Online Counseling Research Articles

Effectiveness of Computer-Mediated Educational Counseling for Tinnitus Relief: A Randomized Controlled Trial.

Counseling can help alleviate tinnitus-caused emotional distress and correct misconceptions, making it an effective rehabilitation option for people with tinnitus. Advances in communication technology have increased the demand for computer-mediated tinnitus counseling; however, the effectiveness of such counseling in reducing tinnitus is unclear. Thus, this study aimed to determine the tinnitus-relieving effects of computer-mediated counseling. Thirty-six participants with tinnitus were randomly assigned to online counseling (15 participants) or video-based counseling (21 participants) groups, defining how remote counseling was conducted. Tinnitus counseling, comprising 100 items, lasted 2 weeks and was separated into six sessions for the online counseling group and 8-9 items daily for 12 days for the video-based counseling group. The effectiveness of counseling was determined based on score changes between baseline and 2-week follow-up using the Korean version of the Tinnitus Primary Function Questionnaire and Visual Analog Scales for annoyance and loudness. While no significant improvements were observed in other domains, average emotional aspect-related scores showed significant improvements in both groups. Regarding individual results, four and seven participants in the online and video-based counseling groups reported significant improvements in the emotional domain, respectively. Overall, computer-mediated educational counseling might be a rehabilitation option for individuals with tinnitus.

Integrating social media for teacher training: Learners’ acceptance to the new normal

The study aimed to determine the learners’ receptiveness to the incorporation of social media into the conventional Open and distant learning delivery method. Amidst the COVID-19 pandemic, the researcher has incorporated diverse online educational tools alongside Facebook Live as a crucial element to connect with training teachers. The experiment was carried out in two rounds using an online platform. Every phase consists of a 12-days online program. The inaugural workshop was concluded in November 2020, and the subsequent session was arranged in January 2021. A total of 13,200 learners have received training, and feedback was obtained from them after the workshops through the use of Google Forms. A total of ten thousand three hundred learners, which is the sum of 6073 and 4227, have submitted their feedback. After examining the feedback on several aspects, the researcher has determined that online teaching and learning have become the prevailing standard, and teacher trainees have embraced it with a good attitude. There is a growing need for online counselling and workshops, as well as increased opportunities for engagement with teachers. Conferencing platforms such as Google MEET and ZOOM can be seamlessly integrated with streaming services like Facebook Live to efficiently meet the requirements of a wide range of learners. Online technologies for teacher training programs are widely accepted. Online teaching-learning should be a fundamental element in all teacher training programs. Indira Gandhi National Open University (IGNOU’s) experiences indicate that practical components like as internships, school-based activities, and workshops can be effectively conducted online. The academic counselling components of traditional Open and Distance Learning (ODL) programs should also be implemented via online methods.

The association of socioeconomic status with the success of chat-based online counseling for children and youth: A latent change score modeling approach

Children and youth from lower subjective socioeconomic status (SES) backgrounds are at a heightened risk of mental disorders. Online counseling is a valuable tool to reach those less likely to seek professional help, but its success across different SES backgrounds remains unclear. This study explores the association between subjective SES and online counseling outcomes. Children and youth (N = 2139) between 10 and 24 years-of-age received chat-based online counseling and reported on SES, negative feelings before and after the chat, and perceived helpfulness of the chat via an online assessment tool. The results of a latent change score model showed a significant association between SES and negative feelings before chatting, indicating that lower SES predicted more negative feelings (r = −0.26, p < .001). Further, SES was indirectly associated with the change in negative feelings from before to after counseling, mediated by the extent of negative feelings before the chat (β = 0.07, 95%CFI = [0.05–0.10]). Current findings extend research on online counseling programs in the context of SES. Despite higher counseling needs among low SES individuals, they do not benefit proportionally from existing online services in this sample. Future research should investigate barriers to help-seeking and implement specialized counselor training programs.

