title: Continuing education training focused on the development of behavioral telehealth competencies in behavioral healthcare providers.
abstract: BACKGROUND
  Telehealth allows behavioral health care and specialty services to be extended to rural residents. Telehealth is an important resource for the Alaskan healthcare system, which is tasked with providing services to culturally diverse populations living in remote areas. Training competent providers to deliver telehealth services is vital for the implementation of successful telehealth programs. Yet, the literature is lacking in the area of provider behavioral telehealth competency training.
  
  
  METHODS
  This study assessed the impact of a Behavioral Telehealth Ethical Competencies Training program on 16 behavioral health providers' development of behavioral telehealth competency. A total of 14 competencies were developed, which required participants to understand the roles and responsibilities of a behavioral telehealth coordinator working at the distal site as well as the roles and responsibilities of the therapist. Video vignettes evaluating the 14 competencies, self-reported competence surveys and follow-up surveys of progress on telehealth goals were utilized to assess effects of the training.
  
  
  RESULTS
  Results indicated participants' behavioral telehealth competencies increased following training. Participants reported positive perceptions regarding their competency, and achieved progress on the majority of behavioral telehealth goals set during the training.
  
  
  CONCLUSIONS
  This study provides a baseline for developing a best practice model for behavioral telehealth service delivery by identifying specific provider competencies for administering effective behavioral telehealth services. A unique continuing education training model, led by content experts including university professors and Alaska Native Elders, incorporating behavioral telehealth, rural ethics, cultural competency and vicarious trauma training is described. Lastly, this study details the use of an innovative video vignette assessment instrument for evaluating the effectiveness of continuing education training.
authors.affiliation: Psychology Department, University of Alaska Fairbanks, Fairbanks, Alaska, USA. vmgifford@alaska.edu
authors.forename: V
authors.initials: V
authors.lastname: Gifford
authors.forename: B
authors.initials: B
authors.lastname: Niles
authors.forename: I
authors.initials: I
authors.lastname: Rivkin
authors.forename: C
authors.initials: C
authors.lastname: Koverola
authors.forename: J
authors.initials: J
authors.lastname: Polaha
mesh_terms: D000413:Alaska; D002983:Clinical Competence / Q000592:standards* / Q000706:statistics & numerical data; D054521:Cultural Competency / Q000941:ethics; D004496:Education, Continuing / Q000379:methods*; D004521:Educational Measurement; D005260:Female; D005500:Follow-Up Studies; D006282:Health Personnel / Q000523:psychology* / Q000706:statistics & numerical data; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008603:Mental Health / Q000193:education*; D024382:Professional Role; D011369:Professional-Patient Relations / Q000941:ethics; D016730:Program Development; D055500:Resilience, Psychological; D019035:Rural Health Services / Q000941:ethics / Q000592:standards; D057566:Self Report; D013038:Specialization; D013192:Staff Development; D011795:Surveys and Questionnaires; D017216:Telemedicine / Q000941:ethics*; D000078329:Workforce