TY - JOUR
KW - Cognition Disorders/diagnosis
KW - Dementia/diagnosis
KW - Disability Evaluation
KW - Humans
KW - Internet
KW - Mental Disorders/diagnosis
KW - Neuropsychological Tests
KW - Obsessive-Compulsive Disorder/diagnosis
KW - Panic Disorder/diagnosis
KW - Phobic Disorders/diagnosis
KW - Psychiatry/instrumentation
KW - Schizophrenia/diagnosis
KW - Stress Disorders, Post-Traumatic/diagnosis
KW - Substance-Related Disorders/diagnosis
KW - Telemedicine/methods
KW - Telephone
KW - Videoconferencing/instrumentation
AU - D. Hailey
AU - R. Roine
AU - A. Ohinmaa
A1 - 
AB - OBJECTIVE: To review the evidence of benefit from use of telemental health (TMH) in studies that reported clinical or administrative outcomes. METHOD: Relevant publications were identified through computerized literature searches using several electronic databases. Included for review were scientifically valid articles that described controlled studies, comparing TMH with a non-TMH alternative, and uncontrolled studies that had no fewer than 20 participants. Quality of the evidence was assessed with an approach that considers both study performance and study design. Judgments were made on whether further data were needed to establish each TMH application as suitable for routine clinical use. RESULTS: Included in the review were 72 papers that described 65 clinical studies; 32 (49%) studies were of high or good quality. Quality of evidence was higher for Internet- and telephone-based interventions than for video conferencing approaches. There was evidence of success with TMH in the areas of child psychiatry, depression, dementia, schizophrenia, suicide prevention, posttraumatic stress, panic disorders, substance abuse, eating disorders, and smoking prevention. Evidence of success for general TMH programs and in the management of obsessive-compulsive disorder were less convincing. Further study was judged to be necessary or desirable in 53 (82%) of the studies. CONCLUSION: Evidence of benefit from TMH applications is encouraging, though still limited. There is a need for more good-quality studies on the use of TMH in routine care. The emerging use of Internet-based applications is an important development that deserves further evaluation.
BT - Canadian journal of psychiatry.Revue canadienne de psychiatrie
C5 - HIT & Telehealth
CP - 11
CY - Canada
IS - 11
JF - Canadian journal of psychiatry.Revue canadienne de psychiatrie
N2 - OBJECTIVE: To review the evidence of benefit from use of telemental health (TMH) in studies that reported clinical or administrative outcomes. METHOD: Relevant publications were identified through computerized literature searches using several electronic databases. Included for review were scientifically valid articles that described controlled studies, comparing TMH with a non-TMH alternative, and uncontrolled studies that had no fewer than 20 participants. Quality of the evidence was assessed with an approach that considers both study performance and study design. Judgments were made on whether further data were needed to establish each TMH application as suitable for routine clinical use. RESULTS: Included in the review were 72 papers that described 65 clinical studies; 32 (49%) studies were of high or good quality. Quality of evidence was higher for Internet- and telephone-based interventions than for video conferencing approaches. There was evidence of success with TMH in the areas of child psychiatry, depression, dementia, schizophrenia, suicide prevention, posttraumatic stress, panic disorders, substance abuse, eating disorders, and smoking prevention. Evidence of success for general TMH programs and in the management of obsessive-compulsive disorder were less convincing. Further study was judged to be necessary or desirable in 53 (82%) of the studies. CONCLUSION: Evidence of benefit from TMH applications is encouraging, though still limited. There is a need for more good-quality studies on the use of TMH in routine care. The emerging use of Internet-based applications is an important development that deserves further evaluation.
PP - Canada
PY - 2008
SN - 0706-7437; 0706-7437
SP - 769
EP - 778
EP - 
T1 - The effectiveness of telemental health applications: A review
T2 - Canadian journal of psychiatry.Revue canadienne de psychiatrie
TI - The effectiveness of telemental health applications: A review
U1 - HIT & Telehealth
U2 - 19087471
VL - 53
VO - 0706-7437; 0706-7437
Y1 - 2008
ER -