Dog Phobia Within the Framework of Cognitive Behavioral Therapy: Case Report

This case report discusses the psychotherapy and supervision process of a 28-year-old female client with a dog phobia using the framework of cognitive behavioral therapy. The first section delves into the client’s life history, the reason for seeking therapy, the primary issues, and the progression of these issues. We describe the cognitive-behavioral therapy process and the clinical follow-up. We mentioned the topics covered in the sessions and detailed the techniques used. The therapy resulted in a decrease or even the disappearance of the client’s dog phobia. The therapist administered the Specific Phobia Scale in the first and last sessions, scoring 34 in the first session and 0 in the last session. We anticipate that the results of this study will shed light on the suitability of cognitive behavioral therapy for specific phobias and the impact of online therapy.

Prevalence of Digital Technology Use in Individuals Applying to Psychiatry Outpatient Clinic

Abstract Objective: Digital technologies aid in remote patient monitoring, data collection, psychoeducation, self-help applications, disease recognition, and awareness enhancement. However, literature on the utilization of digital technologies among psychiatric patients is scarce. This study aimed to assess the prevalence of digital technology usage among patients attending psychiatric outpatient clinics and compare usage patterns across different diagnoses. Materials and Methods: Between September-November 2023, 500 patients who applied to XXXXX University Faculty of Medicine Psychiatry Outpatient Clinic as outpatients and volunteered to participate in the study were included in the study. After the psychiatric interviews were completed, a questionnaire was filled out asking about the characteristics of the use of mobile technologies, internet, social media, and health applications. Results: Of the study group, 69.4% were female (n=347) and the mean age was 33.9 (±13.01) years. The educational status of 50.4% of the participants was university or master's degree. While 96% of the participants used smartphones, 16% used wearable technology (n=80). Internet usage rate was 94.8% and social media usage rate was 91%. When 251 people who did not use any health application but would like to use one were asked which features they would like to have in the application they would like to use, 78.8% stated that they would like to create an appointment, 67.7% would like an appointment time reminder, 59.7% would like drug side effect query, 55.7% would like their physician to have access to their health information, and 54.9% would like online psychotherapy. Conclusions: The prevalence of smartphone and internet use among patients applying to psychiatry is similar to the national population. There is an unmet need in terms of health applications for the psychiatric patient group. When looking at the desired characteristics of health applications, it should be taken into account that there are different demands in psychiatric diagnosis groups.

Nudging digitalisation: innovative methods to stimulate digital adult education

ABSTRACT The COVID-19 pandemic has changed the didactic landscape of adult education. To meet clients’ ongoing demand for support, adult educators had to expand their didactic toolkit and enhance digital literacy. Relying on data gathered during a training series on digital adult education, this paper will examine the following questions: (1) How did adult educators manage to adopt digital methods despite pressing issues and hurdles in regards to the change? (2) Which conditions support efficient training of adult educators, aiming at ‘nudging’ digitalisation in adult education for families? To gain insight into this didactic transformation, we systematically analyse both quantitative and qualitative data collected during a training series fostering digital literacy such as technology handling, online counselling and the usage of social media. These events attracted 1,250 participants that specialise in parenting programmes, family counselling and institutionalised family welfare. Findings include how practitioners with different backgrounds and levels of digital skills assess different methods and didactic choices. Further, we will examine how providing accessible and applicable information can act as a nudge to spark intrinsic motivation for further learning and as a starting point for new ideas.

Machine learning judged neutral facial expressions as key factors for a “good therapist” within the first five minutes: An experiment to simulate online video counselling

ObjectiveMachine learning models were employed to discern patients' impressions from the therapists' facial expressions during a virtual online video counselling session. MethodsEight therapists simulated an online video counselling session for the same patient. The facial emotions of the therapists were extracted from the session videos; we then utilized a random forest model to determine the therapist's impression as perceived by the patients. ResultsThe therapists' neutral facial expressions were important controlling factors for patients' impressions. A predictive model with three neutral facial features achieved an accuracy of 83% in identifying patients' impressions. ConclusionsNeutral facial expressions may contribute to patient impressions in an online video counselling environment with spatiotemporal disconnection. InnovationExpression recognition techniques were applied innovatively to an online counselling setting where therapists' expressions are limited. Our findings have the potential to enhance psychiatric clinical practice using Information and Communication Technology.

