Telemedicine for Depression: A Systematic Review

García-Lizana, Francisca; Muñoz-Mayorga, Ingrid

doi:10.1111/j.1744-6163.2010.00247.x

Cited by 101 publications

(88 citation statements)

References 25 publications

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“…There was evidence of improved patient outcomes, including quality of life and medication adherence, for telehealth interventions for depression, [78][79][80]85,94 anxiety-related disorders 87,89 and post-traumatic stress disorder (PTSD). 88,95 Systematic reviews with meta-analyses for depression reported positive effects for telephone-based psychotherapy for depression, 79 internet-based CBT 80 and computerised psychological treatment.…”

Section: Resultsmentioning

confidence: 99%

“…88,95 Systematic reviews with meta-analyses for depression reported positive effects for telephone-based psychotherapy for depression, 79 internet-based CBT 80 and computerised psychological treatment. 86 Other reviews showed that telemedicine, 78 internet-based interventions and support 82 and computerised CBT 81 improved symptoms. Positive effects were found in three of the four RCTs of computerised CBT for mild to moderate depression 85 and improvements in mental health were linked to the MoodGYM and BluePages programmes in particular.…”

Section: Resultsmentioning

confidence: 99%

“…We searched six databases for relevant systematic reviews that were published between January 2005 and March 2010. With regard to depression, we identified nine systematic reviews of telehealth and/or web-based interventions for depression, [78][79][80][81][82][83][84][85][86] three of which provided a meta-analysis. 79,80,86 We also identified 11 reviews about a range of mental health problems or anxiety disorders 15,40,[87][88][89][90][91][92][93][94][95] and, of these, five provided a meta-analysis.…”

Section: Methodsmentioning

confidence: 99%

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An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk

Salisbury

O’Cathain

Thomas

et al. 2017

Programme Grants Appl Res

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BackgroundHealth services internationally are exploring the potential of telehealth to support the management of the growing number of people with long-term conditions (LTCs).AimTo develop, implement and evaluate new care programmes for patients with LTCs, focusing on two common LTCs as exemplars: depression or high cardiovascular disease (CVD) risk.MethodsDevelopmentWe synthesised quantitative and qualitative evidence on the effectiveness of telehealth for LTCs, conducted a qualitative study based on interviews with patients and staff and undertook a postal survey to explore which patients are interested in different forms of telehealth. Based on these studies we developed a conceptual model [TElehealth in CHronic disease (TECH) model] as a framework for the development and evaluation of the Healthlines Service for patients with LTCs.ImplementationThe Healthlines Service consisted of regular telephone calls to participants from health information advisors, supporting them to make behaviour change and to use tailored online resources. Advisors sought to optimise participants’ medication and to improve adherence.EvaluationThe Healthlines Service was evaluated with linked pragmatic randomised controlled trials comparing the Healthlines Service plus usual care with usual care alone, with nested process and economic evaluations. Participants were adults with depression or raised CVD risk recruited from 43 general practices in three areas of England. The primary outcome was response to treatment and the secondary outcomes included anxiety (depression trial), individual risk factors (CVD risk trial), self-management skills, medication adherence, perceptions of support, access to health care and satisfaction with treatment.Trial resultsDepression trialIn total, 609 participants were randomised and the retention rate was 86%. Response to treatment [Patient Health Questionnaire 9-items (PHQ-9) reduction of ≥ 5 points and score of < 10 after 4 months] was higher in the intervention group (27%, 68/255) than in the control group (19%, 50/270) [odds ratio 1.7, 95% confidence interval (CI) 1.1 to 2.5;p = 0.02]. Anxiety also improved. Intervention participants reported better access to health support, greater satisfaction with treatment and small improvements in self-management, but not improved medication adherence.CVD risk trialIn total, 641 participants were randomised and the retention rate was 91%. Response to treatment (maintenance of/reduction in QRISK®2 score after 12 months) was higher in the intervention group (50%, 148/295) than in the control group (43%, 124/291), which does not exclude a null effect (odds ratio 1.3, 95% CI 1.0 to 1.9;p = 0.08). The intervention was associated with small improvements in blood pressure and weight, but not smoking or cholesterol. Intervention participants were more likely to adhere to medication, reported better access to health support and greater satisfaction with treatment, but few improvements in self-management.The Healthlines Service was likely to be cost-effective for CVD risk, particularly if the benefits are sustained, but not for depression. The intervention was implemented largely as planned, although initial delays and later disruption to delivery because of the closure of NHS Direct may have adversely affected participant engagement.ConclusionThe Healthlines Service, designed using an evidence-based conceptual model, provided modest health benefits and participants valued the better access to care and extra support provided. This service was cost-effective for CVD risk but not depression. These findings of small benefits at extra cost are consistent with previous pragmatic research on the implementation of comprehensive telehealth programmes for LTCs.Trial registrationCurrent Controlled Trials ISRCTN14172341 (depression trial) and ISRCTN27508731 (CVD risk trial).FundingThe National Institute for Health Research Programme Grants for Applied Research programme.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk

