Application of telepsychiatry: A preliminary study

Matsuura, Shinsuke; Hosaka, Tetsuya; Yukiyama, Takeshi; Ogushi, Yoichi; Okada, Yoshikazu; Haruki, Yasuo; Nakamura, Masahiko

doi:10.1046/j.1440-1819.2000.00637.x

Cited by 18 publications

(15 citation statements)

References 10 publications

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“…Research overall suggests that videoconferencing is a reliable and feasible method of assessing patients with psychiatric illness (33); however, most of these studies are limited in having small numbers of participants. In the 1970’s, Dwyer and colleagues (34) used a microwave bidirectional television to provide a range of services which included diagnostic interviews, pharmacotherapy, crisis management, as well as long-term therapy for patients with psychoses and personality disorders.…”

Section: Resultsmentioning

confidence: 99%

Telepsychiatry in the Assessment and Treatment of Schizophrenia

Kasckow¹,

Felmet²,

Appelt³

et al. 2014

Clinical Schizophrenia & Related Psychoses

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Background Telehealth technology has become more available to providers as a means of treating chronic diseases. Consideration of the applicability of telehealth technology in the treatment of schizophrenia calls for a review of the evidence base in light of the special needs and challenges in the treatment of this population. Our aims are to assess the types and nature of distant interventions for patients with schizophrenia, either telephone-based, internet-based or video-based telehealth systems. Methods The following databases—MEDLINE, PsycINFO, CINAHL, the Cochrane Library, the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, and EMBASE— were searched for the following terms alone or in combination with schizophrenia: telepsychiatry or telemedicine or telepsychology or satellite communication or remote communication. Inclusion criteria were: 1) articles dealing with telephone-, internet- or video-based interventions and 2) studies emphasizing development of an intervention, feasibility or clinical trials. Exclusions included were: 1) single case reports and 2) papers not written in English. With our search terms, we retrieved a total of 390 articles, of which 18 unique articles were relevant. Results Based on the limited data available, the use of modalities involving the telephone, internet and videoconferencing appears to be feasible in patients with schizophrenia. In addition, preliminary evidence suggests these modalities appear to improve patient outcomes. Discussion More research is needed. Investigators need to improve existing telehealth systems. In addition, researchers need to focus on developing newer interventions and determining whether these approaches can improve patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Telepsychiatry in the Assessment and Treatment of Schizophrenia

Kasckow¹,

Felmet²,

Appelt³

et al. 2014

Clinical Schizophrenia & Related Psychoses

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“…Common limitations in the systematic reviews were: grading of the evidence was not evident in the recommendations; studies were assessed for quality but were not linked to recommendations; all of the systematic reviews reported on the same 10 RCTs; 6,58-66 two child and adolescent RCTs [67][68] and two of the systematic reviews 23,39 included information from a further 8 moderate quality control studies. [69][70][71][72][73][74][75][76] The systematic reviews also only included studies up until 2008. The authors identified a further four RCTs published post 2008 which showed similar evidence to the studies in the systematic reviews.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness and feasibility of telepsychiatry in resource constrained environments? A systematic review of the evidence

Chipps¹,

Brysiewicz²,

Mars³

2012

Afr. J. Psych

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Objective: A review of systematic reviews of the effectiveness and feasibility of videoconference-based telepsychiatry services for resource constrained environments was conducted. Specifically with the aim of producing an evidence-based review of the effectiveness and feasibility of videoconference-based telepsychiatry services in resource constrained countries like South Africa. Methods: Eight key questions on telepsychiatry effectiveness and feasibility were identified and inclusion and exclusion criteria were developed. Review of citations from 2000-2011 from CINAHL, Medline, Pubmed, PsycInfo, EBSCOhost, SABINET, Cochrane Database of Systematic Reviews (CCTR), Cochrane Controlled Trial Registry (CCTR), Database of Abstracts of Reviews of Effectiveness (DARE), unpublished abstracts through NEXUS and internet search engines (Google/Google scholar) was conducted. Results: Ten systematic reviews were included for review. Despite the methodological limitations and heterogeneity of the systematic reviews, there appears to be good evidence of effectiveness (reliability and improved outcomes) and feasibility (use, satisfaction, acceptability and cost) for videoconference-based telepsychiatry internationally. The application of this evidence in lower middle income countries is dependent on the integration of telepsychiatry into local health system contexts. Conclusion: Based on the evidence, resource constrained countries such as South Africa should be encouraged to develop telepsychiatry programs along with rigorous evaluation methods.

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“…For example, two studies assessed reliability estimates between telepsychiatry conducted with varying levels of bandwidth to determine if connection quality impacted reliability. One report observed ICCs greater than 0.95 across all conditions of varying bandwidth quality among two psychiatrists rating eight psychiatric outpatients and nine health controls using the BPRS [74] . On the other hand, Yoshino et al [75] observed statistically significantly lower ICC scores in the narrow bandwidth condition compared to the broad bandwidth in for BPRS scores.…”

Section: Hubley S Et Al Telepsychiatry Reviewmentioning

confidence: 99%