Loading…
Technology-based mental healthcare models: A systematic review of the literature
This systematic review summarises the existing evidence on the implementation of technology-based mental healthcare models in the primary care setting. A systematic search was conducted (MEDLINE, Embase, CENTRAL) in August 2019 and studies were selected according to predefined eligibility criteria....
Saved in:
Published in: | Revista colombiana de psiquiatría (English ed.) 2021-07, Vol.50, p.30-41 |
---|---|
Main Authors: | , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Summary: | This systematic review summarises the existing evidence on the implementation of technology-based mental healthcare models in the primary care setting.
A systematic search was conducted (MEDLINE, Embase, CENTRAL) in August 2019 and studies were selected according to predefined eligibility criteria. The main outcomes were clinical effectiveness, adherence to primary treatment and cost of implementation.
Studies with an experimental or quasi-experimental design that evaluated the implementation of technology-based mental healthcare models were included.
Five articles met the inclusion criteria. The models included technological devices such as tablets, cellphones and computers, with programs and mobile apps that supported decision-making in the care pathway. These decisions took place at different times, from the universal screening phase to the follow-up of patients with specific conditions. In general, the studies showed a decrease in the reported symptoms. However, there was great heterogeneity in both the health conditions and the outcomes, which hindered a quantitative synthesis. The assessment of risk of bias showed low quality of evidence.
There is not enough evidence to support the implementation of a technology-based mental healthcare model. High quality studies that focus on implementation and effectiveness outcomes are needed to evaluate the impact of technology-based mental healthcare models in the primary care setting.
Esta revisión sistemática resume la evidencia existente sobre los modelos de implementación basados en tecnologías para el abordaje de la salud mental en el contexto de la atención primaria.
Se realizó una búsqueda sistemática en las principales bases de datos electrónicas (MEDLINE, Embase, CENTRAL) en agosto del 2019 y se eligieron estudios según criterios de selección predefinidos. Los desenlaces principales fueron efectividad clínica, adherencia al tratamiento y costos de implementación.
Se incluyeron estudios con diseños experimentales o cuasiexperimentales que evaluaran la implementación de modelos basados en tecnologías para el abordaje de la salud mental.
Cinco artículos cumplieron con los criterios de selección. Los modelos incluían dispositivos tecnológicos como tabletas, celulares y computadores con programas y aplicativos móviles que ayudaban con la toma de decisiones en la ruta de atención. Estas tenían lugar en diferentes momentos, desde el tamizaje a la población general, hasta el seguimiento de los pacientes con alg |
---|---|
ISSN: | 2530-3120 2530-3120 |
DOI: | 10.1016/j.rcpeng.2021.07.002 |