PMC:7276834 / 29295-31264 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7276834","sourcedb":"PMC","sourceid":"7276834","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7276834","text":"5.2.4 Accessibility and diversity issues\nOur primary care psychology team contended with a number of accessibility and diversity challenges in the provision of telepsychology services to the marginalized communities with whom we work. We had difficulty reaching some patients, and many did not recognize the masked or “blocked” phone number calling them. Others did not have voicemail systems set up or had full voicemail boxes. Accessibility concerns, such as restricted data for video telepsychology calls and limited use left on prepaid phones also constrained patients' ability to engage in telepsychology. Furthermore, a subset of patients were undocumented immigrants or had undocumented family members, and we recognize that they may not have wanted to show on video their location during a telepsychology call. Similarly, patients and their families may not have wanted to show their homes on video either. By contrast, many patients were very open to telepsychology delivered via telephone if they had concerns about video.\nAs another inclusion‐related challenge, we realized that we needed to translate our telepsychology informed consent script into Spanish. Some of the clinics with whom we work did not have reliable translation services during this time, and therefore, our Spanish‐speaking doctoral trainees were providing care for those patients and their families who needed sessions in Spanish. Thus, we had our team of Spanish‐speaking clinicians translate and back‐translate our consent script, with their bilingual supervisor checking their work. Finally, as is true across the nation, many low‐income families include adults who were essential workers (e.g., in construction, food service, nursing). Thus, we found that our patients’ families were having to balance trying keep each other safe from any possible contamination when that person returned home, which, in turn, was contributing to the stress level of our patients and their families.","divisions":[{"label":"label","span":{"begin":0,"end":5}},{"label":"title","span":{"begin":7,"end":41}},{"label":"p","span":{"begin":42,"end":1033}}],"tracks":[{"project":"LitCovid-PD-FMA-UBERON","denotations":[{"id":"T20","span":{"begin":1481,"end":1485},"obj":"Body_part"}],"attributes":[{"id":"A20","pred":"fma_id","subj":"T20","obj":"http://purl.org/sig/ont/fma/fma25056"},{"subj":"T20","pred":"source","obj":"LitCovid-PD-FMA-UBERON"}]},{"project":"LitCovid-PD-CLO","denotations":[{"id":"T109","span":{"begin":90,"end":91},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T110","span":{"begin":625,"end":626},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"},{"id":"T111","span":{"begin":797,"end":798},"obj":"http://purl.obolibrary.org/obo/CLO_0001020"}],"attributes":[{"subj":"T109","pred":"source","obj":"LitCovid-PD-CLO"},{"subj":"T110","pred":"source","obj":"LitCovid-PD-CLO"},{"subj":"T111","pred":"source","obj":"LitCovid-PD-CLO"}]},{"project":"LitCovid-PD-GO-BP","denotations":[{"id":"T8","span":{"begin":1231,"end":1242},"obj":"http://purl.obolibrary.org/obo/GO_0006412"}],"attributes":[{"subj":"T8","pred":"source","obj":"LitCovid-PD-GO-BP"}]},{"project":"LitCovid-sentences","denotations":[{"id":"T164","span":{"begin":0,"end":41},"obj":"Sentence"},{"id":"T165","span":{"begin":42,"end":235},"obj":"Sentence"},{"id":"T166","span":{"begin":236,"end":355},"obj":"Sentence"},{"id":"T167","span":{"begin":356,"end":429},"obj":"Sentence"},{"id":"T168","span":{"begin":430,"end":611},"obj":"Sentence"},{"id":"T169","span":{"begin":612,"end":819},"obj":"Sentence"},{"id":"T170","span":{"begin":820,"end":915},"obj":"Sentence"},{"id":"T171","span":{"begin":916,"end":1033},"obj":"Sentence"},{"id":"T172","span":{"begin":1034,"end":1170},"obj":"Sentence"},{"id":"T173","span":{"begin":1171,"end":1413},"obj":"Sentence"},{"id":"T174","span":{"begin":1414,"end":1568},"obj":"Sentence"},{"id":"T175","span":{"begin":1569,"end":1722},"obj":"Sentence"},{"id":"T176","span":{"begin":1723,"end":1969},"obj":"Sentence"}],"namespaces":[{"prefix":"_base","uri":"http://pubannotation.org/ontology/tao.owl#"}],"attributes":[{"subj":"T164","pred":"source","obj":"LitCovid-sentences"},{"subj":"T165","pred":"source","obj":"LitCovid-sentences"},{"subj":"T166","pred":"source","obj":"LitCovid-sentences"},{"subj":"T167","pred":"source","obj":"LitCovid-sentences"},{"subj":"T168","pred":"source","obj":"LitCovid-sentences"},{"subj":"T169","pred":"source","obj":"LitCovid-sentences"},{"subj":"T170","pred":"source","obj":"LitCovid-sentences"},{"subj":"T171","pred":"source","obj":"LitCovid-sentences"},{"subj":"T172","pred":"source","obj":"LitCovid-sentences"},{"subj":"T173","pred":"source","obj":"LitCovid-sentences"},{"subj":"T174","pred":"source","obj":"LitCovid-sentences"},{"subj":"T175","pred":"source","obj":"LitCovid-sentences"},{"subj":"T176","pred":"source","obj":"LitCovid-sentences"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"LitCovid-PD-FMA-UBERON","color":"#a393ec","default":true},{"id":"LitCovid-PD-CLO","color":"#9cec93"},{"id":"LitCovid-PD-GO-BP","color":"#ec93b6"},{"id":"LitCovid-sentences","color":"#93d0ec"}]}]}}