Patients' and providers' experiences with video consultations used in the treatment of older patients with unipolar depression: A systematic review

Christensen, Lone Fisker; Møller, Anne; Hansen, Jens Peter; Nielsen, C.; Gildberg, Frederik Alkier

doi:10.1111/jpm.12574

Cited by 47 publications

(88 citation statements)

References 47 publications

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“…Studies have identified a number of benefits and challenges in association with adopting telepsychiatry (Chakrabarti 2015; Christensen et al . 2020; Scott Kruse et al . 2018), and technical challenges were a prominent theme in several studies (Christensen et al .…”

Section: Discussionmentioning

confidence: 99%

“…Very few qualitative studies have investigated VC usage among older adults with depression, and, of these, most are characterized by methodological limitations and deficiencies, and they rarely include both patient and provider perspectives (Christensen et al . 2020). It is apparent that significant gaps exist in the literature in relation to the adoption of VC for older people with depression conditions.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative study of patients’ and providers’ experiences with the use of videoconferences by older adults with depression

Christensen

Wilson

Hansen

et al. 2020

Int J Mental Health Nurs

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The aim of this study was to investigate the experiences of patients and providers regarding the use of videoconferences in older patients with depression. The qualitative study consisted of semi‐structured interviews with patients and providers and focus group interviews with providers. Themes were identified through using thematic analysis. Three main themes were as follows: 1. Technical Challenges experienced by patients and providers experiences; 2. Videoconferencing as clinical supportive technology; and 3. Therapeutic relationship across face‐to‐face and videoconferencing formats. Several subthemes describing patients’ and providers’ experiences were identified. Taken together, there was a similarity between expectations, opinions, and attitudes in relation to experiences vertically across all main themes, and horizontally between the main themes. An optimistic outlook influenced user expectations, opinions, and attitudes and acted to mitigate an negative sentiment about technical challenges. This increased the adoption of videoconferencing as a tool for clinical support and enabled the development of a therapeutic relationship using videoconferencing, especially for provider users. Both patients and providers agreed that videoconferences could not replace all face‐to‐face conversations and that videoconferences, in most cases, were best suited for shorter follow‐up consultations. Expectations, opinions, and attitudes, whether negative or positive, seemed to have significant impact on the experiences of patients and especially providers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A qualitative study of patients’ and providers’ experiences with the use of videoconferences by older adults with depression

Christensen

Wilson

Hansen

et al. 2020

Int J Mental Health Nurs

Self Cite

View full text Add to dashboard Cite

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“…Implementation outcomes were reported in 8 reviews (20,22,25,26,31,(33)(34)(35) Relevant outcomes included assessment comparability (K=2), fidelity to intervention and competence of therapists (K=1) (34), patient adherence to intervention (K=3) (20,26,31), patient attendance (K=4) (31,(33)(34)(35), safety (K=2) (26,34), and technical difficulties (K=3) (26,34,35).…”

Section: Implementation Outcomesmentioning

confidence: 99%

“…Acceptability outcomes were reported in 10 reviews (18,20,21,26,27,(31)(32)(33)(34)(35). Relevant outcomes included clinician satisfaction (K=5) (18,20,21,32,34) , therapeutic alliance (K=6) (21,26,27,(33)(34)(35), patient satisfaction (K=7) (20,21,(31)(32)(33)(34)(35) and convenience (K=3) (21,33,35).…”

Section: Acceptability Outcomesmentioning

confidence: 99%

Remote working in mental health services: a rapid umbrella review of pre-COVID-19 literature

Barnett

Goulding

Casetta

et al. 2020

Preprint

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Background: Tele-mental health care has been rapidly adopted to maintain services during the pandemic, and there is now substantial interest in its future role. Service planning and policy making for recovery from the pandemic and beyond should draw not only on COVID-19 experiences, but also on the substantial research evidence accumulated prior to this. Aims: to conduct an umbrella review of systematic reviews of research literature and evidence-based guidance on remote working in mental health, including both qualitative and quantitative literature. Method: Three databases were searched between January 2010 and August 2020 for systematic reviews meeting pre-defined criteria. Reviews retrieved were independently screened and those meeting inclusion criteria were synthesised and assessed for risk of bias. Narrative synthesis was used to report findings Results: Nineteen systematic reviews met inclusion criteria. Fifteen examined clinical effectiveness, eight reported on aspects of tele-mental health implementation, ten reported on acceptability to service users and clinicians, two on cost-effectiveness and one on guidance. Most reviews were assessed as low quality. Findings suggested that video-based communication could be as effective and acceptable as face-face formats, at least in the short-term. Evidence was lacking on extent of digital exclusion and how it can be overcome, or on significant context such as children and young people and inpatient settings. Conclusions: This umbrella review suggests that tele-mental health has potential to be an effective and acceptable form of service delivery. However, we found limited evidence on impacts of large-scale implementation across catchment areas. Combining previous evidence and COVID-19 experiences may allow realistic planning for future tele-mental health implementation.

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“…6 Another review of telepsychiatry for geriatric patients found that it supports mental health practice, especially when face-to-face therapy is not possible. 7 The main drawbacks were technical problems and lack of support from staff.…”

Section: Emergency Departments (Eds) Using Telepsychiatry For Psychimentioning

confidence: 99%

Telepsychiatry: What you need to know

Frank¹,

Peterson²,

Gupta³

et al. 2020

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NICK LOWNDES/SCIENCE SOURCE T he need for mental health services has never been greater. Unfortunately, many patients have limited access to psychiatric treatment, especially those who live in rural areas. Telepsychiatrythe delivery of psychiatric services through telecommunications technology, usually video conferencing-may help address this problem. Even before the onset of the coronavirus disease 2019 (COVID-19) pandemic, telepsychiatry was becoming increasingly common. A survey of US mental health facilities found that the proportion of facilities offering telepsychiatry nearly doubled from 2010 to 2017, from 15.2% to 29.2%. 1 In this article, we describe examples of where and how telepsychiatry is being used successfully, and its potential advantages. We discuss concerns about its use, its impact on the therapeutic alliance, and patients' and clinicians' perceptions of it. We also discuss the legal, technological, and financial aspects of using telepsychiatry. With an increased understanding of these issues, psychiatric clinicians will be better able to integrate telepsychiatry into their practices.

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Patients' and providers' experiences with video consultations used in the treatment of older patients with unipolar depression: A systematic review

Abstract: Patients' and providers' experiences with video consultations used in the treatment of older patients with unipolar depression: a systematic review

Cited by 47 publications

References 47 publications

A qualitative study of patients’ and providers’ experiences with the use of videoconferences by older adults with depression

A qualitative study of patients’ and providers’ experiences with the use of videoconferences by older adults with depression

Remote working in mental health services: a rapid umbrella review of pre-COVID-19 literature

Telepsychiatry: What you need to know

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