Evidence map›Paper›PMID 35438062›Full record

ArticleBJPsych open2022

Implementation of telepsychiatry in Kenya: acceptability study.

Loice Cushny Kaigwa, Frank Njenga, Linnet Ongeri, Anne Nguithi, Maryanne Mugane, Gathoni M Mbugua, Jacqueline Anundo, Margaret Zawadi Kimari, Maricianah Onono

Abstract read
In one paragraph

Article in BJPsych open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Telemedicine as an Approach to the Mental Health of Healthcare Workers in Angola.International journal of environmental research and public health · 2025
    Article
  5. Article
  6. Article
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

9 authors.

Loice Cushny KaigwaChiromo Mental Health Hospital, Nairobi, Kenya.ORCID https://orcid.org/0000-0002-6458-8216
Frank NjengaChiromo Mental Health Hospital, Nairobi, Kenya.
Linnet OngeriChiromo Mental Health Hospital, Nairobi, Kenya.ORCID https://orcid.org/0000-0003-2330-6144
Anne NguithiChiromo Mental Health Hospital, Nairobi, Kenya.
Maryanne MuganeChiromo Mental Health Hospital, Nairobi, Kenya.
Gathoni M MbuguaChiromo Mental Health Hospital, Nairobi, Kenya.
Jacqueline AnundoChiromo Mental Health Hospital, Nairobi, Kenya.
Margaret Zawadi KimariChiromo Mental Health Hospital, Nairobi, Kenya.
Maricianah OnonoCentre for Microbiology Research, Kenya Medical Research Institute, Kisumu, Kenya.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19-related restrictions on in-person contact in healthcare, increasing psychiatric illness during the pandemic and pre-existing shortages of mental healthcare providers have led to the emergence of telepsychiatry as an attractive option for the delivery of care. Telepsychiatry has been promoted as economical and effective, but its acceptance in low- and middle-income countries is poorly understood.

aimsTo explore the acceptance, experiences and perspectives of patients and healthcare providers in the uptake of telepsychiatry services in a middle-income country.

methodFocus group discussions were conducted on the WhatsApp platform with patients and care providers who have engaged in telepsychiatry. Data were analysed using a thematic approach.

resultsThree main themes emerged from the five focus groups: (a) technical access, (b) user experience and (c) perceived effectiveness compared with face-to-face (in-person) interactions. Care providers reported challenges establishing rapport with the patient, particularly for initial sessions, maintaining privacy during sessions and detecting non-verbal cues on video. Patients cited internet connectivity problems, difficulty finding private space to have their sessions and cost as major challenges. Patients also felt in-person sessions were better for initial visits. Both patients and providers reported difficulties making insurance payment claims for telepsychiatry services. Overall, participants were mostly positive about telepsychiatry, citing its convenience and overall perceived effectiveness compared with in-person sessions.

conclusionsTelepsychiatry is an acceptable platform for delivery of out-patient psychiatric services in a middle-income country. Patients and providers appreciate the convenience it offers and would like it integrated as a routine mode of delivery of care.

Indexed as

acceptabilityLow- and middle-income countriespatient and provider perspectivesqualitative researchtelepsychiatry

Identifiers

PMID35438062
PMCPMC9059728

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.