Boundaries in online couples therapy: “Can anything exist without boundaries?”

AbstractObjectiveThis research delved into the experiences of couples and therapists in online couples therapy with an emphasis on therapeutic boundaries.BackgroundAlthough the popularity of online therapy has surged, limited understanding exists about the meanings and experiences tied to therapeutic boundaries in this context, underscoring the need for its examination to enhance online therapy's effectiveness.MethodA purposive sample of 51 participants, including 36 individuals (comprising 18 couples who underwent separate interviews), and 15 couple and family therapists were interviewed in four online focus groups. Constructivist grounded theory guided the data analysis to discern therapeutic boundary dimensions.ResultsThe analysis identified three dimensions of therapeutic boundaries: (a) boundaries between the therapist and couple, (b) boundaries between the couple and their family, and (c) boundaries between the therapists and their own families.ConclusionThe study offers insights into the nuanced concept of liminality within therapists' and couples' transition to online couples therapy, particularly emphasizing disruptions in conventional therapeutic paradigms.ImplicationsTo uphold the integrity and bolster the therapeutic alliance in online couples therapy, there is a compelling need for therapists to transition toward novel means of establishing boundaries, moving away from traditional constructs.

Filling the gap in competency-based training for medical oncology with supervised online patient counseling: A qualitative study.

9036 Background: The Higher School of Oncology (HSO) is a collaborative US-Russian postgraduate program that improves learning outcomes for young oncologists. Many HSO medical oncology (MO) residents/graduates are also engaged in online supervised patient counseling, known as ‘Just Ask.’ We aimed to explore the educational role of ‘Just Ask’ in shaping the competency-based learning outcomes of MO graduates, who have recently begun independent clinical practice. Methods: This qualitative study included 10 HSO alumni (2019-2023) who practice MO in Russia. All participants were current or prior ‘Just Ask’ consultants. Anonymous, online semi-structured in-depth interviews were conducted to explore interviewees reflection on competencies obtained at HSO and ‘Just Ask.’ The interview guide included 42 open-ended questions based on the American Accreditation Council for Graduate Medical Education (ACGME) list of competencies for MO physicians. All interviews were recorded and transcribed. Inductive-deductive coding with code categorization was followed by thematic analysis. Themes were mapped against the ACGME competencies. Results: Interviews, with a median duration of 69 (IQR: 54-80) minutes,involved participants with 0.5-3 years of practice. Six (60%) interviewees worked in hospitals, while 2 (20%) were in outpatient and another 2 (20%) were in mixed settings. We identified 85 codes and categorized them into 10 educational experience themes. Interviewees attributed learning an evidence-based approach, basic oncology knowledge, and patient communication skills through the HSO curriculum. Themes associated with learning from online counseling included integration into real-world practice, specific types of expertise (rare tumors), and advanced communication (explaining differences in management, written communication), which are less covered by HSO. This activity enhanced skills in patient navigation, advocacy, and the ability to detect care not supported by evidence. Safe-space learning provided by ‘Just Ask’ was a unique theme reflecting the ability of trainees to hone skills in a secure and resource-enriched environment with easy access to mentoring. The association of the selected 'Just Ask'-related themes with ACGME competencies is presented in the table. Conclusions: Supervised online counseling has emerged as a valuable educational tool aimed at supplementing competencies insufficiently covered by medical oncology postgraduate curriculum. [Table: see text]

Working through multiple crises: the experience of psychotherapists and psychoanalysts in Lebanon

