Qualitative feedback from a text messaging intervention for depression:
Grey literature searching identified additional three references bringing the total pool of potential papers to 47 of which seven were selected for inclusion in this report. Additional references of potential interest are provided in Appendix 2. Summary of Study Characteristics Characteristics of included studies have been provided in Appendix 3.
Country of origin One of the SRs 2 included 10 individual systematic reviews involving a total of primary studies from multiple countries including the USA and Canada, of which 43 were RCTs. The other SR 11 included nine studies including six RCTs, and one each of case study and dependent group, and independent group studies, with seven from USA and one each from Spain and Germany.
The setting for one of the RCTs 5 was a community health center which served low-income uninsured and underinsured individuals.
The health center has a dedicated telemedicine network connected to a University and utilized for chronic disease education and support. None of the CPGs 2 — 4 specified settings.
The mean SD age of patients in the study was Most of the participants had not received mental health treatment previously. Nearly one half All the CPG 2 — 4 seem to be applicable to all mental health patients without an absolute exclusion criteria defined for any patient population. Interventions and comparators In one SR, 2 telepsychiatry, defined as live synchronous videoconference-based clinical psychiatry using either ISDN Telemental health collaboration protocol essay IP connections, was the intervention.
Most of the studies in the other SR 11 used standard telephones to deliver treatment, with a few using some type of voice-recording technology and one that used a written form of therapy via the internet. Specific safety plans used in the studies included exclusion criteria and specific symptom monitoring tools such as the Patient Health Questionnaire PHQ administered with interactive voice-recording home monitors during treatment protocols.
Exclusion criteria employed screening plans to exclude participants with a high potential of becoming at risk, such as those who were concerned that the presence of family members might hinder the free disclosure of information and trauma patients who felt that discussing the condition over the phone might be too overwhelming and difficult.
Randomization was achieved using a computer-generated list, and assignment was concealed to both the recruiter and the patient until after informed consent and eligibility screening procedures. It was not feasible to maintain concealment beyond this point because patients had to be informed about treatment conditions, including timelines for research follow-up, and schedules for telepsychiatry sessions for those in the WEB group.
Patients in the WEB group received monthly telepsychiatry service for 6 months at the health center provided by a psychiatrist using an online virtual meeting program.
Patients in the TAU group received their care from their providers who could refer patients to one of several in-house mental health specialists if needed.
WEB patients could also access the mental health specialist if such an event was considered appropriate by the psychiatrist. It was clear from the context that psychiatrists differed from service providers; however, details were not given to clarify the distinction between the two. In the second RCT, 6 patients were randomly assigned through block randomization to one of two treatment modalities of the cognitive processing therapy-cognitive version CPT-C: Treatment sessions occurred twice weekly over a 6-week period and involved twelve minute group CPT-C protocol sessions delivered twice weekly by a therapist and co-therapist pair at the local VA clinics of the participants.
Participants were also given a CPT-C workbook with didactic information and homework assignments. All sessions were audiotaped and reviewed weekly by the treatment supervisor to monitor competence and adherence to treatment protocol.
The CPGs apply to telemental health TMH services provided through videoconferencing-based technologies including mobile devices such as smartphones, laptops and tablets.
Outcome Measures For one of the included SRs, 2 outcomes of interest were evidence of effectiveness defined as reliability of assessment, reliability of treatment, and improvement in outcomesand feasibility as measured by utilization, satisfaction, cost, cultural acceptance, and integration into health systems.
The outcome of interest in the other SR 11 was safety of telemental healthcare delivered to clinically unsupervised settings, although the authors reported that the goal of most of the included studies was to investigate the efficacy of specific therapies or validity of assessments conducted via a particular telemodality compared to in-person analogs.
Feasibility was assessed using depression outcomes, functional days unproductive or days lostand whether WEB and TAU patients differed in their appointment keeping. Satisfaction with services in both conditions was assessed using the Charlesto Psychiatry Outpatient Satisfaction Scale-VA, a item measure adapted to evaluate satisfaction among veterans treated within VA clinics.
Outcomes of interest of the CPGs relate to effectiveness and safety for all mental health conditions. Summary of Critical Appraisal Appendix 4 provides a summary of critical appraisal of the included studies.
The objectives of the SRs were clearly stated and inclusion and exclusion criteria provided were well-defined. The included studies were also assessed for publication bias. Furthermore, it was not indicated whether the included studies were assessed for publication bias.
Therefore it is unknown whether some bias may have been introduced due to the manner of selection which could influence the study findings. In addition, the quality of the included studies was not provided and there is no explicit link between the findings and the quality of the studies.New!
Search for an ADAA Member Telemental Health Provider in Your Area. Telemental Health.
Online therapy, also known as telemental health, is a growing field. A therapist or counselor provides psychological counseling and support over the internet through email, video conferencing, online chat, or . Telemental health is a potential avenue for addressing these health care disparities by allowing clinicians with appropriate training to reach patients that typically experience difficulty accessing services (Germain, Marchand, Bouchard, Drouin, & Guay, ; Bose, McLauren, Riley, & Mohammedali, ).
Thus, the purpose of this article is to. Ethics Codes on TeleMental Health. Codes of Ethics of Major Professional Associations on TeleMental Health, E-Therapy, Digital Ethics, & Social Media; TeleMental Health Guidelines.
Guidelines on Best Practices for Videoconferencing-Based Telemental Health by APA and ATA. Telemental Health Collaboration Protocol Essay - Telemental Health Collaboration Protocol: What is the best way for rural nurses to help the elderly population decrease depression.
Goal The goal of Rural Telemental Health (RTH) is to increase the access to those in the rural regions of states by using teleconferencing, video-conferencing. July 05, - The American Telemedicine Association is giving much of the nation a good grade for its support of telemental health..
Eight states have received an A in the ATA’s latest state-by-state analysis of telehealth standards and licensure, released in June, while one state – Colorado – flunked. From a large body of research we know that telemental health leads to high patient and provider satisfaction ratings and achieves health outcomes equivalent to in-person care across all diagnostic groups.
The only absolute contraindications are patient refusal, or extreme suicidal or homicidal danger.