201 lines
6.4 KiB
YAML
201 lines
6.4 KiB
YAML
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abstract: 'Mitigating the COVID-19 related disruptions in mental health care
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services is crucial in a time of increased mental health disorders.
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Numerous reviews have been conducted on the process of implementing
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technology-based mental health care during the pandemic. The research
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question of this umbrella review was to examine what the impact of
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COVID-19 was on access and delivery of mental health services and how
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mental health services have changed during the pandemic. A systematic
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search for systematic reviews and meta-analyses was conducted up to
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August 12, 2022, and 38 systematic reviews were identified. Main
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disruptions during COVID-19 were reduced access to outpatient mental
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health care and reduced admissions and earlier discharge from inpatient
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care. In response, synchronous telemental health tools such as
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videoconferencing were used to provide remote care similar to pre-COVID
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care, and to a lesser extent asynchronous virtual mental health tools
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such as apps. Implementation of synchronous tools were facilitated by
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time-efficiency and flexibility during the pandemic but there was a lack
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of accessibility for specific vulnerable populations. Main barriers
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among practitioners and patients to use digital mental health tools were
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poor technological literacy, particularly when preexisting inequalities
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existed, and beliefs about reduced therapeutic alliance particularly in
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case of severe mental disorders. Absence of organizational support for
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technological implementation of digital mental health interventions due
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to inadequate IT infrastructure, lack of funding, as well as lack of
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privacy and safety, challenged implementation during COVID-19. Reviews
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were of low to moderate quality, covered heterogeneously designed
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primary studies and lacked findings of implementation in low- and
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middle-income countries. These gaps in the evidence were particularly
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prevalent in studies conducted early in the pandemic. This umbrella
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review shows that during the COVID-19 pandemic, practitioners and mental
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health care institutions mainly used synchronous telemental health
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tools, and to a lesser degree asynchronous tools to enable continued
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access to mental health care for patients. Numerous barriers to these
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tools were identified, and call for further improvements. In addition,
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more high quality research into comparative effectiveness and working
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mechanisms may improve scalability of mental health care in general and
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in future infectious disease outbreaks.'
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affiliation: 'Witteveen, AB (Corresponding Author), Vrije Univ Amsterdam, Amsterdam
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Publ Hlth Inst, Clin Neuro \& Dev Psychol, Amsterdam, Netherlands.
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Witteveen, AB (Corresponding Author), Vrije Univ Amsterdam, Amsterdam Publ Hlth
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Inst, WHO Collaborating Ctr Res \& Disseminat Psychol In, Amsterdam, Netherlands.
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Witteveen, A. B.; Young, S.; Cuijpers, P.; Franzoi, D.; Gasior, M.; Palantza, C.;
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Wang, S.; Sijbrandij, M., Vrije Univ Amsterdam, Amsterdam Publ Hlth Inst, Clin Neuro
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\& Dev Psychol, Amsterdam, Netherlands.
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Witteveen, A. B.; Young, S.; Cuijpers, P.; Franzoi, D.; Gasior, M.; Palantza, C.;
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Wang, S.; Sijbrandij, M., Vrije Univ Amsterdam, Amsterdam Publ Hlth Inst, WHO Collaborating
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Ctr Res \& Disseminat Psychol In, Amsterdam, Netherlands.
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Ayuso-Mateos, J. L., Hosp Univ La Princesa, Inst Invest Sanitaria Princesa IIS Princesa,
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Dept Psychiat, Madrid, Spain.
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Ayuso-Mateos, J. L.; Cabello, M., Univ Autonoma Madrid, Dept Psychiat, Madrid, Spain.
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Ayuso-Mateos, J. L.; Cabello, M., CIBERSAM, Inst Salud Carlos III, Ctr Invest Biomed
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Red Salud Mental, Madrid, Spain.
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Barbui, C.; Bertolini, F.; Cadorin, C.; Purgato, M., Univ Verona, Sect Psychiat,
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Dept Neurosci Biomed \& Movement Sci, WHO Collaborating Ctr Res \& Training Mental
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Hlth, Verona, Italy.
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John, A., Swansea Univ, Hlth Data Sci, Med Sch, Swansea, W Glam, Wales.
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Downes, N.; Melchior, M.; Van der Waerden, J., Sorbonne Univ, Inst Pierre Louis
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dEpidemiol \& Sante Publ IPLESP, Fac Med St Antoine, INSERM,Equipe Rech Epidemiol
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Sociale ERES, Paris, France.
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McDaid, D., London Sch Econ \& Polit Sci, Dept Hlth Policy, Care Policy \& Evaluat
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Ctr, London, England.'
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article-number: '104226'
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author: Witteveen, A. B. and Young, S. and Cuijpers, P. and Ayuso-Mateos, J. L. and
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Barbui, C. and Bertolini, F. and Cabello, M. and Cadorin, C. and Downes, N. and
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Franzoi, D. and Gasior, M. and John, A. and Melchior, M. and McDaid, D. and Palantza,
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C. and Purgato, M. and Van der Waerden, J. and Wang, S. and Sijbrandij, M.
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author-email: a.b.witteveen@vu.nl
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author_list:
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- family: Witteveen
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given: A. B.
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- family: Young
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given: S.
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- family: Cuijpers
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given: P.
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- family: Ayuso-Mateos
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given: J. L.
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- family: Barbui
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given: C.
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- family: Bertolini
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given: F.
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- family: Cabello
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given: M.
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- family: Cadorin
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given: C.
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- family: Downes
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given: N.
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- family: Franzoi
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given: D.
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- family: Gasior
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given: M.
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- family: John
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given: A.
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- family: Melchior
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given: M.
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- family: McDaid
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given: D.
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- family: Palantza
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given: C.
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- family: Purgato
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given: M.
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- family: Van der Waerden
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given: J.
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- family: Wang
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given: S.
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- family: Sijbrandij
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given: M.
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da: '2023-09-28'
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doi: 10.1016/j.brat.2022.104226
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eissn: 1873-622X
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files: []
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issn: 0005-7967
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journal: BEHAVIOUR RESEARCH AND THERAPY
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keywords: 'COVID-19; Mental health service delivery; e-mental health psychological
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interventions; Implementation; Scalability; Continuity of care'
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keywords-plus: SYSTEMATIC REVIEWS; CORONAVIRUS; DISORDERS; SERVICES; PEOPLE; INCOME;
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UK
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language: English
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month: DEC
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number-of-cited-references: '94'
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orcid-numbers: 'McDaid, David/0000-0003-0744-2664
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Sijbrandij, Marit/0000-0001-5430-9810
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Bertolini, Federico/0000-0003-0936-2908
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Cabello, Maria/0000-0003-2362-6092
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Cadorin, Camilla/0000-0002-7642-2096
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Young, Susanne/0000-0001-5803-907X
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van der Waerden, Judith/0000-0002-5324-1372
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Witteveen, Anke/0000-0002-9636-7522
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Cuijpers, Pim/0000-0001-5497-2743'
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papis_id: be60bad31c76db257015cc069b8feb59
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ref: Witteveen2022remotemental
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researcherid-numbers: 'McDaid, David/E-5959-2014
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Sijbrandij, Marit/N-6131-2018
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'
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tags:
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- review
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times-cited: '5'
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title: 'Remote mental health care interventions during the COVID-19 pandemic: An umbrella
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review'
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type: Review
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unique-id: WOS:001043962500005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '159'
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web-of-science-categories: Psychology, Clinical
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year: '2022'
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