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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">IPROC</journal-id>
      <journal-id journal-id-type="nlm-ta">iproc</journal-id>
      <journal-title>Iproceedings</journal-title>
      <issn pub-type="epub">2369-6893</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v8i1e39298</article-id>
      <article-id pub-id-type="pmid"/>
      <article-id pub-id-type="doi">10.2196/39298</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Abstract</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Abstract</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Telehealth Technology Competency and Difficulties in the Therapeutic Process</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Pagoto</surname>
            <given-names>Sherry</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author" corresp="yes" equal-contrib="yes">
          <name name-style="western">
            <surname>Hynes</surname>
            <given-names>Kevin</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <address>
            <institution>Purdue University Northwest</institution>
            <addr-line>2200 169th St IBCC MFT</addr-line>
            <addr-line>Hammond, IN, 46323</addr-line>
            <country>United States</country>
            <phone>1 6122812109</phone>
            <email>hynes.kevinc@gmail.com</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-1568-6757</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Tambling</surname>
            <given-names>Rachel</given-names>
          </name>
          <xref rid="aff2" ref-type="aff">2</xref>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Bischoff</surname>
            <given-names>Thomas</given-names>
          </name>
          <xref rid="aff3" ref-type="aff">3</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Purdue University Northwest</institution>
        <addr-line>Hammond, IN</addr-line>
        <country>United States</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>University of Connecticut</institution>
        <addr-line>Storrs, CT</addr-line>
        <country>United States</country>
      </aff>
      <aff id="aff3">
        <label>3</label>
        <institution>Lotus Counseling</institution>
        <addr-line>Charlotte, NC</addr-line>
        <country>United States</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Kevin Hynes <email>hynes.kevinc@gmail.com</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <season>Jan-Dec</season>
        <year>2022</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>23</day>
        <month>6</month>
        <year>2022</year>
      </pub-date>
      <volume>8</volume>
      <issue>1</issue>
      <elocation-id>e39298</elocation-id>
      <history>
        <date date-type="received">
          <day>5</day>
          <month>5</month>
          <year>2022</year>
        </date>
        <date date-type="accepted">
          <day>8</day>
          <month>6</month>
          <year>2022</year>
        </date>
      </history>
      <copyright-statement>©Kevin Hynes, Rachel Tambling, Thomas Bischoff. Originally published in Iproceedings (https://www.iproc.org), 23.06.2022.</copyright-statement>
      <copyright-year>2022</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in Iproceedings, is properly cited. The complete bibliographic information, a link to the original publication on https://www.iproc.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.iproc.org/2022/1/e39298" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>Telehealth therapy services increased during the COVID-19 pandemic and have the potential to shape service provision in the future. The growing body of research on telehealth services provides evidence of the efficacy of such services and the possibility for greater accessibility of counseling services for hard-to-reach clients. However, less is known regarding 2 unique processes of engaging in telehealth services, which are telehealth difficulties and perceived therapist telehealth competency.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>This study examines the factor structure of the following 2 new measures: the Telehealth Difficulties Scale and the Therapist Telehealth Competency Scale.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>Exploratory factor analyses were used with 223 participants who used telehealth services. Following this validation, these measures were tested with their association with the therapeutic alliance and therapy productiveness among clients of telehealth services using linear regressions.</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>The study found that both measures had a one-factor structure and predicted therapeutic alliance scores. In addition, telehealth competency predicted therapy productiveness.</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>The implications for these results are discussed, and future directions are given.</p>
        </sec>
        <sec>
          <title>Conflict of Interest</title>
          <p>None declared.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>telehealth</kwd>
        <kwd>technology</kwd>
        <kwd>therapy</kwd>
      </kwd-group>
    </article-meta>
  </front>
</article>