IntroductionThis research explores the impact of the COVID-19 pandemic on psychotherapists' practices and their ability to maintain a framework despite a shared reality with their patients. The specific focus in this article is on the Lebanese context, which is characterized by a series of crises including economic collapse, the COVID-19 pandemic, and the Beirut blast. The objective of this study was to examine how the destabilization of the meta-frame due to crises necessitates adaptations in theoretical knowledge, practice, and setting.MethodsWe conducted a qualitative study among a population consisting of mental health professionals, which were recruited in Lebanon through associations and societies of psychologists, psychotherapists, and psychoanalysts. Data was collected using semi-structured individual interviews. The interviews were analyzed using interpretative phenomenological analysis (IPA), which allowed for a dynamic exploration of the participants' experiences.ResultsOur study revealed four superordinate themes: (1) The strained frontiers; (2) The cumulative traumatic reality and its impact; (3) A challenged professional identity; (4) The creativity stemming from collective trauma.ConclusionsOur results highlight the insecurity caused by external reality infiltrating the therapeutic setting. Online therapy allowed for continued work, but uncertainty about the online environment's impact on therapeutic relationships was observed. The study underscores the importance of adaptability, containment, and support for therapists navigating crises, particularly in the online setting.

FROM THE GATE TO THE GATEWAY: PSYCHOANALYTIC NAVIGATIONS ONLINE.

The shift towards remote or online therapy was compelled by the Pandemic. Many colleagues, who neither had practice using this modality, nor had ever considered it as a possibility, ultimately adopted it. This experience brought with it a substantial expansion of online therapy beyond that moment of emergency. It opened up new prospects of intervention, but at the same time it required a greater measure of reflection in order to understand how to inhabit this new therapy space. Setting aside provisory, intermittent, or emergency situations, which temporarily transfer therapy into a "field of tents" (Bolognini, 2021), the author proposes to consider how online psychotherapy redefines an important element of the psychoanalytic setting-the issue of the space. This is no longer the therapist's place of work, envisaged and organized by him/her/them, fixed in time, and contrived only to welcome the therapeutic relationship-one of the crucial aspects of the external setting, which together with the temporal dimension, fulfills the therapy ritual. Assuming the framework to be essential to the psychoanalytic process, this paper will focus on the methodology of online therapy. The author will describe the contributions of the neurosciences, to provide a deeper understanding of the distinctive characteristics of sharing in an online vs. an offline space. Online therapy should be assessed for its distinguishing qualities within a complete theoretical, technical, and clinical reflection specific to each case. Proceeding as if it were a mere relocation of an in-person analysis would enhance the seductiveness of a therapy that is easily accessible with any laptop anywhere, anytime, and in which one could mistake an online connection for a deep connection.

Non-suicidal self-injury motivation scale in a community sample of adolescents: a methodological study

BackgroundThe prevalence of non-suicidal self-injury among South Korean adolescents has increased significantly, requiring academic attention. This methodological study aims to develop a non-suicidal self-injury motivation scale for adolescents and evaluate its validity and reliability.MethodsIn the first phase of scale development, the factors constituting self-injury motivation were identified through a literature review and analysis of online counseling data from self-injuring adolescents. In the second phase, 45 initial preliminary items were derived based on the identified factors, and 38 preliminary items were selected through content validation by experts. In the scale validation phase, the survey was conducted using 38 items. Data were collected from adolescents with a history of self-injury, using exploratory factor analysis (EFA) involving 715 participants and confirmatory factor analysis (CFA) involving 537 participants. The EFA involved 27.0% male and 73.0% female participants, with a mean age of 16.83 years, and the CFA involved 20.7% male and 79.3% female participants, with a mean age of 16.15 years. The data collected were tested for validity and reliability using SPSS 28.0 and M-plus.ResultsThe EFA yielded four factors and 24 items. The factors were named interpersonal influence, emotion regulation, sensation seeking, and anti-suicide, and the scale had an explanatory power of 55.8%. In the CFA, the fit of the 23-item model after deleting one item with low standardized factor loadings was x2 = 1081.52 (p < .001), CFI = 0.829, RMSEA = 0.084, and SRMR = 0.075, confirming the acceptability of the self-injury motivation scale for adolescents. The scale evaluation results for convergent validity and discriminant validity met the criteria. The reliability test results showed that the overall reliability (Cronbach’s α) was 0.88, and the reliability (Cronbach’s α) of each factor was 0.89 for interpersonal influence, 0.83 for emotion regulation, 0.63 for sensation seeking, and 0.80 for anti-suicide, satisfying internal consistency.ConclusionIn this study, the self-injury motivation scale for adolescents in the community comprised four factors and 23 items. The scale can be used to examine self-injury motivation among adolescents in the community and to develop self-injury prevention intervention programs.

