Telemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping

Background: The COVID-19 pandemic has highlighted telemedicine use for mental illness (telemental health).Objective: In the scoping review, we describe the scope and domains of telemental health during the COVID-19 pandemic from the published literature and discuss associated challenges.Methods: Pub...

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Autores principales: Amit Abraham, Anupama Jithesh, Sathyanarayanan Doraiswamy, Nasser Al-Khawaga, Ravinder Mamtani, Sohaila Cheema
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:409a0ff962504f11b5e442cb961299202021-11-08T06:07:42ZTelemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping1664-064010.3389/fpsyt.2021.748069https://doaj.org/article/409a0ff962504f11b5e442cb961299202021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.748069/fullhttps://doaj.org/toc/1664-0640Background: The COVID-19 pandemic has highlighted telemedicine use for mental illness (telemental health).Objective: In the scoping review, we describe the scope and domains of telemental health during the COVID-19 pandemic from the published literature and discuss associated challenges.Methods: PubMed, EMBASE, and the World Health Organization's Global COVID-19 Database were searched up to August 23, 2020 with no restrictions on study design, language, or geographical, following an a priori protocol (https://osf.io/4dxms/). Data were synthesized using descriptive statistics from the peer-reviewed literature and the National Quality Forum's (NQF) framework for telemental health. Sentiment analysis was also used to gauge patient and healthcare provider opinion toward telemental health.Results: After screening, we identified 196 articles, predominantly from high-income countries (36.22%). Most articles were classified as commentaries (51.53%) and discussed telemental health from a management standpoint (86.22%). Conditions commonly treated with telemental health were depression, anxiety, and eating disorders. Where data were available, most articles described telemental health in a home-based setting (use of telemental health at home by patients). Overall sentiment was neutral-to-positive for the individual domains of the NQF framework.Conclusions: Our findings suggest that there was a marked growth in the uptake of telemental health during the pandemic and that telemental health is effective, safe, and will remain in use for the foreseeable future. However, more needs to be done to better understand these findings. Greater investment into human and financial resources, and research should be made by governments, global funding agencies, academia, and other stakeholders, especially in low- and middle- income countries. Uniform guidelines for licensing and credentialing, payment and insurance, and standards of care need to be developed to ensure safe and optimal telemental health delivery. Telemental health education should be incorporated into health professions curricula globally. With rapidly advancing technology and increasing acceptance of interactive online platforms amongst patients and healthcare providers, telemental health can provide sustainable mental healthcare across patient populations.Systematic Review Registration:https://osf.io/4dxms/.Amit AbrahamAnupama JitheshSathyanarayanan DoraiswamyNasser Al-KhawagaRavinder MamtaniSohaila CheemaFrontiers Media S.A.articleCOVID-19coronavirus diseasetelemedicinemental healthpsychiatryPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
coronavirus disease
telemedicine
mental health
psychiatry
Psychiatry
RC435-571
spellingShingle COVID-19
coronavirus disease
telemedicine
mental health
psychiatry
Psychiatry
RC435-571
Amit Abraham
Anupama Jithesh
Sathyanarayanan Doraiswamy
Nasser Al-Khawaga
Ravinder Mamtani
Sohaila Cheema
Telemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping
description Background: The COVID-19 pandemic has highlighted telemedicine use for mental illness (telemental health).Objective: In the scoping review, we describe the scope and domains of telemental health during the COVID-19 pandemic from the published literature and discuss associated challenges.Methods: PubMed, EMBASE, and the World Health Organization's Global COVID-19 Database were searched up to August 23, 2020 with no restrictions on study design, language, or geographical, following an a priori protocol (https://osf.io/4dxms/). Data were synthesized using descriptive statistics from the peer-reviewed literature and the National Quality Forum's (NQF) framework for telemental health. Sentiment analysis was also used to gauge patient and healthcare provider opinion toward telemental health.Results: After screening, we identified 196 articles, predominantly from high-income countries (36.22%). Most articles were classified as commentaries (51.53%) and discussed telemental health from a management standpoint (86.22%). Conditions commonly treated with telemental health were depression, anxiety, and eating disorders. Where data were available, most articles described telemental health in a home-based setting (use of telemental health at home by patients). Overall sentiment was neutral-to-positive for the individual domains of the NQF framework.Conclusions: Our findings suggest that there was a marked growth in the uptake of telemental health during the pandemic and that telemental health is effective, safe, and will remain in use for the foreseeable future. However, more needs to be done to better understand these findings. Greater investment into human and financial resources, and research should be made by governments, global funding agencies, academia, and other stakeholders, especially in low- and middle- income countries. Uniform guidelines for licensing and credentialing, payment and insurance, and standards of care need to be developed to ensure safe and optimal telemental health delivery. Telemental health education should be incorporated into health professions curricula globally. With rapidly advancing technology and increasing acceptance of interactive online platforms amongst patients and healthcare providers, telemental health can provide sustainable mental healthcare across patient populations.Systematic Review Registration:https://osf.io/4dxms/.
format article
author Amit Abraham
Anupama Jithesh
Sathyanarayanan Doraiswamy
Nasser Al-Khawaga
Ravinder Mamtani
Sohaila Cheema
author_facet Amit Abraham
Anupama Jithesh
Sathyanarayanan Doraiswamy
Nasser Al-Khawaga
Ravinder Mamtani
Sohaila Cheema
author_sort Amit Abraham
title Telemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping
title_short Telemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping
title_full Telemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping
title_fullStr Telemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping
title_full_unstemmed Telemental Health Use in the COVID-19 Pandemic: A Scoping Review and Evidence Gap Mapping
title_sort telemental health use in the covid-19 pandemic: a scoping review and evidence gap mapping
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/409a0ff962504f11b5e442cb96129920
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