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Nevertheless, determinants of patient use of telemental health services have been scarcely investigated thus far.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We aimed to identify determinants of patient use of telemental health services since the onset of the COVID-19 pandemic and in the last 4 weeks.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In December 2023, we conducted a cross-sectional, quota-based (gender and age group) online survey. The sample comprised individuals aged 18 to 74 years, who had been using mental health services since March 2020 (n=2082). Telemental health service use was assessed using items that inquired whether individuals had used the services since March 2020 or currently (in the last 4 weeks). Logistic regressions were computed to test the associations of socioeconomic, access, health, COVID-19\u2013related, psychosocial, and service factors, as well as personality and provider characteristics with patient use.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Younger age, a more positive patient attitude toward telemental health services, a more positive provider attitude toward using the services, and higher provider skills for using the services were positively associated with patient use of telemental health services since the onset of the COVID-19 pandemic. When exclusively looking at current use, positive associations with full-time employment, lower neuroticism, a more positive provider attitude toward the services, and use of the services to avoid stigmatization, long waiting times, or inconvenient scheduling were observed. Access, health, and COVID-19\u2013related factors were not associated with patient use (since the onset of the COVID-19 pandemic and currently).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Beyond socioeconomic factors, personality, and a positive patient attitude toward the services, patient use of telemental health services was associated with a positive provider attitude toward using the services and higher provider skills for using the services, which underscores the need for provider support and training in telemental health care. Furthermore, avoiding stigmatization and higher convenience of the services were associated with patient use, which highlights the substantial potential of the services to address current mental health care challenges.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/70925","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T15:31:29Z","timestamp":1749828689000},"page":"e70925-e70925","source":"Crossref","is-referenced-by-count":7,"title":["Determinants of Patient Use of Telemental Health Services: Representative Cross-Sectional Survey From Germany"],"prefix":"10.2196","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8746-0330","authenticated-orcid":false,"given":"Ariana","family":"Neumann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5711-6862","authenticated-orcid":false,"given":"Hans-Helmut","family":"K\u00f6nig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6886-2745","authenticated-orcid":false,"given":"Andr\u00e9","family":"Hajek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,6,13]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2021.10.008","article-title":"Global prevalence of unmet need for mental health care among adolescents: a systematic review and meta-analysis","volume":"36","author":"Ghafari","journal-title":"Arch Psychiatr Nurs"},{"issue":"11","key":"R2","first-page":"858","volume":"82","author":"Kohn","journal-title":"Bull World Health Organ"},{"issue":"2","key":"R3","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003901","article-title":"The global gap in treatment coverage for major depressive disorder in 84 countries from 2000-2019: a systematic review and Bayesian meta-regression analysis","volume":"19","author":"Moitra","journal-title":"PLOS Med"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1111\/jpm.13083","article-title":"Unmet care needs in psychiatric healthcare context: a systematized literature review","volume":"32","author":"Kohanov\u00e1","journal-title":"J Psychiatr Ment Health Nurs"},{"issue":"1","key":"R5","doi-asserted-by":"publisher","DOI":"10.1093\/schizbullopen\/sgac036","article-title":"Canadian healthcare system and individuals with severe mental disorders during coronavirus disease 2019: challenges and unmet needs","volume":"3","author":"Lui","journal-title":"Schizophr Bull Open"},{"issue":"3","key":"R6","doi-asserted-by":"publisher","first-page":"235","DOI":"10.3109\/09540261.2010.485273","article-title":"Mental disorders, health inequalities and ethics: a global perspective","volume":"22","author":"Ngui","journal-title":"Int Rev Psychiatry"},{"issue":"2","key":"R7","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-019-0997-0","article-title":"Global burden of disease and the impact of mental and addictive disorders","volume":"21","author":"Rehm","journal-title":"Curr Psychiatry Rep"},{"issue":"4","key":"R8","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1097\/YCO.0000000000000068","article-title":"Innovative strategies for closing the mental health treatment gap globally","volume":"27","author":"Rebello","journal-title":"Curr Opin Psychiatry"},{"issue":"10157","key":"R9","doi-asserted-by":"publisher","first-page":"1553","DOI":"10.1016\/S0140-6736(18)31612-X","article-title":"The Lancet Commission on global mental health and sustainable development","volume":"392","author":"Patel","journal-title":"The Lancet"},{"key":"R10","unstructured":"What is telemental health? 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