Patient Perceptions of Telemental Health: Systematic Review of Direct Comparisons to In-Person Psychotherapeutic Treatments

2015 ◽  
Vol 21 (8) ◽  
pp. 652-660 ◽  
Author(s):  
Michael A. Jenkins-Guarnieri ◽  
Larry D. Pruitt ◽  
David D. Luxton ◽  
Kristine Johnson
Keyword(s):  
Systematic Review ◽  
Patient Perceptions ◽  
Telemental Health

scholarly journals Telemental Health Care, an Effective Alternative to Conventional Mental Care: a Systematic Review

2017 ◽  
Vol 25 (4) ◽  
pp. 240 ◽  
Author(s):  
Mostafa Langarizadeh ◽  
Mohsen Tabatabaei ◽  
Kamran Tavakol ◽  
Majid Naghipour ◽  
Fatemeh Moghbeli
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Effective Alternative ◽  
Telemental Health ◽  
Mental Care

scholarly journals Telemental Health For Youth With Chronic Illnesses: Systematic Review (Preprint)

2021 ◽  
Author(s):  
Nancy Lau ◽  
Susannah F Colt ◽  
Shayna Waldbaum ◽  
Alison O'Daffer ◽  
Kaitlyn Fladeboe ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Young Adults ◽  
Mental Health Problems ◽  
Health Problems ◽  
Small Sample ◽  
Chronic Illnesses ◽  
Health Interventions ◽  
Adolescents And Young Adults ◽  
Telemental Health

BACKGROUND Children, adolescents, and young adults with chronic conditions experience difficulties coping with disease-related stressors, comorbid mental health problems, and decreased quality of life. The COVID-19 pandemic has led to a global mental health crisis, and telemental health has necessarily displaced in-person care. However, it remains unknown whether such remote interventions are feasible or efficacious. We aimed to fill this research-practice gap. OBJECTIVE In this systematic review, we present a synthesis of studies examining the feasibility and efficacy of telemental health interventions for youth aged ≤25 years with chronic illnesses. METHODS PubMed, Embase, Web of Science, PsycInfo, and Cochrane Database of Systematic Reviews were searched from 2008 to 2020. We included experimental, quasiexperimental, and observational studies of telemental health interventions designed for children, adolescents, and young adults aged ≤25 years with chronic illnesses, in which feasibility or efficacy outcomes were measured. Only English-language publications in peer-reviewed journals were included. We excluded studies of interventions for caregivers or health care providers, mental health problems not in the context of a chronic illness, disease and medication management, and prevention programs for healthy individuals. RESULTS We screened 2154 unique study records and 109 relevant full-text articles. Twelve studies met the inclusion criteria, and they represented seven unique telemental health interventions. Five of the studies included feasibility outcomes and seven included efficacy outcomes. All but two studies were pilot studies with relatively small sample sizes. Most interventions were based on cognitive behavioral therapy and problem-solving therapy. The subset of studies examining intervention feasibility concluded that telemental health interventions were appropriate, acceptable, and satisfactory to patients and their parents. Technology did not create barriers in access to care. For the subset of efficacy studies, evidence in support of the efficacy of telemental health was mixed. Significant heterogeneity in treatment type, medical diagnoses, and outcomes precluded a meta-analysis. CONCLUSIONS The state of the science for telemental health interventions designed for youth with chronic illnesses is in a nascent stage. Early evidence supports the feasibility of telehealth-based delivery of traditional in-person interventions. Few studies have assessed efficacy, and current findings are mixed. Future research should continue to evaluate whether telemental health may serve as a sustainable alternative to in-person care after the COVID pandemic.

scholarly journals P142 Systematic review: patient perceptions of monitoring tools in inflammatory bowel disease

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S208-S209
Author(s):  
T Goodsall ◽  
R Noy ◽  
T Nguyen ◽  
S Costello ◽  
V Jairath ◽  
...  
Keyword(s):  
Systematic Review ◽  
Disease Activity ◽  
Patient Preference ◽  
Patient Perceptions ◽  
Monitoring Tool ◽  
Non Invasive ◽  
Activity Assessment ◽  
Monitoring Tools ◽  
Inflammatory Bowel ◽  
Disease Activity Assessment

