Evaluating the Diagnostic Agreement between Telepsychiatry Assessment and Face-to-Face Visit: A Preliminary Study

  • Shahrzad Mazhari
  • Alireza Ghaffari Nejad
  • Omid Mofakhami
  • Farzaneh Raaii Department of Psychiatry, Kerman University of Medical Sciences, Kerman, Iran
  • Kambiz Bahhaaddin Beigid
Keywords: Diagnosis Agreement, Implementation, Iran, Telepsychiatry, Telemental Health


Objective: Despite accumulated evidence that demonstrates clinical outcome of telepsychiatry is comparable with conventional method; little research has been done on telepsychiatry in developing countries. This study aimed to evaluate the diagnostic agreement between telepsychiatry assessment and face-to-face assessment. Moreover, patient and doctor satisfaction was assessed by self-report questionnaire.

Method: This study was conducted in an inpatient department of a university-affiliated hospital in Kerman University of Medical Sciences, Iran. The study sample consisted of 40 inpatients aged over 18 years who were selected from October 2016 to February 2017. All patients were visited once by face-to-face conventional method and once by interactive video teleconsultation by 2 psychiatric consultants.

Results: Results of this study revealed that the diagnostic agreement between the 2 interviewers was 75%. Moreover, about 85% of the patients preferred telepsychiatry for follow-up visits. Also, more than 82% of the patients would recommend telepsychiatry to others although 95% of them perceived contact via telepsychiatry as uncomfortable to some extent.

Conclusion: Telepsychiatry service can be used for psychiatric evaluation in Iran, and it has a desirable effect on patient and doctor satisfaction. The results of this study showed the capacity of moving towards using telepsychiatry.


1. García-Lizana F, Muñoz-Mayorga I. What about telepsychiatry? A systematic review. Prim Care Companion J Clin Psychiatry 2010;12(2)
2. Conn D, Gajaria A, Madan R. Telepsychiatry: effectiveness and feasibility. Smart Homecare Technol TeleHealth 2015;3:59-67
3. Mohammadi MR, Salesian N, Amin-Esmaeeli M, Mansouri N, Mesgarpour B, et al. Prevalence of psychiatric disorders in Iran: A systematic review. Iran J Psychiatry 2007; 137-150
4. Mucic D. Transcultural telepsychiatry and its impact on patient satisfaction. J Telemed Telecare 2010; 27;16(5):237–42
5. Grob P, Weintraub D, Sayles D, Raskin A, Ruskin P. Psychiatric Assessment of a Nursing Home Population Using Audiovisual Telecommunication. J Geriatr Psychiatry Neurol 2001;29;14(2):63–5
6. Grubbs KM, Fortney JC, Dean T, Williams JS, Godleski L. A Comparison of Mental Health Diagnoses Treated via Interactive Video and Face to Face in the Veterans Healthcare Administration. Telemed e-Health 2015;21(7):564–6
7. Ruskin PE, Reed S, Kumar R, Kling MA, Siegel E, Rosen M, et al. Reliability and Acceptability of Psychiatric Diagnosis Via Telecommunication and Audiovisual Technology. Psychiatr Serv 1998;49(8):1086–8
8. Seidel RW, Kilgus MD. Agreement between telepsychiatry assessment and face-to-face assessment for Emergency Department psychiatry patients. J Telemed Telecare 2014;20(2):59–62
9. Hyler SE, Gangure DP, Batchelder ST. Can telepsychiatry replace in-person psychiatric assessments? A review and meta-analysis of comparison studies. CNS Spectr 2005;10(5):403–13
10. Chakrabarti S. Usefulness of telepsychiatry: A critical evaluation of videoconferencing-based approaches. World J Psychiatry 2015;5(3):286-304
11. Hilty DM, Ferrer DC, Parish MB, Johnston B, Callahan EJ, Yellowlees PM. The effectiveness of telemental health: a 2013 review. Telemed J E Health 2013;19(6):444–54.
12. Malhotra S, Chakrabarti S, Shah R. Telepsychiatry: Promise, potential, and challenges. Indian J Psychiatry 2013;55(1):3–11
13. Does Skype use encryption? | Skype Support [Internet]. [cited 2018 Feb 21]. Available from: https://support.skype.com/en/faq/FA31/does-skype-use-encryption
14. De Las Cuevas C, Artiles J, De La Fuente J, Serrano P. Telepsychiatry in the Canary Islands: user acceptance and satisfaction. J Telemed Telecare 2003;9:221-24
15. Hubley S, Lynch SB, Schneck C, Thomas M, Shore J. Review of key telepsychiatry outcomes. World J psychiatry 2016; 6(2):269–82.
16. Modai I, Jabarin M, Kurs R, Barak P, Hanan I, Kitain L. Cost Effectiveness, Safety, and Satisfaction with Video Telepsychiatry versus Face-to-Face Care in Ambulatory Settings. Telemed J E Health 2006;12(5):515-20
How to Cite
Mazhari S, Ghaffari Nejad A, Mofakhami O, Raaii F, Bahhaaddin Beigid K. Evaluating the Diagnostic Agreement between Telepsychiatry Assessment and Face-to-Face Visit: A Preliminary Study. Iran J Psychiatry. 14(3):236-241.
Original Article(s)