|
Reference,
Main author,
Year, Country | Type of eHealth | Main topic,
Health problem | Method,
design,
N | Key findings |
|
[2]
Thara R.
(2012)
India | Mobile teleconsultation & videoconferencing | General mental health issues and care delivery | Evaluation study | Collaborate with local NGOs and self-help groups in delivering telepsychiatry services.
Educate caregivers involved in patient care and create community awareness via local key persons. |
|
[23]
Chipps J.
(2012)
South Africa | Videoconferencing | General mental health issues and care delivery | Survey
N=69 (11 district managers, 50 hospital managers, 8 psychiatric hospital managers) | District and hospital managers were ill prepared for e-health projects in terms of policy, technical, and planning readiness. Both district and hospital mangers were well prepared for e-health projects in areas of gender and societal readiness. |
|
[28]
Malhotra S.
(2015)
India | Net-based psychiatric diagnostic tool, decision support systems | General mental health issues and care delivery | Clinical intervention study
N = 50 children and adolescents
| The decision support system showed a satisfactory diagnosis accuracy with high levels of sensitivity and specificity for most disorders assessed. There was no significant difference between the number of correct case diagnoses made by human physicians and the decision support system. |
|
[29] Malhotra S. (2015)
India | Net-based psychiatric diagnostic tool, decision support systems | General mental health issues and care delivery | Clinical intervention study
N=274 adult patients | On both the screening and criteria sub-modules, the application showed acceptable diagnostic accuracy in sensitive, specificity, and negative and positive predictive values levels for a majority of mental disorders assessed. Inter-rater reliability of the application compared to other standard scales (i.e. CGI, GAF) was also high for most diagnosis, symptom severity, and patient functional status assessed. |
|
[30]
Malhotra S.
(2014)
India | Clinical decision support and diagnostic system | General mental health issues and care delivery | Clinical intervention study
N=100 | Both the screening and diagnostic sub modules showed acceptable and appropriate levels of sensitivity, specificity and positive and negative predictive values for most mental disorders assessed. User satisfaction was reported high in terms of the tool’s use feasibility and shortening consultation duration. |
|
[31]
Malhotra S.
(2013)
India | Audiovisual aids and printed instructions | Psychiatric-related-physical therapy (self-guided relaxation exercises) | Clinical intervention study
N=45 (37 patients, 8 therapists) | Patients reported increased positive outcomes after the clinical intervention as indicated in a significant reduction in HMA-A and VAS scores during follow-up.
Therapist, relatives and patients reported high satisfaction with the ease of learning and skill retention after using the audio video aids and manual in a single session. |
|
[32]
Thara R.
(2008)
India | Mobile teleconsultation & videoconferencing | General mental health issues and care delivery | Evaluation Study | Essential factors in establishing telepsychiatry services include identifying a suitable technology, location, collaborating with local organizations, training local staff, proper case documentation and accountability, and community service awareness creation. |
|
[33]
Jefee-Bahloul H. (2015)
Syria | Store-and-forward technology | General mental health issues and care delivery | Evaluation study | Store-and-forward systems are effective and sustainable collaborative tools for global mental health networking and participation among professionals and researchers.
Local clinics with limited resources can leverage store-and-forward technologies to expand their services and expertise through remote partnerships with NGOs and universities in the global community. |
|
[34]
Khadivi R.
(2016)
Iran | Bibliotherapy, SMS | Depression | Randomized controlled trial/intervention study
N=198 patients | The control group showed a significant reduction in intensity of depressive symptoms compared to the control group (p=0.01). The text messaging group showed sustained low depressive symptoms (p<0.001) compared to the booklet (p=0.003) and control (p=0.001) groups months after the study. |
|
[35]
Assis LD.
(2010)
Brazil | Computerized occupational therapy | Alzheimer’s dementia Occupational therapy -cognitive rehabilitation | Clinical intervention study
N=8 (1 dementia patient & 7 mental health specialists) | Elderly male dementia patients showed high post-intervention improvements in cognitive function and daily activities. Qualitative improvements occurred in patients’ self-initiative, agility, and physical aggression. |
|
[36]
Hungerbuehle I.