Efficacy of a remote virtual reality and EEG enabled psychotherapy system for the treatment of depressive symptoms

More than 40% of the U.S. population have experienced mental health disorders since the COVID-19 pandemic. 40% of this group received no treatment for their mental illness. Barriers to treatment include stigma, prohibitive cost, and a belief that treatment is inaccessible, particularly in isolated or rural communities. A novel remote, EEG-enhanced VR psychotherapy system was assessed for its presence and restorativeness, and therapeutic efficacy in improving mood with a single session positive solution-focused session. Thirty adults experiencing depressive symptoms were randomly assigned to either a single session Positive Solutions Focused counseling treatment via Zoom videoconferencing, or the EEG enabled VR psychotherapy system. Participants rated the environment in the VR-EEG therapy as more restorative than Zoom counseling, t = 2.928, p &amp;lt; .004, Cohen’s d = .259, and comparable to the Zoom session in presence. The VR-EEG system performed comparably to Zoom online counseling in clients’ session ratings of depth and smoothness and client reactions, positivity, and arousal. For a treatment to be considered empirically supported, and therefore valid for use in psychotherapy, it must have equal or greater efficacy than a standard treatment or format. VR-EEG, therefore, has promise as a positive, solution-focused, brief therapy for isolated clients with depressive symptoms.

Evaluation of completely online psychotherapy with app-support versus therapy as usual for clients with depression or anxiety disorder: A retrospective matched cohort study investigating the effectiveness, efficiency, client satisfaction, and costs

IntroductionDepressive and anxiety disorders are common mental disorders ranking among the leading causes of global disease burden. Not all clients currently benefit from therapy and clients are looking for modern ways of therapy. Online psychotherapy is a promising option for better meeting clients’ needs. Recently, a new psychotherapy concept has emerged that combines videoconferencing sessions with support through a mobile application. The latter allows for ecological momentary assessments and interventions, facilitates communication between patients and therapists in between sessions through chat, and allows for incorporating feedback-informed treatment principles. Material and methodsThe study was a retrospective observational matched cohort study, comparing online psychotherapy with Therapy As Usual (TAU) for clients with depressive or anxiety disorders. Data were obtained via questionnaires, which are part of standard clinical care. Primary outcomes included general mental functioning, and symptoms of depression and anxiety. Secondary outcomes were efficiency, client satisfaction, and therapy costs. Primary endpoints were analyzed using linear mixed models analysis, with an interaction term between time and group. Secondary outcomes were analyzed using linear regression. ResultsLarger improvements were observed in the online compared to the TAU group for general mental functioning and depressive disorder (i.e., General mental functioning: B = -8.50, 95 CI: −15.01 − −1.97, p = 0.011; Depressive disorder: B = − 3.66, 95 % CI: −5.79 – -1.54p < 0.01). No significant differences in change over time between the two groups were observed for anxiety disorder (B = -3.64, 95 % CI: (−13.10 – 5.82) p = 0.447). The total number of sessions was significantly higher in the online psychotherapy group than in TAU (B = 3.71, p < 0.01), although clients were matched on treatment time in weeks. Treatment session duration in minutes was comparable across the groups. DiscussionOnline psychotherapy with app support showed to be a promising alternative to TAU for depressive and anxiety disorders. More research is needed to evaluate the effectiveness, cost-effectiveness and client satisfaction of online psychotherapy compared to TAU, such as randomized controlled trials or studies multiple baseline series designs, and in-depth qualitative research.

