Hostname: page-component-8448b6f56d-t5pn6 Total loading time: 0 Render date: 2024-04-16T03:06:27.866Z Has data issue: false hasContentIssue false

Videoconferencing in psychiatry, a meta-analysis of assessment and treatment

Published online by Cambridge University Press:  23 March 2020

A. Drago*
Affiliation:
Institut for Klinisk Medicin - Psykiatrisk Forskningsenhed Vest, Herning, Denmark
T.N. Winding
Affiliation:
Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital Herning, Herning, Denmark
N. Antypa
Affiliation:
Department of Clinical Psychology, Leiden University, The Netherlands
*
Corresponding author. antonio.drago76@gmail.com
Get access

Abstract

Context

Videoconferencing in psychiatry allows psychiatric counseling to be dealt remotely. A number of human randomised clinical trials (RCTs) on this topic were conducted but not systematically analysed since 2005.

Objects

A meta-analysis was undertaken to test the hypothesis of non-inferiority of remote psychiatric counseling, including both assessment and treatment, compared to face-to-face setting. Focus of research was the general psychiatric approach, which includes pharmacotherapy, counseling and some not specific psychotherapeutic techniques such as listening, reformulation and clarification among others. Specific forms of psychotherapies were not included in this analysis.

Design

RCTs including ≥ 10 subjects per arm were identified in Medline, the Cochrane Library, Embase and the reference list of single papers. A random-effect and a mixed-effect model served for test the hypothesis under analysis.

Results

Twenty-six RCTs were included in the analysis, involving 765 (assessment) and 1585 patients (efficacy). The non-inferiority of remote psychiatric counseling was reported both for assessment and treatment. Heterogeneity could not be excluded for assessment, but was excluded for treatment while taking into account clinical and study related variables (P-values = 0.003 and 0.06, respectively).

Conclusion

High levels of consistency between remote and in vivo psychiatric assessment is reported. Efficacy of remote psychiatric counseling was shown to be not inferior compared to in vivo settings. Heterogeneity could not be excluded for assessment, and further analyses are mandatory. The presence of multiple diagnoses included in the analysis was a limit of the present investigation.

