Upscaling e-mental health in Europe: a six-country qualitative analysis and policy recommendations from the eMEN project

Gäebel, Wolfgang; Lukies, Rabea; Kerst, Ariane; Stricker, Johannes; Zielasek, Jürgen; Diekmann, Sandra; Trost, Nadine; Gouzoulis-Mayfrank, Euphrosyne; Bonroy, Bert; Cullen, Kimberley; Desie, Kimberly; Mulliez, Aurélien; Gerlinger, Gabriel; Günther, Kristina; Hiemstra, H J; McDaid, Shari; Murphy, Clare M.; Sander, Julia; Sebbane, Déborah; Roelandt, Jean‐Luc; Thorpe, Lucy; Topolska, D; Assche, Eva Van; Daele, Tom Van; Broeck, Lore Van den; Versluis, C; Vlijter, Oyono

doi:10.1007/s00406-020-01133-y

Cited by 46 publications

(55 citation statements)

References 17 publications

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“… Gaebel et al (2020) have shown that European countries are in varying stages of implementing e-mental health in their mental healthcare systems. Some differences among the countries in this study can be associated with different regulations and “maturity” in the eHealth domain.…”

Section: Discussionmentioning

confidence: 99%

“…A comprehensive legal and regulatory framework, along with reimbursement schemes, is often lacking but awareness at the policy level is increasing. Some countries, such as the Netherlands and the United Kingdom, are already more advanced in the implementation of e-mental health as compared to other European countries such as Belgium and Germany ( Gaebel et al, 2020 ). In association with the European Federation of Psychologists' Associations (EFPA) Project Group on eHealth, Van Daele et al (2020) have recently formulated general guidelines for mental health professionals, health services, regulatory agencies, and developers to promote the development and implementation of high-quality e-mental health interventions.…”

Section: Introductionmentioning

confidence: 99%

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Online consultations in mental healthcare during the COVID-19 outbreak: An international survey study on professionals' motivations and perceived barriers

Witte¹,

Carlbring

Etzelmueller

et al. 2021

Internet Interventions

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Introduction While the general uptake of e-mental health interventions remained low over the past years, physical distancing and lockdown measures relating to the COVID-19 pandemic created a need and demand for online consultations in only a matter of weeks. Objective This study investigates the uptake of online consultations provided by mental health professionals during lockdown measures in the first wave of the COVID-19 pandemic in the participating countries, with a specific focus on professionals' motivations and perceived barriers regarding online consultations. Methods An online survey on the use of online consultations was set up in March 2020. The Unified Theory of Acceptance and Use of Technology (UTAUT) guided the deductive qualitative analysis of the results. Results In total, 2082 mental health professionals from Austria, Belgium, Cyprus, France, Germany, Italy, Lebanon, Lithuania, the Netherlands, Norway, Portugal, Spain, and Sweden were included. The results showed a high uptake of online consultations during the COVID-19 pandemic but limited previous training on this topic undergone by mental health professionals. Most professionals reported positive experiences with online consultations, but concerns about the performance of online consultations in a mental health context (e.g., in terms of relational aspects) and practical considerations (e.g., relating to privacy and security of software) appear to be major barriers that hinder implementation. Conclusions This study provides an overview of the mental health professionals' actual needs and concerns regarding the use of online consultations in order to highlight areas of possible intervention and allow the implementation of necessary governmental, educational, and instrumental support so that online consultations can become a feasible and stable option in mental healthcare.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Online consultations in mental healthcare during the COVID-19 outbreak: An international survey study on professionals' motivations and perceived barriers

Witte¹,

Carlbring

Etzelmueller

et al. 2021

Internet Interventions

View full text Add to dashboard Cite

show abstract

“…Through this, they are able to recognize gaps that exist between the needs of the population and actual service provision (Semrau et al, 2011 ). This commitment has led to technological innovations such as e-Mental Health after evaluating the efficacy of delivering mental health services (Gaebel et al, 2020 ).…”

Section: The Philippines and Northwestern Europe—a Comparisonmentioning

confidence: 99%

Philippine Mental Health Act: Just an Act? A Call to Look Into the Bi-directionality of Mental Health and Economy

Maravilla

Tan

2021

Front. Psychol.

