UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

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

Barnett, P; Goulding, L; Casetta, C; Jordan, H; Sheridan-Rains, L; Steare, T; Williams, J; ... Johnson, S; + view all (2021) Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews. Journal of Medical Internet Research , 23 (7) , Article e26492. 10.2196/26492. Green open access

[thumbnail of Barnett_Implementation of Telemental Health Services Before COVID-19- Rapid Umbrella Review of Systematic Reviews_VoR2.pdf]
Preview
Text
Barnett_Implementation of Telemental Health Services Before COVID-19- Rapid Umbrella Review of Systematic Reviews_VoR2.pdf - Published Version

Download (653kB) | Preview

Abstract

BACKGROUND: Telemental 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. OBJECTIVE: We 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. METHODS: Three 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. RESULTS: In 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. CONCLUSIONS: This 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.

Type: Article
Title: Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews
Location: Canada
Open access status: An open access version is available from UCL Discovery
DOI: 10.2196/26492
Publisher version: https://doi.org/10.2196/26492
Language: English
Additional information: © The Authors. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/).
Keywords: umbrella review (1); remote (4); telemental health (3); telepsychiatry (8); video-based therapy; COVID-19 (987); remote therapy (1); review (173); mental health (614); therapy (37); eHealth (942); telemedicine (788); mobile phone (915)
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
URI: https://discovery.ucl.ac.uk/id/eprint/10129314
Downloads since deposit
268Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item