Type
Review
Copyright
Copyright © European Psychiatric Association 2016

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baer, L., Elford, D.R., Cukor, P.Telepsychiatry at forty: what have we learned? Harv Rev Psychiatry 1997;5 1:7-17.CrossRefGoogle ScholarPubMed
Grady, B., Myers, K.M., Nelson, E.-L., Belz, N., Bennett, L., Carnahan, L.Evidence-based practice for telemental health. Telemed J E Health 2011;17(2):131148.CrossRefGoogle ScholarPubMed
Chong, J., Moreno, F.Feasibility and acceptability of clinic-based telepsychiatry for low-income Hispanic primary care patients. Telemed J E Health 2012;18(4):297304.CrossRefGoogle ScholarPubMed
Chung-Do, J., Helm, S., Fukuda, M., Alicata, D., Nishimura, S., Else, I.Rural mental health: implications for telepsychiatry in clinical service, workforce development, and organizational capacity. Telemed J E Health 2012;18(3):244246.CrossRefGoogle ScholarPubMed
Frueh, B.C., Deitsch, S.E., Santos, A.B., Gold, P.B., Johnson, M.R., Meisler, N.Procedural and methodological issues in telepsychiatry research and program development. Psychiatr Serv 2000;51(12):15221527.CrossRefGoogle ScholarPubMed
Chakrabarti, S.Usefulness of telepsychiatry: a critical evaluation of videoconferencing-based approaches. World J Psychiatry 2015;5(3):286304.CrossRefGoogle ScholarPubMed
Shore, J.H.Telepsychiatry: videoconferencing in the delivery of psychiatric care. Am J Psychiatry 2013;170(3):256262.CrossRefGoogle ScholarPubMed
Ellington, E.Telepsychiatry by APRNs: an answer to the shortage of pediatric providers? Issues Ment Health Nurs 2013;34(9):719721.CrossRefGoogle ScholarPubMed
Deslich, S.A., Thistlethwaite, T., Coustasse, A.Telepsychiatry in correctional facilities: using technology to improve access and decrease costs of mental health care in underserved populations. Perm J 2013;17(3):8086.CrossRefGoogle ScholarPubMed
Deslich, S., Stec, B., Tomblin, S., Coustasse, A.Telepsychiatry in the 21(st) century: transforming healthcare with technology. Perspect Health Inf Manag AHIMA 2013;10: 1f.Google ScholarPubMed
Fortney, J.C., Pyne, J.M., Kimbrell, T.A., Hudson, T.J., Robinson, D.E., Schneider, R.Telemedicine-based collaborative care for posttraumatic stress disorder: a randomized clinical trial. JAMA Psychiatry 2015;72(1):5867.CrossRefGoogle ScholarPubMed
Chipps, J., Ramlall, S., Mars, M.Practice guidelines for videoconference-based telepsychiatry in South Africa. Afr J Psychiatry 2012;15(4):271282.CrossRefGoogle ScholarPubMed
Monnier, J., Knapp, R.G., Frueh, B.C.Recent advances in telepsychiatry: an updated review. Psychiatr Serv 2003;54(12):16041609.CrossRefGoogle ScholarPubMed
Richardson, L.K., Frueh, B.C., Grubaugh, A.L., Egede, L., Elhai, J.D.Current directions in videoconferencing tele-mental health research. Clin Psychol 2009;16(3):323338.Google ScholarPubMed
Hilty, D.M., Alverson, D.C., Alpert, J.E., Tong, L., Sagduyu, K., Boland, R.J.Virtual reality, telemedicine, web and data processing innovations in medical and psychiatric education and clinical care. Acad Psychiatry J 2006;30(6):528533.CrossRefGoogle ScholarPubMed
Hilty, D.M., Ferrer, D.C., Parish, M.B., Johnston, B., Callahan, E.J., Yellowlees, P.M.The effectiveness of telemental health: a 2013 review. Telemed J E Health 2013;19(6):444454.CrossRefGoogle ScholarPubMed
Hyler, S.E., Gangure, D.P., Batchelder, S.T.Can telepsychiatry replace in-person psychiatric assessments? A review and meta-analysis of comparison studies. CNS Spectr 2005;10(5):403413.CrossRefGoogle ScholarPubMed
Hahn, S.Understanding noninferiority trials. Korean J Pediatr 2012;55(11):403407.CrossRefGoogle ScholarPubMed
Spek, V., Cuijpers, P., Nyklícek, I., Riper, H., Keyzer, J., Pop, V.Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: a meta-analysis. Psychol Med 2007;37(3):319328.CrossRefGoogle ScholarPubMed
Fisher, E., Law, E., Palermo, T.M., Eccleston, C.Psychological therapies (remotely delivered) for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst Rev 2015;3:CD011118.Google Scholar
Davies, E.B., Morriss, R., Glazebrook, C.Computer-delivered and web-based interventions to improve depression, anxiety, and psychological well-being of university students: a systematic review and meta-analysis. J Med Internet Res 2014;16(5):e130.CrossRefGoogle ScholarPubMed
Mayo-Wilson, E., Montgomery, P.Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults. Cochrane Database Syst Rev 2013;9:CD005330.Google Scholar
Lustria, M.L.A., Noar, S.M., Cortese, J., Van Stee, S.K., Glueckauf, R.L., Lee, J.A meta-analysis of web-delivered tailored health behavior change interventions. J Health Commun 2013;18(9):10391069.CrossRefGoogle ScholarPubMed
