Evidence map›Paper›PMID 34061758›Full record

SynthesisJournal of medical Internet research2021

Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews.

Phoebe Barnett, Lucy Goulding, Cecilia Casetta, Harriet Jordan, Luke Sheridan-Rains, Thomas Steare, Julie Williams, Lisa Wood, Fiona Gaughran, Sonia Johnson

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

60 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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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

10 authors.

Phoebe BarnettCentre for Outcomes Research and Effectiveness, Division of Psychology and Language Sciences, University College London, London, United Kingdom.ORCID 0000-0001-6521-3101
Lucy GouldingKing's Improvement Science, Centre for Implementation Science, King's College London, London, United Kingdom.ORCID 0000-0001-5074-7071
Cecilia CasettaNIHR Applied Research Collaboration, King's College London, London, United Kingdom.ORCID 0000-0002-1980-3415
Harriet JordanNIHR Applied Research Collaboration, King's College London, London, United Kingdom.ORCID 0000-0002-7268-7310
Luke Sheridan-RainsNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0003-4905-4168
Thomas SteareNIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0002-3881-2018
Julie WilliamsCentre for Implementation Science, Health Service and Population Research Department, King's College London, London, United Kingdom.ORCID 0000-0002-8861-0596
Lisa WoodDivision of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0001-6640-8218
Fiona Gaughran *NIHR Applied Research Collaboration, King's College London, London, United Kingdom.ORCID 0000-0001-7414-5569
Sonia Johnson *NIHR Mental Health Policy Research Unit, Division of Psychiatry, University College London, London, United Kingdom.ORCID 0000-0002-2219-1384

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemental health care has been rapidly adopted for maintaining services during the COVID-19 pandemic, and a substantial interest is now being devoted in its future role. Service planning and policy making for recovery from the pandemic and beyond should draw on both COVID-19 experiences and the substantial research evidence accumulated before this pandemic.

objectiveWe aim to conduct an umbrella review of systematic reviews available on the literature and evidence-based guidance on telemental health, including both qualitative and quantitative literature.

methodsThree databases were searched between January 2010 and August 2020 for systematic reviews meeting the predefined criteria. The retrieved reviews were independently screened, and those meeting the inclusion criteria were synthesized and assessed for risk of bias. Narrative synthesis was used to report these findings.

resultsIn total, 19 systematic reviews met the inclusion criteria. A total of 15 reviews examined clinical effectiveness, 8 reported on the aspects of telemental health implementation, 10 reported on acceptability to service users and clinicians, 2 reported on cost-effectiveness, and 1 reported on guidance. Most reviews were assessed to be of low quality. The findings suggested that video-based communication could be as effective and acceptable as face-to-face formats, at least in the short term. Evidence on the extent of digital exclusion and how it can be overcome and that on some significant contexts, such as children and young people's services and inpatient settings, was found to be lacking.

conclusionsThis umbrella review suggests that telemental health has the potential to be an effective and acceptable form of service delivery. However, we found limited evidence on the impact of its large-scale implementation across catchment areas. Combining previous evidence and COVID-19 experiences may allow realistic planning for the future implementation of telemental health.

Indexed as

Mental Health ServicesTelemedicineCOVID-19HumansSystematic Reviews as TopicCOVID-19eHealthmental healthmobile phoneremoteremote therapyreviewtelemedicinetelemental healthtelepsychiatrytherapyumbrella reviewvideo-based therapy

Identifiers

PMID34061758
PMCPMC8335619

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.