Evidence map›Paper›PMID 33492545›Full record

SynthesisClinical child and family psychology review2021

Exploring the Efficacy of Telehealth for Family Therapy Through Systematic, Meta-analytic, and Qualitative Evidence.

Siân A McLean, Anna T Booth, Alexandra Schnabel, Bradley J Wright, Felicity L Painter, Jennifer E McIntosh

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical child and family psychology review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
11.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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  13. Impacts of COVID-19 on early childhood mental health.Infant mental health journal · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Siân A McLeanThe Bouverie Centre, School of Psychology & Public Health, La Trobe University, Melbourne, 3056, Australia. s.mclean@latrobe.edu.au.ORCID 0000-0002-4273-2037
Anna T BoothThe Bouverie Centre, School of Psychology & Public Health, La Trobe University, Melbourne, 3056, Australia.
Alexandra SchnabelThe Bouverie Centre, School of Psychology & Public Health, La Trobe University, Melbourne, 3056, Australia.
Bradley J WrightDepartment of Psychology and Counselling, School of Psychology & Public Health, La Trobe University, Melbourne, Australia.
Felicity L PainterDepartment of Psychology and Counselling, School of Psychology & Public Health, La Trobe University, Melbourne, Australia.
Jennifer E McIntoshThe Bouverie Centre, School of Psychology & Public Health, La Trobe University, Melbourne, 3056, Australia.
La Trobe University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a current escalating need for telehealth (TH) options in family mental health services. In the absence of replicated evidence, TH guidelines from peak bodies are largely based on assumptions of the effectiveness of TH methods. New investments in TH would optimally be based in evidence of clinical efficacy. To this end, we conducted three studies in which we (1) systematically reviewed eight professional guidelines for TH family therapy, (2) examined replicated evidence for the efficacy of TH family therapy through systematic review of 20 studies and meta-analyses of 13 effects, and (3) synthesised clinical accommodations to TH methodology from a study of 12 experienced TH family therapists. The studies found (1) a predominant focus in existing TH guidelines on operational matters pertaining to TH and relative neglect of therapeutic process; (2) meta-analyses of efficacy for child behavioural problems (k = 8) and parental depression (k = 5) showed equivalent outcomes in TH and face-to-face therapy and enhanced outcomes in TH relative to treatment as usual, resource provision (i.e. written materials), or wait-list control. Narrative review of 20 studies for a range of relational and mental health outcomes aligned with these findings; and (3) therapists defined clear conditions for enhanced engagement and therapeutic process via TH and reflected on cautions and accommodations for purposes of rapport building and mitigating risk. Given moderate-strong evidence for the efficacy of TH methods of family therapy for a range of conditions, we offer recommendations for future implementation of TH for family therapy.

Indexed as

AdolescentAdultChildChild Behavior DisordersChild, PreschoolDepressionFamily TherapyHumansParentsPractice Guidelines as TopicQualitative ResearchTelemedicineTreatment OutcomeCOVID-19Family therapyMeta-analysisSystematic reviewTelehealth

Identifiers

PMID33492545
PMCPMC7829321
OpenAlexW3122124016

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.