Salisbury

O’Cathain

Thomas

et al. 2017

Programme Grants Appl Res

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“…psychosis, depression or dementia). The literature reports the effectiveness of different remote treatments and highlights participant satisfaction (Alvarez-Jimenez et al 2014;García-Lizana and Muño-Mayorga, 2010;Highton-Williamson, Priebe and Giacco, 2015;Lazar, Thompson and Demiris, 2014;Richards and Richardson, 2012;Sharp, Kobak and Osman, 2011). Although several reviews of reviews and meta-analysis related to technologies for ageing in place reported studies focusing on older adults with chronic diseases, there is a lack of systematized evidence of the state of the art research when looking for community-dwelling older adults without specific chronic conditions.…”

Section: Related Workmentioning

confidence: 99%

A Systematic Review of Literature Reporting on Studies Analysing Technologies for Ageing in Place to Support Community-Dwelling Older Adults

Queirós

Santos

Cerqueira

et al. 2017

Journal of Information Systems Engineering & Management

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The present article reports a systematic review of reviews and meta-analysis whose main objective was to systematize current evidence of technologies for ageing in place designed to support the daily living of community-dwelling older adults. The broad analysis of the study reported in the present article is useful to inform older adults, practitioners and researchers about the state of the art of technologies for ageing in place. A total of 24 reviews and meta-analysis were retrieved. These studies analyse the impact of different technologies in community-dwelling older adults, considering several outcomes, namely physical activity, nutrition, health education, or loneliness and social isolation.

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“…García-Lizama y col llevaron a cabo una revisión sistemática entre los años 1997-2008 de ECC sobre uso de TSP en el tratamiento de la depresión concluyendo que aún no hay sufi cientes evidencias sobre su efectividad pero plantean que el tratamiento a través de videoconferencia pudiese obtener los mismos resultados que persona a persona y que plataformas de autoayuda podrían ayudar a pacientes en listas de espera para tratamientos o a pacientes en control 25 .…”

Section: Depresiónunclassified

Telepsiquiatría: una revisión sistemática cualitativa

Castro

Larraín²,

Fritsch

et al. 2012

Rev. méd. Chile

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Telemedicine for Depression: A Systematic Review

Abstract: More research is needed; nevertheless, when traditional care is not possible, telemedicine could be used.

Cited by 101 publications

References 25 publications

An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk

An evidence-based approach to the use of telehealth in long-term health conditions: development of an intervention and evaluation through pragmatic randomised controlled trials in patients with depression or raised cardiovascular risk

A Systematic Review of Literature Reporting on Studies Analysing Technologies for Ageing in Place to Support Community-Dwelling Older Adults

Telepsiquiatría: una revisión sistemática cualitativa

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