Richardson Lisa K, Frueh B Christopher, Grubaugh Anouk L, Egede Leonard, Elhai Jon D
Murdoch University, Perth, WA., Australia.
Clin Psychol (New York). 2009 Sep 1;16(3):323-338. doi: 10.1111/j.1468-2850.2009.01170.x.
The provision of mental health services via videoconferencing tele-mental health has become an increasingly routine component of mental health service delivery throughout the world. Emphasizing the research literature since 2003, we examine: 1) the extent to which the field of tele-mental health has advanced the research agenda previously suggested; and 2) implications for tele-mental health care delivery for special clinical populations. Previous findings have demonstrated that tele-mental health services are satisfactory to patients, improve outcomes, and are probably cost effective. In the very small number of randomized controlled studies that have been conducted to date, tele-mental health has demonstrated equivalent efficacy compared to face-to-face care in a variety of clinical settings and with specific patient populations. However, methodologically flawed or limited research studies are the norm, and thus the research agenda for tele-mental health has not been fully maximized. Implications for future research and practice are discussed.
通过视频会议进行远程心理健康服务已日益成为全球心理健康服务提供中的常规组成部分。本文着重探讨2003年以来的研究文献，研究内容包括：1）远程心理健康领域在多大程度上推进了此前提出的研究议程；2）针对特殊临床人群的远程心理健康护理服务的影响。先前的研究结果表明，远程心理健康服务令患者满意，能改善治疗效果，且可能具有成本效益。在迄今为止开展的极少数随机对照研究中，远程心理健康在各种临床环境和特定患者群体中已显示出与面对面护理相当的疗效。然而，方法存在缺陷或研究有限是常态，因此远程心理健康的研究议程尚未得到充分拓展。本文还讨论了对未来研究和实践的启示。
