Implementation strategies for telemental health: a systematic review

BMC Health Services Research

Research

Justin J. Needle¹  Nick Sevdalis²  Spyros Spyridonidis³  Melisa Yilmaz³  Millie Tamworth³  Minnie Worden³  Elizabeth Tuudah⁴  Emily Roxburgh⁵  Jennie Parker⁶  Natasha Lyons⁷  Rebecca Appleton⁷  Brynmor Lloyd-Evans⁷  Sonia Johnson⁸  Phoebe Barnett⁹  Norha Vera San Juan^1,10 

[1] Centre for Health Services Research, City, University of London, London, UK;Centre for Implementation Science, King’s College London, London, UK;Division of Psychiatry, UCL, London, UK;Institute of Psychiatry, Psychology & Neuroscience, Kings College London, London, UK;Kingston iCope, Camden & Islington NHS Trust, London, UK;Lived Experience Researcher, NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK;NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK;NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK;Camden and Islington NHS Foundation Trust, London, UK;NIHR Mental Health Policy Research Unit, Division of Psychiatry, UCL, London, UK;Centre for Outcomes Research and Effectiveness, Research Department of Clinical, Educational and Health Psychology, University College London, London, UK;NIHR Mental Health Policy Research Unit, King’s College London, London, UK;

关键词: Telemental health;    Implementation;    Mental health;    Systematic review;    Remote care;    Telemedicine;    Telepsychiatry;   

DOI  :  10.1186/s12913-022-08993-1

 received in 2022-06-24, accepted in 2022-12-20,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe COVID-19 pandemic resulted in a rapid shift from traditional face-to-face care provision towards delivering mental health care remotely through telecommunications, often referred to as telemental health care. However, the manner and extent of telemental health implementation have varied considerably across settings and areas, and substantial barriers are encountered. There is, therefore, a need to identify what works best for service users and staff and establish the key mechanisms for efficient integration into routine care.ObjectiveWe aimed to identify investigations of pre-planned strategies reported in the literature intended to achieve or improve effective and sustained implementation of telemental health approaches (including video calls, telephone calls, text messaging platforms or a combination of any of these approaches with face-to-face care), and to evaluate how different strategies influence implementation outcomes.MethodsA systematic review was conducted, with five databases searched for any relevant literature published between January 2010 and July 2021. Studies were eligible if they took place in specialist mental health services and focused on pre-planned strategies to achieve or improve the delivery of mental health care through remote communication between mental health professionals or between mental health professionals and service users, family members, unpaid carers, or peer supporters. All included studies were quality-assessed. Data were synthesised using the Expert Recommendations for Implementing Change (ERIC) compilation of implementation strategies and the taxonomy of implementation outcomes.ResultsA total of 14 studies were identified as meeting the inclusion criteria from a total of 14,294 records of which 338 were assessed at full text. All ERIC implementation strategies were used by at least one study, the most commonly reported being ‘Train and educate stakeholders’. All studies reported using a combination of several implementation strategies, with the mean number of strategies used per study of 3.5 (range 2–6), many of which were reported to result in an improvement in implementation over time. Few studies specifically investigated a single implementation strategy and its associated outcomes, making conclusions regarding the most beneficial strategy difficult to draw.ConclusionsUsing a combination of implementation strategies appears to be a helpful method of supporting the implementation of telemental health. Further research is needed to test the impact of specific implementation strategies on implementation outcomes.

【 授权许可】

CC BY   
© The Author(s) 2023

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