TY - JOUR
T1 - Technology-based mental healthcare models
T2 - A systematic review of the literature
AU - Rosas, Juan Camilo
AU - Gómez-Ayala, María Camila
AU - Marroquín-Rivera, Arturo
AU - Botero-Rodríguez, Felipe
AU - Cepeda, Magda
AU - Suárez-Obando, Fernando
AU - Bartels, Sophie M.
AU - Gómez-Restrepo, Carlos
N1 - Publisher Copyright:
© 2021 Asociación Colombiana de Psiquiatría
PY - 2021/6
Y1 - 2021/6
N2 - Introduction: This systematic review summarises the existing evidence on the implementation of technology-based mental healthcare models in the primary care setting. Methods: A systematic search was conducted (MEDLINE, Embase, CENTRAL) in August 2019 and studies were selected according to predefined eligibility criteria. The main outcomes were clinical effectiveness, adherence to primary treatment and cost of implementation. Selection criteria: Studies with an experimental or quasi-experimental design that evaluated the implementation of technology-based mental healthcare models were included. Results: Five articles met the inclusion criteria. The models included technological devices such as tablets, cellphones and computers, with programs and mobile apps that supported decision-making in the care pathway. These decisions took place at different times, from the universal screening phase to the follow-up of patients with specific conditions. In general, the studies showed a decrease in the reported symptoms. However, there was great heterogeneity in both the health conditions and the outcomes, which hindered a quantitative synthesis. The assessment of risk of bias showed low quality of evidence. Conclusion: There is not enough evidence to support the implementation of a technology-based mental healthcare model. High quality studies that focus on implementation and effectiveness outcomes are needed to evaluate the impact of technology-based mental healthcare models in the primary care setting.
AB - Introduction: This systematic review summarises the existing evidence on the implementation of technology-based mental healthcare models in the primary care setting. Methods: A systematic search was conducted (MEDLINE, Embase, CENTRAL) in August 2019 and studies were selected according to predefined eligibility criteria. The main outcomes were clinical effectiveness, adherence to primary treatment and cost of implementation. Selection criteria: Studies with an experimental or quasi-experimental design that evaluated the implementation of technology-based mental healthcare models were included. Results: Five articles met the inclusion criteria. The models included technological devices such as tablets, cellphones and computers, with programs and mobile apps that supported decision-making in the care pathway. These decisions took place at different times, from the universal screening phase to the follow-up of patients with specific conditions. In general, the studies showed a decrease in the reported symptoms. However, there was great heterogeneity in both the health conditions and the outcomes, which hindered a quantitative synthesis. The assessment of risk of bias showed low quality of evidence. Conclusion: There is not enough evidence to support the implementation of a technology-based mental healthcare model. High quality studies that focus on implementation and effectiveness outcomes are needed to evaluate the impact of technology-based mental healthcare models in the primary care setting.
KW - Healthcare model
KW - Implementation science
KW - Mental health
KW - Primary healthcare
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85104349678&partnerID=8YFLogxK
U2 - 10.1016/j.rcp.2021.01.002
DO - 10.1016/j.rcp.2021.01.002
M3 - Article
AN - SCOPUS:85104349678
SN - 0034-7450
VL - 50
SP - 32
EP - 43
JO - Revista Colombiana de Psiquiatria
JF - Revista Colombiana de Psiquiatria
ER -
