Evidence map›Paper›PMID 37277113›Full record

ReviewJMIR mental health2023

Psychiatric Treatment Conducted via Telemedicine Versus In-Person Modality in Posttraumatic Stress Disorder, Mood Disorders, and Anxiety Disorders: Systematic Review and Meta-Analysis.

Ali Abbas Shaker, Stephen F Austin, Ole Jakob Storebø, Julie Perrine Schaug, Alaa Ayad, John Aasted Sørensen, Kristine Tarp, Henrik Bechmann, Erik Simonsen

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in JMIR mental health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
13.3field-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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Ali Abbas ShakerPsychiatric Department, Region Zealand Psychiatry, Psychiatric Research Unit, Slagelse, Denmark.ORCID https://orcid.org/0000-0001-9912-5134
Stephen F AustinPsychiatric Department, Region Zealand Psychiatry, Psychiatric Research Unit, Slagelse, Denmark.ORCID https://orcid.org/0000-0001-5988-0565
Ole Jakob StorebøPsychiatric Department, Region Zealand Psychiatry, Psychiatric Research Unit, Slagelse, Denmark.ORCID https://orcid.org/0000-0003-0204-7745
Julie Perrine SchaugPsychiatric Department, Region Zealand Psychiatry, Psychiatric Research Unit, Slagelse, Denmark.ORCID https://orcid.org/0000-0002-1283-4024
Alaa AyadPsychiatric Department, Region Zealand Psychiatry, Psychiatric Research Unit, Slagelse, Denmark.ORCID https://orcid.org/0000-0001-7484-8002
John Aasted SørensenDepartment of Engineering Technology and Didactics, Research unit: AI, Mathematics and Software, Technical University of Denmark, Ballerup, Denmark.ORCID https://orcid.org/0000-0003-2852-2292
Kristine TarpResearch Unit for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark.ORCID https://orcid.org/0000-0003-0901-855X
Henrik BechmannDepartment of Engineering Technology and Didactics, Research unit: AI, Mathematics and Software, Technical University of Denmark, Ballerup, Denmark.ORCID https://orcid.org/0000-0001-6463-4764
Erik SimonsenDepartment of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID https://orcid.org/0000-0002-6134-2392
University of Southern Denmark · DKRegion Zealand · DKTechnical University of Denmark · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine has played a vital role in providing psychiatric treatment to patients during the rapid transition of services during the COVID-19 pandemic. Furthermore, the use of telemedicine is expected to expand within the psychiatric field. The efficacy of telemedicine is well described in scientific literature. However, there is a need for a comprehensive quantitative review that analyzes and considers the different clinical outcomes and psychiatric diagnoses.

objectiveThis paper aimed to assess whether individual psychiatric outpatient treatment for posttraumatic stress disorder, mood disorders, and anxiety disorders in adults using telemedicine is equivalent to in-person treatment.

methodsA systematic search of randomized controlled trials was conducted using recognized databases for this review. Overall, 4 outcomes were assessed: treatment efficacy, levels of patient satisfaction, working alliance, and attrition rate. The inverse-variance method was used to summarize the effect size for each outcome.

resultsA total of 7414 records were identified, and 20 trials were included in the systematic review and meta-analysis. The trials included posttraumatic stress disorder (9 trials), depressive disorder (6 trials), a mix of different disorders (4 trials), and general anxiety disorder (1 trial). Overall, the analyses yielded evidence that telemedicine is comparable with in-person treatment regarding treatment efficacy (standardized mean difference -0.01, 95% CI -0.12 to 0.09; P=.84; I

conclusionsThis meta-analysis provided new knowledge on individual telemedicine interventions that were considered equivalent to in-person treatment regarding efficacy, patient satisfaction, working alliance, and attrition rates across diagnoses. The certainty of the evidence regarding efficacy was rated as moderate. Furthermore, high-quality randomized controlled trials are needed to strengthen the evidence base for treatment provided via telemedicine in psychiatry, particularly for personality disorders and a range of anxiety disorders where there is a lack of studies. Individual patient data meta-analysis is suggested for future studies to personalize telemedicine.

trial registrationPROSPERO International Prospective Register of Systematic Reviews CRD42021256357; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=256357.

Indexed as

anxietyCOVID-19depressioneHealthmHealthmobile healthpatient satisfactionposttraumatic stress disorderpsychiatryPTSDsynchronous technologytelemedicinetelepsychiatryvideo consultation

Identifiers

PMID37277113
PMCPMC10357375
OpenAlexW4377293878

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.