Comparison of BMI changes in Japanese adults receiving face-to-face versus online counseling for specific health guidance: a noninferiority prospective observational study.

This study aimed to evaluate the noninferiority of online counseling over face-to-face counseling for specific health guidance (SHG). This prospective observational study was conducted using specific health checkup (SHC) and SHG data of individuals with health insurance in Japan. We analyzed data from 1431 participants who met the inclusion criteria, including those who underwent online or face-to-face counseling between April 1, 2020 and March 31, 2021, and received an SHC in the following year but no earlier than 90days after their first counseling session. Assessed variables comprised demographics, counseling methods, and SHC results, including baseline questionnaire findings and body mass index (BMI) at follow-up. We performed inverse probability of treatment weighting (IPTW) using propensity scores, with changes in BMI as the objective variable and the counseling method as the explanatory variable. We set the noninferiority margin to 0.175, based on a previous study. The online and face-to-face counseling groups comprised 455 (31.8%) and 976 (68.2%) participants, respectively. The number of men and mean age were 214 (47.0%) and 49.9years (SD: 6.9years), respectively, in the online counseling group, and 491 (50.3%) and 51.1years (SD: 7.6years), respectively, in the face-to-face counseling group. IPTW using propensity scores revealed a regression coefficient of -0.014 (95% CI: -0.157 to 0.129) for the online group compared with the face-to-face group (P = .847). The CI was within the noninferiority margin. The effects of online counseling on BMI are likely noninferior to those of face-to-face counseling.

E-PROOF: E-intervention for protein intake and resistance training to optimize function: A study protocol.

Accounting for more than 60% of cancer survivors, older (≥65 years) cancer survivors have a 2- to 5-fold risk of physical function impairment, compared to cancer-free peers. One strategy to improve physical function is dietary and resistance training interventions, which improve muscle strength and mass by stimulating muscle protein synthesis. The E-PROOF (E-intervention for Protein Intake and Resistance Training to Optimize Function) study will examine the feasibility, acceptability, and preliminary efficacy of a 12-week randomized controlled trial of an online, tailored nutritional and resistance training education and counseling intervention to improve physical function and associated health outcomes (muscle strength, health-related quality of life (HRQoL), self-efficacy, and weight management). In this study, 70 older cancer survivors will be randomized to one of two groups: experimental (receiving remote behavioral counseling and evidence-based education and resources), and control (general survivorship education). We will examine the intervention effects on physical function, muscle strength, HRQoL, self-efficacy, weight, and waist circumference during a 12-week period between the experimental and control groups. Three months following the end of the intervention, we will conduct a follow-up assessment to measure physical function, muscle strength, and HRQoL. This study is the first synchronous, online protein-focused diet and resistance training intervention among older cancer survivors. This novel study advances science by promoting independent health behaviors among older cancer survivors to improve health outcomes, and provide foundational knowledge to further address this growing problem on a wider scale through online platforms.