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“…Contrary, digital-delivered treatment might overcome some of these challenges and therefore increase access to evidence-based psychological treatments [20,21]. This is of great importance, especially considering the expected increase in demand for mental health care in the forthcoming years and limited healthcare resources [22][23][24]. In addition, important barriers for students to not seek help in case of future emotional problems appear to be stigma and preferring to solve problems alone.…”

Section: Introductionmentioning

confidence: 99%

“…Digital self-help interventions are delivered by internet, mobile device or computer and exist in guided and unguided forms. Digital interventions are not only promising due to young peoples' increased usage of internet and mobile devices, but also because other potential benefits such as accessibility, reach, perceived anonymity and blended treatment where digital interventions are integrated into traditional treatment settings [24,[26][27][28][29][30][31][32][33]. Furthermore, digital alcohol moderation interventions might target people who are less likely to access traditional substance use facilities, such as women, young people and people who drink alcohol at problematic levels [34].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a digital alcohol moderation intervention as an add-on to depression treatment for young adults: study protocol of a multicentre pragmatic randomized controlled trial

et al. 2021

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Background Depressive disorders and problematic drinking often co-occur, also among young adults. These co-occurring conditions are associated with various negative health outcomes compared to both conditions alone. Early intervention by addressing alcohol use and depressive symptoms simultaneously in the same treatment might improve both conditions. However, evidence on the (cost-) effectiveness of digital combined depression and alcohol interventions for young adults is currently insufficient. We therefore developed an add-on digital alcohol moderation adherence-focussed guided intervention to complement treatment as usual (TAU) for depressive disorders. The digital intervention is a web-app, including 6 modules based on motivational interviewing and cognitive behavioural therapy. This study aims to evaluate the (cost-)effectiveness of a digital alcohol moderation intervention + TAU compared to TAU on alcohol and depression outcomes among young adults with co-occurring depressive disorders and problematic alcohol use. Methods One hundred fifty-six participants, aged 18–35 years, with problematic alcohol use and a diagnosed depressive disorder will participate in a pragmatic multicentre two-arm randomized controlled trial. Problematic alcohol use is operationalised as scoring ≥5 for women and ≥ 8 for men on the Alcohol Use Disorder Identification Test (AUDIT). Participants will be randomized to either the experimental group (digital alcohol intervention + TAU) or control group (TAU only). Participants will be recruited at three Dutch mental health care centres and through social media. Assessments take place at baseline and after 3, 6 and 12 months post-randomization. The primary outcome is treatment response at 6-month follow-up, operationalized as a composite score that combines alcohol use and depression measures and indicates whether treatment has been successful or not. Secondary outcomes are depressive symptoms and alcohol use (i.e. number of weekly standard drinks and AUDIT score). An economic evaluation will be conducted alongside the trial. Discussion This study evaluates the (cost-) effectiveness of an add-on digital alcohol moderation intervention for young adults who are in treatment for depressive disorders. If proven effective, the digital intervention could be implemented in mental health care and improve treatment for people with co-occurring depressive disorders and problematic alcohol use. Trial registration Pre-registered on October 29, 2019 in The Netherlands Trial Register (NL8122).

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Upscaling e-mental health in Europe: a six-country qualitative analysis and policy recommendations from the eMEN project

Cited by 46 publications

References 17 publications

Online consultations in mental healthcare during the COVID-19 outbreak: An international survey study on professionals' motivations and perceived barriers

Online consultations in mental healthcare during the COVID-19 outbreak: An international survey study on professionals' motivations and perceived barriers

Philippine Mental Health Act: Just an Act? A Call to Look Into the Bi-directionality of Mental Health and Economy

Effectiveness of a digital alcohol moderation intervention as an add-on to depression treatment for young adults: study protocol of a multicentre pragmatic randomized controlled trial

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