Evidence map›Paper›PMID 36694164›Full record

SynthesisBMC health services research2023

Implementation strategies for telemental health: a systematic review.

Rebecca Appleton, Phoebe Barnett, Norha Vera San Juan, Elizabeth Tuudah, Natasha Lyons, Jennie Parker, Emily Roxburgh, Spyros Spyridonidis, Millie Tamworth, Minnie Worden and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

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  8. Observational
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  15. Observational
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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

15 authors.

Rebecca Appleton *NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK. r.appleton@ucl.ac.uk.
Phoebe Barnett *NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK.
Norha Vera San JuanNIHR Mental Health Policy Research Unit, King's College London, London, UK.
Elizabeth TuudahInstitute of Psychiatry, Psychology & Neuroscience, Kings College London, London, UK.
Natasha LyonsNIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK.
Jennie ParkerLived Experience Researcher, NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK.
Emily RoxburghKingston iCope, Camden & Islington NHS Trust, London, UK.
Spyros SpyridonidisDivision of Psychiatry, UCL, London, UK.
Millie TamworthDivision of Psychiatry, UCL, London, UK.
Minnie WordenDivision of Psychiatry, UCL, London, UK.
Melisa YilmazDivision of Psychiatry, UCL, London, UK.
Nick SevdalisCentre for Implementation Science, King's College London, London, UK.
Brynmor Lloyd-EvansNIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK.
Justin J Needle *Centre for Health Services Research, City, University of London, London, UK.
Sonia Johnson *NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic resulted in a rapid shift from traditional face-to-face care provision towards delivering mental health care remotely through telecommunications, often referred to as telemental health care. However, the manner and extent of telemental health implementation have varied considerably across settings and areas, and substantial barriers are encountered. There is, therefore, a need to identify what works best for service users and staff and establish the key mechanisms for efficient integration into routine care.

objectiveWe aimed to identify investigations of pre-planned strategies reported in the literature intended to achieve or improve effective and sustained implementation of telemental health approaches (including video calls, telephone calls, text messaging platforms or a combination of any of these approaches with face-to-face care), and to evaluate how different strategies influence implementation outcomes.

methodsA systematic review was conducted, with five databases searched for any relevant literature published between January 2010 and July 2021. Studies were eligible if they took place in specialist mental health services and focused on pre-planned strategies to achieve or improve the delivery of mental health care through remote communication between mental health professionals or between mental health professionals and service users, family members, unpaid carers, or peer supporters. All included studies were quality-assessed. Data were synthesised using the Expert Recommendations for Implementing Change (ERIC) compilation of implementation strategies and the taxonomy of implementation outcomes.

resultsA total of 14 studies were identified as meeting the inclusion criteria from a total of 14,294 records of which 338 were assessed at full text. All ERIC implementation strategies were used by at least one study, the most commonly reported being 'Train and educate stakeholders'. All studies reported using a combination of several implementation strategies, with the mean number of strategies used per study of 3.5 (range 2-6), many of which were reported to result in an improvement in implementation over time. Few studies specifically investigated a single implementation strategy and its associated outcomes, making conclusions regarding the most beneficial strategy difficult to draw.

conclusionsUsing a combination of implementation strategies appears to be a helpful method of supporting the implementation of telemental health. Further research is needed to test the impact of specific implementation strategies on implementation outcomes.

Indexed as

COVID-19Mental Health ServicesHealth PersonnelHumansMental HealthPandemicsImplementationMental healthRemote careSystematic reviewTelemedicineTelemental healthTelepsychiatry

Identifiers

PMID36694164
PMCPMC9873395

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.