Universidad César Vallejo, Escuela de Medicina, Trujillo, Peru.
Instituto Peruano de Orientación Psicológica, Lima, Peru.
F1000Res. 2020 Oct 29;9:1282. doi: 10.12688/f1000research.27150.2. eCollection 2020.
During the COVID-19 pandemic, it has been necessary to deliver mental health care using technologies (e-mental health). But there have been difficulties in its application. Quantitative systematic reviews such as meta-analysis doesn't allow us to fully identify and properly describe this subject. Thus, our study has two main objectives: a) "to determine what evidence is available for synchronous e-mental health implementation"; and b) "to develop a framework informed by a realist analysis for the implementation of synchronous e-mental health". We will search MEDLINE, EBM Reviews, PsycINFO, EMBASE, SCOPUS, CINAHL Complete, and Web of Science databases from 1st January 2015 to September 2020, with no language restriction. A systematic review with a narrative description and a realist synthesis will be conducted. Primary studies relating to adults with common mental health problems using any type of mobile mental health intervention that includes a synchronic component and communication with a mental health professional will be included. For the analysis, we will make a realist synthesis of the systematic reviews, using a grounded theory approach with an emergent approach to synthesize the information, prioritizing the systematic reviews with a lower risk of bias in the AMSTAR-2 tool. The realist synthesis will be based on the interpretation, integration, and inference of the evaluated elements and the generation of hypotheses to better understand the implementation process of synchronous e-mental health. Finally, we will present the overall assessment in a Summary of Qualitative Findings table. Our results will allow a better understanding of the facilitator and limitations in implementing e-mental health.
在 COVID-19 大流行期间，使用技术（电子心理健康）提供心理健康护理是必要的。但在应用过程中存在困难。定量系统评价，如荟萃分析，无法让我们充分识别和正确描述这个主题。因此，我们的研究有两个主要目标：a）“确定有哪些证据可用于同步电子心理健康实施”；b）“根据现实主义分析为同步电子心理健康实施制定一个框架”。我们将从 2015 年 1 月 1 日至 2020 年 9 月，在 MEDLINE、EBM Reviews、PsycINFO、EMBASE、SCOPUS、CINAHL Complete 和 Web of Science 数据库中进行搜索，不限制语言。将进行系统评价和叙述描述以及现实主义综合。将包括使用任何类型的移动心理健康干预措施（包括同步组件和与心理健康专业人员沟通）的成年人常见心理健康问题的初级研究。对于分析，我们将使用扎根理论方法对系统评价进行现实主义综合，采用涌现方法综合信息，优先考虑 AMSTAR-2 工具中偏差风险较低的系统评价。现实主义综合将基于对评估元素的解释、整合和推断，并生成假设，以更好地理解同步电子心理健康的实施过程。最后，我们将在定性发现总结表中呈现总体评估。我们的研究结果将有助于更好地理解实施电子心理健康的促进因素和限制因素。