Raatz, S.K., Rosenberger, T.A., Johnson, L.K., Wolters, W.W., Burr, G.S., Picklo, M.J.Dose-dependent consumption of farmed Atlantic salmon (Salmo salar) increases plasma phospholipid n-3 fatty acids differentially. J Acad Nutr Diet 2013;113(2):282287.CrossRefGoogle ScholarPubMed
Downs, S.H., Black, N.The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health 1998;52(6):377384.CrossRefGoogle ScholarPubMed
R Foundation for Statistical Computing R: A language and environment for statistical computing. [Internet] R Development Core Team; 2013. [Available from: http://www.R-project.org/].Google Scholar
Dèttore, D., Pozza, A., Andersson, G.Efficacy of technology-delivered cognitive behavioural therapy for OCD versus control conditions, and in comparison with therapist-administered CBT: meta-analysis of randomized controlled trials. Cogn Behav Ther 2015;44(3):190211.CrossRefGoogle ScholarPubMed
Rooksby, M., Elouafkaoui, P., Humphris, G., Clarkson, J., Freeman, R.Internet-assisted delivery of cognitive behavioural therapy (CBT) for childhood anxiety: systematic review and meta-analysis. J Anxiety Disord 2015;29:8392.CrossRefGoogle ScholarPubMed
Bee, P.E., Bower, P., Lovell, K., Gilbody, S., Richards, D., Gask, L.Psychotherapy mediated by remote communication technologies: a meta-analytic review. BMC Psychiatry 2008;8:60.CrossRefGoogle ScholarPubMed
Manguno-Mire, G.M., Thompson, J.W., Shore, J.H., Croy, C.D., Artecona, J.F., Pickering, J.W.The use of telemedicine to evaluate competency to stand trial: a preliminary randomized controlled study. J Am Acad Psychiatry Law 2007;35(4):481489.Google ScholarPubMed
Sparrow, S.S., Cicchetti, D.V.The behavior inventory for rating development (BIRD): assessments of reliability and factorial validity. Appl Res Ment Retard 1984;5(2):219231.CrossRefGoogle ScholarPubMed
Harley, J.Economic evaluation of a tertiary telepsychiatry service to an island. J Telemed Telecare 2006;12(7):354357.CrossRefGoogle Scholar
Spaulding, R., Belz, N., DeLurgio, S., Williams, A.R.Cost savings of telemedicine utilization for child psychiatry in a rural Kansas community. Telemed J E Health 2010;16(8):867871.CrossRefGoogle Scholar
Mair, F., Whitten, P.Systematic review of studies of patient satisfaction with telemedicine. BMJ 2000;320(7248):15171520.CrossRefGoogle ScholarPubMed
Hyler, S.E., Gangure, D.P.A review of the costs of telepsychiatry. Psychiatr Serv 2003;54(7):976980.CrossRefGoogle ScholarPubMed
Mendelberg, H.The integration of professional values and market demands: a practice mode. Psychol Manag J 2014;17:159177.Google Scholar
Elford, R., White, H., Bowering, R., Ghandi, A., Maddiggan, B., St John, K.A randomized, controlled trial of child psychiatric assessments conducted using videoconferencing. J Telemed Telecare 2000;6(2):7382.CrossRefGoogle ScholarPubMed
Shore, J.H., Savin, D., Orton, H., Beals, J., Manson, S.M.Diagnostic reliability of telepsychiatry in American Indian veterans. Am J Psychiatry 2007;164(1):115118.CrossRefGoogle ScholarPubMed
Singh, S.P., Arya, D., Peters, T.Accuracy of telepsychiatric assessment of new routine outpatient referrals. BMC Psychiatry 2007;7:55.CrossRefGoogle ScholarPubMed
Brøndbo, H., Mathiassen, B., Martinussen, M., Heiervang, E., Eriksen, M., Kvernmo, S.Agreement on web-based diagnoses and severity of mental health problems in Norwegian child and adolescent mental health services. Clin Pract Epidemiol Ment Health 2012;8:1621.CrossRefGoogle ScholarPubMed
Seidel, R.W., Kilgus, M.D.Agreement between telepsychiatry assessment and face-to-face assessment for Emergency Department psychiatry patients. J Telemed Telecare 2014;20(2):5962.CrossRefGoogle ScholarPubMed
Munro Cullum, C., Hynan, L.S., Grosch, M., Parikh, M., Weiner, M.F.Teleneuropsychology: evidence for video teleconference-based neuropsychological assessment. J Int Neuropsychol Soc 2014;20(10):10281033.CrossRefGoogle ScholarPubMed
Vahia, I.V., Ng, B., Camacho, A., Cardenas, V., Cherner, M., Depp, C.A.Telepsychiatry for neurocognitive testing in older rural latino adults. Am J Geriatr Psychiatry 2015;23(7):666670.CrossRefGoogle ScholarPubMed
Yoshino, A., Shigemura, J., Kobayashi, Y., Nomura, S., Shishikura, K., Den, R.Telepsychiatry: assessment of televideo psychiatric interview reliability with present- and next-generation Internet infrastructures. Acta Psychiatr Scand 2001;104(3):223226.CrossRefGoogle ScholarPubMed
