Overcoming Technological Challenges: Lessons Learned from a Telehealth Counseling Study

Area of Science:

• Behavioral Health
• Telemedicine
• HIV Care

Background:

• Telehealth, particularly video counseling, is increasingly used in behavioral health.
• Technical challenges in video sessions can disrupt appointments and reduce effectiveness.
• Young adults living with HIV require accessible and effective support services.

Purpose of the Study:

• To examine the feasibility and acceptability of video counseling for young adults with HIV.
• To identify common technical challenges in telehealth counseling sessions.
• To develop evidence-based recommendations for improving telehealth quality.

Main Methods:

• Pilot randomized controlled trial (Y2TEC study) involving video counseling for young adults (18-29) with HIV.
• Conducted approximately 500 video sessions via Zoom.
• Gathered data through literature review, clinician/coordinator insights, supervision consultations, participant feedback, and technical logs.

Main Results:

• Identified common technical challenges impacting telehealth sessions.
• Developed practical recommendations to mitigate these issues.
• Found that minor technological adjustments significantly enhance service quality.

Conclusions:

• Intentional technological modifications can greatly improve video-based counseling quality.
• Addressing technical challenges is crucial for effective telehealth delivery in behavioral health.
• This work offers actionable strategies for clinicians to enhance telehealth sessions.