cognitive behavior therapy, Cognitive remediation, computer assisted therapy, controlled clinical trial (topic), editorial, human, information processing, Internet treatment, mental disease, mental health care, mobile application, Patient Compliance, prophylaxis, schizophrenia, Serious games, Smartphone app, telehealth, video game, virtual reality, wellbeing},

pubstate = {published},

tppubtype = {article}

}

@article{khazaalEditorialComputersGames2018,

title = {Editorial: Computers and games for mental health and well-being},

author = {Y. Khazaal and J. Favrod and A. Sort and F. Borgeat and S. Bouchard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045511603&doi=10.3389%2ffpsyt.2018.00141&partnerID=40&md5=51e50eac3fa902a4358d2bbf8562179c},

doi = {10.3389/fpsyt.2018.00141},

issn = {16640640 (ISSN)},

year  = {2018},

date = {2018-01-01},

journal = {Frontiers in Psychiatry},

volume = {9},

number = {APR},

publisher = {Frontiers Media S.A.},

keywords = {augmented reality, Cognitive behavior therapy, Cognitive remediation, computer assisted therapy, controlled clinical trial (topic), editorial, human, information processing, Internet treatment, mental disease, mental health care, mobile application, Patient Compliance, prophylaxis, schizophrenia, Serious games, Smartphone app, telehealth, video game, virtual reality, wellbeing},

pubstate = {published},

tppubtype = {article}

}

@article{yuen_acceptance_2013,

title = {Acceptance based behavior therapy for social anxiety disorder through videoconferencing},

author = {E. K. Yuen and J. D. Herbert and E. M. Forman and E. M. Goetter and A. S. Juarascio and S. Rabin and C. Goodwin and S. Bouchard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879799248&doi=10.1016%2fj.janxdis.2013.03.002&partnerID=40&md5=a280b967176db691df32f37d15cb52a1},

doi = {10.1016/j.janxdis.2013.03.002},

issn = {18737897 (ISSN)},

year  = {2013},

date = {2013-01-01},

journal = {Journal of Anxiety Disorders},

volume = {27},

number = {4},

pages = {389–397},

abstract = {Most individuals with social anxiety disorder (SAD) do not receive any type of treatment. Reasons include logistical barriers (e.g., geographic location, travel time), fear of stigmatization, and fear of the social interactions associated with seeking treatment. Videoconferencing technology holds great promise in the widespread delivery of evidence-based treatments to those who would otherwise not receive treatment. This pilot study assessed the feasibility, acceptability, and initial efficacy of an acceptance-based behavioral intervention using Skype videoconferencing to treat adults with generalized SAD. Twenty-four participants received 12 sessions of weekly therapy and were assessed at pre-treatment, mid-treatment, post-treatment, and 3-month follow-up. Participants and therapists rated the intervention as acceptable and feasible. Analyses revealed significant pre-treatment to follow-up improvements in social anxiety, depression, disability, quality of life, and experiential avoidance, with effect sizes comparable to or larger than previously published results of studies delivering in-person CBT for SAD. Implications and future directions are discussed. © 2013 Elsevier Ltd.},

keywords = {acceptance based behavior therapy, adult, agoraphobia, alcoholism, article, avoidance behavior, Beck Depression Inventory, behavior therapy, Behavioral Assessment Test, Brief Version of the Fear of Negative Evaluation Scale, clinical article, clinical trial, comorbidity, disability, effect size, Feasibility Studies, feasibility study, female, follow up, Follow-Up Studies, generalized anxiety disorder, human, Humans, interview, Liebowitz Social Anxiety Scale, major depression, male, named inventories, panic, patient attitude, Patient Satisfaction, phobia, Phobic Disorders, Pilot Projects, pilot study, procedures, Psychiatric Status Rating Scales, psychologic test, Psychological, psychological rating scale, psychotherapist attitude, quality of life, questionnaires and rating scales, Skype, social anxiety, social phobia, Social Phobia and Anxiety Inventory, Structured Clinical Interview for DSM Disorders, telehealth, Telemedicine, Telemental health, Telepsychology, treatment outcome, videoconferencing},

pubstate = {published},

tppubtype = {article}

}

@article{yuenAcceptanceBasedBehavior2013,

title = {Acceptance based behavior therapy for social anxiety disorder through videoconferencing},

author = {E. K. Yuen and J. D. Herbert and E. M. Forman and E. M. Goetter and A. S. Juarascio and S. Rabin and C. Goodwin and S. Bouchard},

url = {https://www.scopus.com/inward/record.uri?eid=2-s2.0-84879799248&doi=10.1016%2fj.janxdis.2013.03.002&partnerID=40&md5=a280b967176db691df32f37d15cb52a1},

doi = {10.1016/j.janxdis.2013.03.002},

issn = {18737897 (ISSN)},

year  = {2013},

date = {2013-01-01},

journal = {Journal of Anxiety Disorders},

volume = {27},

number = {4},

pages = {389–397},

abstract = {Most individuals with social anxiety disorder (SAD) do not receive any type of treatment. Reasons include logistical barriers (e.g., geographic location, travel time), fear of stigmatization, and fear of the social interactions associated with seeking treatment. Videoconferencing technology holds great promise in the widespread delivery of evidence-based treatments to those who would otherwise not receive treatment. This pilot study assessed the feasibility, acceptability, and initial efficacy of an acceptance-based behavioral intervention using Skype videoconferencing to treat adults with generalized SAD. Twenty-four participants received 12 sessions of weekly therapy and were assessed at pre-treatment, mid-treatment, post-treatment, and 3-month follow-up. Participants and therapists rated the intervention as acceptable and feasible. Analyses revealed significant pre-treatment to follow-up improvements in social anxiety, depression, disability, quality of life, and experiential avoidance, with effect sizes comparable to or larger than previously published results of studies delivering in-person CBT for SAD. Implications and future directions are discussed. © 2013 Elsevier Ltd.},

keywords = {acceptance based behavior therapy, adult, agoraphobia, alcoholism, article, avoidance behavior, Beck Depression Inventory, behavior therapy, Behavioral Assessment Test, Brief Version of the Fear of Negative Evaluation Scale, clinical article, clinical trial, comorbidity, disability, effect size, Feasibility Studies, feasibility study, female, follow up, Follow-Up Studies, generalized anxiety disorder, human, Humans, interview, Liebowitz Social Anxiety Scale, major depression, male, named inventories, panic, patient attitude, Patient Satisfaction, phobia, Phobic Disorders, Pilot Projects, pilot study, procedures, Psychiatric Status Rating Scales, psychologic test, Psychological, psychological rating scale, psychotherapist attitude, quality of life, questionnaires and rating scales, Skype, social anxiety, social phobia, Social Phobia and Anxiety Inventory, Structured Clinical Interview for DSM Disorders, telehealth, Telemedicine, Telemental health, Telepsychology, treatment outcome, videoconferencing},

pubstate = {published},

tppubtype = {article}

}