Matsuura, S., Hosaka, T., Yukiyama, T., Ogushi, Y., Okada, Y., Haruki, Y.Application of telepsychiatry: a preliminary study. Psychiatry Clin Neurosci 2000;54(1):5558.CrossRefGoogle ScholarPubMed
Amarendran, V., George, A., Gersappe, V., Krishnaswamy, S., Warren, C.The reliability of telepsychiatry for a neuropsychiatric assessment. Telemed J E Health 2011;17(3):223225.CrossRefGoogle ScholarPubMed
Malhotra, S., Chakrabarti, S., Shah, R., Gupta, A., Mehta, A., Nithya, B.Development of a novel diagnostic system for a telepsychiatric application: a pilot validation study. BMC Res Notes 2014;7:508.CrossRefGoogle ScholarPubMed
Schutte, J.L., McCue, M.P., Parmanto, B., McGonigle, J., Handen, B., Lewis, A.Usability and reliability of a remotely administered adult autism assessment, the autism diagnostic observation schedule (ADOS) module 4. Telemed J E Health 2015;21(3):176184.CrossRefGoogle ScholarPubMed
Maieritsch, K.P., Smith, T.L., Hessinger, J.D., Ahearn, E.P., Eickhoff, J.C., Zhao, Q.Randomized controlled equivalence trial comparing videoconference and in person delivery of cognitive processing therapy for PTSD. J Telemed Telecare 2015[Epub ahead of print].Google ScholarPubMed
O’Reilly, R., Bishop, J., Maddox, K., Hutchinson, L., Fisman, M., Takhar, J.Is telepsychiatry equivalent to face-to-face psychiatry? Results from a randomized controlled equivalence trial. Psychiatr Serv 2007;58(6):836843.CrossRefGoogle ScholarPubMed
De Las Cuevas, C., Arredondo, M.T., Cabrera, M.F., Sulzenbacher, H., Meise, U.Randomized clinical trial of telepsychiatry through videoconference versus face-to-face conventional psychiatric treatment. Telemed J E Health 2006;12(3):341350.CrossRefGoogle ScholarPubMed
Morland, L.A., Greene, C.J., Rosen, C.S., Foy, D., Reilly, P., Shore, J.Telemedicine for anger management therapy in a rural population of combat veterans with posttraumatic stress disorder: a randomized noninferiority trial. J Clin Psychiatry 2010;71(7):855863.CrossRefGoogle Scholar
Morland, L.A., Mackintosh, M.-A., Greene, C.J., Rosen, C.S., Chard, K.M., Resick, P.Cognitive processing therapy for posttraumatic stress disorder delivered to rural veterans via telemental health: a randomized noninferiority clinical trial. J Clin Psychiatry 2014;75(5):470476.CrossRefGoogle ScholarPubMed
Tse, Y.J., McCarty, C.A., Stoep, A.V., Myers, K.M.Teletherapy delivery of caregiver behavior training for children with attention-deficit hyperactivity disorder. Telemed J E Health 2015;21(6):451458.CrossRefGoogle ScholarPubMed
Choi, N.G., Hegel, M.T., Marti, N., Marinucci, M.L., Sirrianni, L., Bruce, M.L.Telehealth problem-solving therapy for depressed low-income homebound older adults. Am J Geriatr Psychiatry 2014;22(3):263271.CrossRefGoogle ScholarPubMed
Moreno, F.A., Chong, J., Dumbauld, J., Humke, M., Byreddy, S.Use of standard Webcam and Internet equipment for telepsychiatry treatment of depression among underserved Hispanics. Psychiatr Serv 2012;63(12):12131217.CrossRefGoogle ScholarPubMed
Ruskin, P.E., Silver-Aylaian, M., Kling, M.A., Reed, S.A., Bradham, D.D., Hebel, J.R.Treatment outcomes in depression: comparison of remote treatment through telepsychiatry to in-person treatment. Am J Psychiatry 2004;161(8):14711476.CrossRefGoogle ScholarPubMed
Fortney, J.C., Pyne, J.M., Edlund, M.J., Williams, D.K., Robinson, D.E., Mittal, D.A randomized trial of telemedicine-based collaborative care for depression. J Gen Intern Med 2007;22(8):10861093.CrossRefGoogle Scholar
Fortney, J.C., Pyne, J.M., Mouden, S.B., Mittal, D., Hudson, T.J., Schroeder, G.W.Practice-based versus telemedicine-based collaborative care for depression in rural federally qualified health centers: a pragmatic randomized comparative effectiveness trial. Am J Psychiatry 2013;170(4):414425.CrossRefGoogle ScholarPubMed
Poon, P., Hui, E., Dai, D., Kwok, T., Woo, J.Cognitive intervention for community-dwelling older persons with memory problems: telemedicine versus face-to-face treatment. Int J Geriatr Psychiatry 2005;20(3):285286.CrossRefGoogle ScholarPubMed
Mitchell, J.E., Crosby, R.D., Wonderlich, S.A., Crow, S., Lancaster, K., Simonich, H.A randomized trial comparing the efficacy of cognitive-behavioral therapy for bulimia nervosa delivered via telemedicine versus face-to-face. Behav Res Ther 2008;46(5):581592.CrossRefGoogle ScholarPubMed
Choi, N.G., Marti, C.N., Bruce, M.L., Hegel, M.T., Wilson, N.L., Kunik, M.E.Six-month postintervention depression and disability outcomes of in-home telehealth problem-solving therapy for depressed, low-income homebound older adults. Depress Anxiety 2014;31(8):653661.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.