(2016)
Brazil | Videoconferencing | Depression | Randomized controlled trial/intervention study
N=107 patients | Videoconferencing is a feasible care delivery modality in clinically unsupervised settings for depressed outpatients. Severity of depression decreased significantly in both the videoconferencing (F2=26.57, p<.001) and FTF (F2=29.99, p<.001) groups.
Videoconferencing showed improvements in patient outcomes, therapeutic relationship satisfaction, low defaulting, and medication compliance. However, treatment adherence was comparatively low (X21 =2.864, p=.07). |
|
[37]
Oyama-Ganiko R. (2013)
Peru | Telephone follow-up calling, teleconsultation | Aggression, self-injury, stereotyped behaviour among infants at risk of developmental disorders | Clinical intervention study
N=180 parents with infants at risk of developmental disabilities | Combining parent training workshops with telephone follow-up calls improved patient behavioural problems and increased caregiver satisfaction with the project.
Full inclusion of parents, siblings, and other household members was a success factor in the training, consumer satisfaction, and knowledge and skills retention among participants. |
|
[38]
Chipps J.
(2012)
South Africa | Tele-education, video conferencing | General mental health issues and care delivery | Action research study
N=9 (4 psychiatrists, 5 medical officers | Videoconference education with a flexible format, administration and technical support improvement was beneficial to health staff with low psychiatry qualification/training.
A bandwidth of 128 Kilobytes per second (Kbps) is required for tele-education while 384Kbps is more reliable for tele-consultation. Keys to developing new telepsychiatry services include awareness creation, practitioner acceptance, understanding physician/patient clinical needs, and onsite technical support and local coordination service provision. |
|
[39]
Adebowale OF.
(2011)
Nigeria | Online counseling/therapy | Education-related mental health needs | Survey
N=261 (172 college students, 89 staff) | Students reported a need for online services in areas of career planning, academic/education (i.e. problem solving and effective study skills, and academic performance) and time management. Online counseling was the most preferred format (58.8%), and e-mail communication (asynchronous) was the modality selected by a majority of students (57.1%).
Most students had a positive perception toward introducing a university online guidance and counseling service (89.5%). |
|
[40]
Abdi Y.
(2011)
Somaliland | Skype-based telepsychiatry, Internet, videoconferencing | General mental health issues and care delivery | Evaluation study
N=132 | A Skype-based telepsychiatry service was found to be a cheap and effective substitute for mental health service delivery in developing countries. Clinics indicated the service has improved their credibility and increase participant satisfaction and the number patients attending these clinics. |
|
[41]
Moritz S.
(2013) Russia | Online therapy | Obsessive-compulsive disorder (OCD) | Survey study
N=72 OCD patients | Online Association Splitting (CBT intervention) is found to be feasible and effective in Russian speaking subjects. AS group is superior to a waitlist control condition for the improvement of obsession and depression. |
|
[42]
Dieleman C.
(2013)
Cross-continental study | Online discussion groups | Occupational therapy | Case study
N=2494 group members | Isolated locations of practice were a push factor in health professionals’ keenness to connect with colleagues via online forums. The most active participants in the online forum were from the United Kingdom (88.2%, n=1485). Seeking and giving advice (40.5%), networking (27.3%), requesting and sharing material resources (19.4%) were the most recorded activities on the online forum. |
|
[43]
Finn J. (2010)
Cross-continental study | E-counseling | General mental health issues and care delivery | Survey
N=93 E-counselors (80 males, 7 females) | Most E-counselors (74%) reported more satisfaction with the use of email (87%) and chat messaging (88%) and believed it was equally effective (55%) as face-to-face (36%) consultations. A majority of e-counselors reported no formal training (94%) or supervision (56.5%) in their online practice as most conducted this as a part-time supplement to their regular face-to-face consultations. |
|
[44]
Savin DM.
(2013) Cross-continental study | Teleconsultation & training (Skype, e-mails, e-chatting, videoconferencing) | General mental health issues and care delivery | Evaluation study
N=35 (29 Cambodian psychiatry residents, 2 faculty, 4 American residents) | A long-term consultant-consultee relationships based on strong commitment to initiate and sustain a successful collaboration is an essential interdisciplinary telepsychiatry implementation requirement. Cultural demographics shape social interactions between consultants and consultees and the solutions formulated from such interactions. |
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