The Role of Telemedicine in Rural Mental Health Care Around the Globe

Hand, Lindsey Jo

doi:10.1089/tmj.2020.0536

Cited by 23 publications

(13 citation statements)

References 25 publications

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“…The current review showed that telemental health serives could effectively improve mental health symptoms among individuals living in rural areas. These findings are in line with accepted knowledge regarding the effects of telemental health on patients' mental symptoms regardless of area of residence 8,[10][11][12] . The current study results are noteworthy, as rural areas have a particular need for mental health services [6][7][8] .…”

Section: Discussionsupporting

confidence: 89%

“…Telemental health, which uses information and communication technology (ICT), has received a great deal of attention. Earlier studies demonstrated that telemental health could effectively improve patients' mental symptoms 6,[10][11][12] . Telemental health services are not restricted by distance and are easy to access, even by residents of rural areas 6,[13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

“…The spread of digital devices and infrastructures for ICT systems, human resources, and understanding lifestyles among community-dwelling people would be required in order to install telemental health services in rural areas 12) . The devices and infrastructures can include telephones, the Internet, and videoconferencing facilities for the rural installation 8,10,24) .…”

mentioning

confidence: 99%

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Telemental health in rural areas: a systematic review

et al. 2023

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Objective: Despite the high prevalence of mental disorders in rural areas, mental health services are lacking because of shortages of resources and difficulty in accessing such services. Telemental health services can be beneficial for these patients. This study summarizes the efficacy of telemental health in managing mental disorders in rural areas. Materials and Methods:The MEDLINE and Cochrane Central Register of Controlled Trials databases were searched to identify randomized controlled trials on telemental health for mental disorders in rural areas until June 2022. The reviewers independently screened, extracted, and assessed study quality using the Risk of Bias 2 tool. Results: Six eligible studies were identified on mental health symptoms, insomnia, depression, and schizophrenia. The quality of all the studies was moderate, and they all reported that telemental health effectively improved the symptoms of mental disorders. One study reported a reduction in relapse and rehospitalization rates in young individuals. Another study reported that it was effective in improving the symptoms of depression and anxiety in older individuals. Conclusions: Although further studies are warranted, telemental health services could effectively improve the symptoms of mental disorders in rural areas.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Telemental health in rural areas: a systematic review

et al. 2023

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“…Hand 15 12 Inductive analysis Mostly high-income Patel et al 16 24 Qualitative meta-synthesis High-income Tatar et al 17 2 Narrative synthesis High-income Cancer (n = 48) Cox et al 18 22 Synthesis methods according to Thomas and Harden High-and upper-middle-income Hopstaken et al 19 9…”

Section: Usability Usefulness and Engagementmentioning

confidence: 99%

Digital health experiences reported in chronic disease management: An umbrella review of qualitative studies

et al. 2022

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Introduction Digital health interventions can be useful for the management of chronic disease. The aim of this study was to draw out universal themes to understand how people with chronic conditions experience digital health services, programmes, and interventions, and consequently, better inform future digital health delivery. Methods An umbrella review was conducted to identify qualitative systematic reviews reporting digital health experiences in chronic disease. Themes for each included review were independently extracted and appraised by two review authors. Data analysis was conducted using the Constant Comparative method. Results Twenty-two systematic reviews containing 240 individual studies were selected for inclusion. Mental health was the most common condition ( n = 5, 23%), followed by cancer ( n = 4, 18%) or a combination of chronic diseases ( n = 4, 18%). Common themes across the conditions were categorised under nine headings, including: (i) participation and engagement (strong usability and engagement vs reluctance to use digital health when these concepts are ignored), (ii) trust, confidence, and competence (users felt reassured, however technology illiteracy led to a perceived lack of control), (iii) perceived value, perceived effectiveness, transaction cost (gained from efficient aspects of digital health, but also lost through the burden of keeping up with data entry), (iv) perceived care quality (requiring tailoring and fostering motivation), (v) barriers and threats (related to technology risks and challenges), (vi) health outcomes (improved self-management capability), (vii) relationships (improved participant-health professional interaction, but interpersonal aspects such as face-to-face contact were lacking), (viii) unplanned benefit (where digital health often led to users feeling more empowered in their health journey), and (ix) diversity of experiences (reflecting ambivalence of experiences and discipline-specific experiences). Conclusion People with chronic conditions perceive digital health provides feelings of reassurance and the ability to self-manage their condition. While there is ambivalence across the participant experiences reported within the major themes, this umbrella review has outlined a need for future interventions that are user-friendly, flexible, and tailored to individual users. This will be best achieved through a co-design model, with the consumer actively involved in the planning and design of digital health products and services.

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“…Use of telehealth services is changing the landscape for health care delivery. In mental health, integration of telemedicine for providers and patients has been associated with ease and convenience, increased access to care, fewer missed appointments, the ability to expand reach new clients, and appropriate customization of care (Health IT Outcomes, 2017). Telehealth and telemedicine programs can be a successful strategy in perinatal care to improve patient outcomes, address the workforce shortages, and reduce health disparities.…”

Section: Evolution Of Telehealthmentioning

confidence: 99%

Telehealth to Improve Perinatal Care Access

Stanley

Wallace

2022

McN: The American Journal of Maternal/Child Nursing

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The United States has the worst maternal mortality rate of peer countries. Since 1935, the maternal mortality risk among Black women has remained three to four times higher than that of White women. Perinatal health care is not available in all areas, which limits the access for certain groups. Many women in the United States live in maternity care deserts with no access to obstetric providers, whereas others live in areas with very limited access. One way to bridge the gap between effective perinatal care and access to care is use of telehealth. Telehealth allows health care providers to communicate directly with patients that cannot physically be seen in a clinic or hospital. Telehealth is endorsed by the American College of Obstetricians and Gynecologists as an alternate mode to deliver prenatal and postpartum services. The potential for telehealth services as part of perinatal care to reduce maternal and neonatal morbidity and mortality by improving access to care is presented.

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The Role of Telemedicine in Rural Mental Health Care Around the Globe

Cited by 23 publications

References 25 publications

Telemental health in rural areas: a systematic review

Telemental health in rural areas: a systematic review

Digital health experiences reported in chronic disease management: An umbrella review of qualitative studies

Telehealth to Improve Perinatal Care Access

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