Relation between body appreciation, eating disorder risk, emotional distress, and BMI among a group of Egyptian subjects

BackgroundBody image appreciation is an important psychological aspect for all individuals of all ages which affects their psychological, personal, and social well-being. ObjectivesExamining the relationship between disordered eating tendencies, body appreciation, body mass index (BMI), and emotional distress among individuals who follow and seek psychological services from the non-profit entitative Egyptian eating disorders initiative EEDI and an online therapy platform. MethodsA cross-sectional study including 301 healthy participants with no past medical or psychiatric history was conducted. Participants completed an online survey including demographic data, BMI, and three measures: The Eating Attitudes Test (EAT-26), the Body Appreciation Scale (BAS), and the Depression Anxiety and Stress Scale (DASS-21) questionnaires. ResultsParticipants with disordered eating tendencies — according to EAT-26 — had lower BAS scores (p < 0.001) and higher DASS depression, anxiety, and stress scores (p < 0.001). EAT-26 was negatively correlated with age (p = 0.003) and BAS (p < 0.001). Meanwhile, it was positively correlated with the three DASS scales (p < 0.001). BAS was negatively correlated with body mass index and the three DASS scales (p < 0.001). ConclusionBody appreciation decreases with increased disordered eating tendencies and BMI. Depression, anxiety, and stress are associated with a decrease in body appreciation.

ETIKA DALAM PELAKSANAAN KONSELING ONLINE DITINJAU DARI KODE ETIK ABKIN

The increasing need for online counseling has influenced counselors to be competent in carrying out online counseling. However, in practice there are still obstacles and limitations, so guidelines are needed as a reference for implementing online counseling. This study aims to find out how the ethics in implementing online counseling are viewed from the ABKIN code of ethics. The method used in writing this research is Systematic Literature Review. The research data comes from journal articles that are relevant to the research topic obtained from Google Scholar and the ABKIN Code of Ethics Book. The result of this research is that there is an ethical issue of online counseling, in order to obtain ethical development in the application of online counseling in terms of the ABKIN Code of Ethics.

Mental Health Professionals' Views on Providing Online Counseling within the Scope of UTAUT Model: A Q Method Analysis

Online counseling, an intervention that has evolved alongside technological advancements and become integrated into individuals' lives, has gained even more popularity. At this point, it is essential to investigate the acceptance and usage of online counseling by mental health professionals. This research was conducted with 35 mental health professionals (psychologists and counsellors) who provide both online and face-to-face counseling. In the study, Q methodology was used to better understand the subjective thoughts, attitudes, and beliefs of participants to understand their behaviors regarding the acceptance and use of online counseling according to the UTAUT model. As a result of the research, it was found that factors related to the acceptance and usage of online counseling were grouped into two factors for mental health professionals. The research findings indicate that mental health professionals are grouped into two factors regarding factors related to the acceptance and utilization of online counseling. It has been observed that performance expectations and facilitating conditions influence the acceptance and utilization of online counseling for participants in Factor 1, while effort expectations and facilitating conditions influence the behavior of acceptance and utilization for participants in Factor 2. Additionally, it was found that mental health professionals in Factor 1 have a more positive attitude towards online counseling, whereas those in the second group prefer face-to-face counseling over online counseling.

Development of Online Counseling Appointment System for Guidance Office of the Office of Student Affairs and Services at Cavite State University-Main

Every guidance counselor finds remote appointments an important tool for managing appointments since it allows them to establish a list of available time slots, see student information, and make appointments without ever leaving their office. This online counseling appointment application provides students with media-related mental health activities and stress-coping skills that are relevant to the university’s counseling services. Specifically, it has the following features: (a) provides information to the students related to some guidance on how to cope with stress; (b) generates reports to be used by a guidance counselor in providing insight they need to effectively counsel so many students; and (c) helps the guidance counselor extend their counseling service to the student. The descriptive research approach was used with JavaScript as the scripting programming language and MySQL as the database. The prototyping software approach was also used, allowing the researcher to come up with additional ideas rapidly, improve on them quickly, and show users the feature and overall design concept before implementation. The evaluation findings show that the system was "excellent" in both evaluations using modified ISO 9126 software product quality standards, showing that the developed application met all of the required requirements of the software quality test from respondents. The mean and standard deviation were used to tabulate, analyze, and statistically treat the results. Overall, the results and feedback indicate a good impact on the needs of guidance counselors.