Abstract Background Management of inflammatory bowel disease (IBD) is directed toward both clinical symptoms as well as objective disease activity as a part of a ‘treat to target’ strategy. Despite the increasing burden of disease activity assessment in IBD, patient preferences for monitoring tools have scarcely been considered. This study aimed to describe the available evidence for patient preference, satisfaction, tolerance and/or acceptability of the available monitoring tools in adults with IBD. Methods A systematic search of Embase, Medline, Pubmed, Cochrane Central and Clinical Trials.gov from January 1980 to April 2019 was conducted using PRISMA best practice guidelines. Included were all study types reporting on the perspectives of adults with confirmed IBD on monitoring tools, where two or more such tools were compared. Outcome measures with summary and descriptive data were presented. Results 10 studies evaluating 1846 participants were included. Study size ranged from 18 to 916 participants. Monitoring tools included venepuncture, stool collection and faecal calprotectin (FC), gastrointestinal ultrasound (GIUS), computed tomography (CT), magnetic resonance imaging (MRI), wireless capsule endoscopy (WCE), barium follow-through, and endoscopy. The measurement tools used were visual analogue scales (VAS), Likert scales or binary preference questions. Outcome domains were patient satisfaction, acceptability of monitoring tool, and patient preference. Meta-analysis was not possible due to heterogeneity of data. Overall, patient preference was for non-invasive tools of disease monitoring and these were associated with a higher level of acceptability. Across all included studies, GIUS was identified by patients as the preferred tool for disease activity assessment. Both FC and other forms of imaging (MRE and CTE) were generally considered preferable to endoscopy, however less so than GIUS. Patient preference for blood testing varied, but in one study was lower than endoscopy. Two studies compared VAS acceptability of multiple IBD monitoring tools. Among 1037 patients, GIUS was considered the most acceptable IBD monitoring tool (mean VAS 9.29), as compared with venepuncture (9.28), WCE (8.5), MRE (8.08), stool collection (7.87), colonoscopy (7.07) and sigmoidoscopy (5.27). Conclusion This is the first systematic review to evaluate patient perceptions of monitoring tools used in IBD. Patients showed a preference for GIUS and more generally for faecal sampling and non-invasive imaging over endoscopy. Further research should address whether clinician selection of more acceptable monitoring tools in IBD engenders greater patient satisfaction, adherence, and a consequent improvement in disease-related outcomes.

scholarly journals Implementation, adoption and perceptions of telemental health during the COVID-19 pandemic: a systematic review (Preprint)

10.2196/31746 ◽  
2021 ◽  
Author(s):  
Rebecca Appleton ◽  
Julie Williams ◽  
Norha Vera San Juan ◽  
Justin J Needle ◽  
Merle Schlief ◽  
...  
Keyword(s):  
Systematic Review ◽  
Telemental Health

Patient perceptions of the role of psychosocial factors in non-specific chronic spinal pain: A systematic review and meta-synthesis

2016 ◽  
Vol 25 ◽  
pp. e65
Author(s):  
M. O'Keeffe ◽  
J. Ryan ◽  
I. Leahy ◽  
S. Bunzli ◽  
P. O'Sullivan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Psychosocial Factors ◽  
Spinal Pain ◽  
Patient Perceptions ◽  
Chronic Spinal Pain

scholarly journals Telemental Health in Low- and Middle-Income Countries: A Systematic Review

2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Jeremiah W. Acharibasam ◽  
Rolf Wynn
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Services ◽  
Low Income ◽  
Text Messaging ◽  
English Language ◽  
Low Income Countries ◽  
Health Concern ◽  
Telemental Health ◽  
Middle Income

Introduction. The rising incidence of mental illness and its impact on individuals, families, and societies is becoming a major public health concern, especially in resource-constrained countries. Consequently, there is an increasing demand for mental health services in many middle- and low-income countries (LMIC). Challenges such as inequality in access, lack of staff and hospital beds, and underfunding, often present in the LMIC, might in part be addressed by telemental health services. However, little is known about telemental health in the LMIC. Methods. A systematic review was performed, drawing on several electronic databases, including PubMed, PsycINFO, Web of Science, Springer Link, and Google Scholar. Original English language studies on the practice of telemental health in LMIC, involving patients and published between 1 January 2000 and 16 February 2017, were included. Results. Nineteen studies met the inclusion criteria. Most of the articles were recent, which may reflect an increasing focus on telemental health in the LMIC. Eight of these studies were from Asia. Eight of the studies were interventional/randomized controlled trials, and 11 examined general mental health issues. Videoconferencing was the most frequently (6) studied telemental modality. Other modalities studied were online decision support systems (3), text messaging and bibliotherapy (1), e-chatting combined with videoconferencing (1), online therapy (2), e-counseling (1), store-and-forward technology (1), telephone follow-up (1), online discussion groups (1), audiovisual therapy and bibliotherapy (1), and computerized occupational therapy (1). Although many of the studies showed that telemental services had positive outcomes, some studies reported no postintervention improvements. Conclusion. The review shows a rising trend in telemental activity in the LMIC. There is a greater need for telemental health in the LMIC, but more research is needed on empirical and theoretical aspects of telemental activity in the LMIC and on direct comparisons between telemental activity in the LMIC and the non-LMIC.

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