# Provider’s attitudes towards telehealth and parenting interventions during COVID-19 pandemic: an exploratory cross-sectional study from Brazil and Mexico

## TL;DR

This study explores how mental health providers in Brazil and Mexico adapted parenting interventions to online sessions during the pandemic, highlighting shared and country-specific challenges.

## Contribution

The study provides a cross-country comparison of telehealth adaptation challenges among Latinx mental health providers during the pandemic.

## Key findings

- Providers faced challenges like technology issues, time management, and privacy concerns during the shift to telehealth.
- Mexican providers reported fewer technology barriers, while Brazilian providers experienced less economic impact.
- Tailored sessions and improved privacy guidelines are suggested to enhance telehealth effectiveness.

## Abstract

The COVID-19 pandemic presented challenges for mental health providers all over the world, since they had to abruptly change from in person assistance to remote meetings. The adverse effects from social isolation were critical in Latinx populations such as Brazil and Mexico, since these countries faced a great amount of social, health, and economic burden during the pandemic, which affected families' access to care and increased inappropriate parenting practices.

This study aimed to understand the impacts of adapting parenting interventions to online sessions for Brazilian and Mexican providers, due to the COVID-19 pandemic.

Sixty-two Brazilian and 49 Mexican mental health care providers that worked with parenting interventions (including psychologists, social workers, occupational therapists, counselors, and others) took part in this study. The measures included two standardized questionnaires (the Questionnaire about Acceptability, Feasibility and Appropriateness of Telehealth, and the Epidemic-Pandemic Impact Inventory), demographic data, and complementary items developed specially for this study. All measures were translated from English to Brazilian Portuguese and Spanish, resulting in five sets of themes related to (a) service delivery, (b) barriers to mental health assistance, (c) acceptability, feasibility and appropriateness of telehealth, and (d) impacts of pandemic on providers´ professional and personal lives.

For all participants, adapting to online sessions presented challenges related to technology issues, time management, less healthy habits, and overload of chores between work and home tasks, besides concerns related to confidentiality and privacy. Kruskal–Wallis Rank Sum Tests revealed that Mexican providers reported less barriers regarding technology, while Brazilian providers mentioned less economic impact.

This study describes a comparison between providers of two Latinx countries facing demands from COVID19 pandemic, showing common challenges and specific barriers. Suggestions are presented in order to improve the experience of telehealth (i.e., tailored sessions, guidelines for families that ensure privacy, and policies that can increase telehealth access for vulnerable populations).