Evaluating the promise of health IT to enhance/expand the reach of mental health services

Clarke, Greg; Yarborough, Bobbi Jo H.

doi:10.1016/j.genhosppsych.2013.03.013

Cited by 80 publications

(69 citation statements)

References 68 publications

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“…We recognize, however, that current and projected shortages in specialty mental health care provision, felt acutely in subspecialties such as geriatric mental health, necessitate more trials with PST tele-health modalities. 40 It is salient to note that, while nonphysicianinvolved PST studies reported significantly greater treatment effect than those involving physicians, PCP-involved studies also reported an overall significant effect size. Closer examination indicated that studies with physician-involved PST were either delivered by physicians or other nonmental health professionals (eg, registered nurses or depression care managers).…”

Section: Discussionmentioning

confidence: 98%

The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis

et al. 2018

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Background: There is increasing demand for managing depressive and/or anxiety disorders among primary care patients. Problem-solving therapy (PST) is a brief evidence-and strength-based psychotherapy that has received increasing support for its effectiveness in managing depression and anxiety among primary care patients.Methods: We conducted a systematic review and meta-analysis of clinical trials examining PST for patients with depression and/or anxiety in primary care as identified by searches for published literature across 6 databases and manual searching. A weighted average of treatment effect size estimates per study was used for meta-analysis and moderator analysis.

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Section: Discussionmentioning

confidence: 98%

The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis

et al. 2018

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“…Nevertheless, even 'non-users' are interested in using the Internet to gain information on health issues, but are hampered by lacking computer skills. Additionally, there are obstacles for those who have neither a smartphone nor access to the Internet (see Clarke & Yarborough, 2013). In respect of a shortened conception of empowerment, patients or clients transformed into consumers to prosumers; that is, independent and active, adequately informed, educated and well connected users of health related self-services.…”

Section: ) Participation and Empowermentmentioning

confidence: 99%

“…In this respect, e-mental health could diminish barriers when the access to psychotherapy is limited by mental problems, by physical, occupational and social constraints or by residential location (Bee et al, 2008). For some patients living in social isolation those services may be an incentive to seek help online (Clarke & Yarborough, 2013); for instance, patients suffering from social phobia (Löhr, Rosenvinge, & Wynn, 2011). Even patients on waiting lists, who are unlikely to initiate constructive actions without professional help by themselves, may benefit from Internet-based treatments (Cuijpers, van Straten, & Andersson, 2008).…”

Section: Introduction E-mental Health Meets Psychotherapy -Status Quomentioning

confidence: 99%

Access to Psychotherapy in the Era of Web 2.0 – New Media, Old Inequalities? / Zugang zur Psychotherapie in der Ära des Web 2.0 – Neue Medien, Alte Ungleichheiten?

Apolinario-Hagen

Tasseit

2015

International Journal of Health Professions

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Background: Currently, the debate on regional and socio-structurally related treatment gaps in psychotherapeutic care increases the interest in e-mental health interventions such as the Internet-based psychotherapy, online self-help and new approaches for self-empowerment. Thus, health professionals could support informed decision-making by knowing the latest developments. However, if the 'digital revolution' fails to reach patients not familiar with Web 2.0, access to psychotherapies is unlikely to improve. Therefore, the objective of this review is to clarify whether online therapies should be recommended as an effective alternative to conventional psychotherapy in primary care. Methods: To investigate the research evidence of online therapies in adults within the last decade (2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014), a rapid review of literature was conducted by using electronic databases (i.e. Medline/PubMed, PubMed Central, Cochrane Library) to find systematic reviews, meta-analysis and clinical trials. Furthermore, a hand search in journals and grey literature was undertaken. Results: A search in PubMed for clinical trials on 'online psychotherapy' resulted in a total number of 245 publications. So, eight reviews and several clinical trials were chosen. Overall, mostly positive findings on the effectiveness and acceptance of online psychotherapy, primarily in the treatment of depression and anxiety disorders, were identified. Discussion: In sum, Internet-based psychotherapies have been effective in reducing symptoms of mood and anxiety disorders in clinical trials. However, due to the limited range of treatable disorders and non-representative samples (young female college graduates), external validity remains insufficient. Thus, further research is needed to determine if online therapies will be capable of improving access to psychotherapy. Hintergrund: Angesichts der Debatte über regionale sowie soziostrukturell bedingte Versorgungslücken in der psychotherapeutischen Versorgung erhöht sich gegenwärtig das Interesse an E-Mental-Health-Interventionen wie der internetbasierten Psychotherapie, Online-Selbsthilfe und an neuen Ansätzen zur Selbstermächtigung. Profitieren könnten Gesundheitsberufe im Hinblick auf eine informierte Entscheidungsfindung, wenn sie die neuesten Entwicklungen kennen. Wenn allerdings diese "digitale Revolution" jene Patienten, die mit dem Web 2.0 nur unzureichend vertraut sind, nicht erreichen kann, wird sich der Zugang zu Psychotherapien kaum verbessern lassen. Daher soll mit dieser Übersichtsarbeit geklärt werden, ob und inwieweit Internettherapien als eine wirksame Alternative zur konventionellen Psychotherapie in der Grundversorgung empfohlen werden können. Methoden: Zur Untersuchung der Evidenzbasis aus der letzten Dekade (2004Dekade ( -2014

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“…Of those who do receive help, only a small proportion receive timely and evidence-based treatments [13]. Access to quality care is especially difficult for disadvantaged and vulnerable populations, including: children; Aboriginal and Torres Strait Islander young peoples; young people from culturally and linguistically diverse backgrounds; and, young people living in regional, rural and remote areas [14,15]. Today, with ever increasing availability and use of technology, the potential to reach young people is especially promising.…”

Section: Introductionmentioning

confidence: 99%

Developing a Mental Health eClinic to Improve Access to and Quality of Mental Health Care for Young People: Using Participatory Design as Research Methodologies (Preprint)

Ospina-Pinillos¹,

Davenport²,

Ricci³

et al. 2017

Preprint

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Background: The Mental Health eClinic (MHeC; including health promotion, assessment, screening, triage protocols, treatment via video conferencing, and self-directed mental health support) aims to deliver best practice clinical services to people experiencing mental health problems by breaking down traditional barriers to care and making healthcare more personalised, accessible, affordable and available. Objective: The aim of this study was to use participatory design (PD) methodologies with end-users (young people and youth health professionals) and our research team to develop the MHeC to improve timely access to, and beter quality, mental health care for young people across Australia. Methods: A research and development (R&D) cycle for the co-design and build of the MHeC included several iterative PD phases: PD workshops; knowledge translation of ideas generated during workshops to wireframes; rapid prototyping and one-on-one consultations with end-users, including assessing usability of the alpha build of the MHeC. Results: Four PD workshops with end users and our research team (n=37), four knowledge translation sessions, and one round of one-on-one end-user consultation sessions (n=6) were conducted. The iterative R&D cycle validated five main components of the MHeC for young people: home page and triage system; a comprehensive physical and mental health assessment; a detailed dashboard of results; a booking and video visit system; and, links to apps and etools recommended by youth health professionals. Conclusions:The MHeC presents a technologically-advanced and clinically-efficient system that can be adapted to suit a variety of settings in which there is an opportunity to connect with young people. This will enable many young people, and especially those currently not able or willing to connect to face-to-face services, to receive the right intervention from the right service at the right time.

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Evaluating the promise of health IT to enhance/expand the reach of mental health services

Cited by 80 publications

References 68 publications

The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis

The Effectiveness of Problem-Solving Therapy for Primary Care Patients' Depressive and/or Anxiety Disorders: A Systematic Review and Meta-Analysis

Access to Psychotherapy in the Era of Web 2.0 – New Media, Old Inequalities? / Zugang zur Psychotherapie in der Ära des Web 2.0 – Neue Medien, Alte Ungleichheiten?

Developing a Mental Health eClinic to Improve Access to and Quality of Mental Health Care for Young People: Using Participatory Design as Research Methodologies (Preprint)

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