Mallise Carly, Wall Laura, Paolucci Francesco, Davies Kate, La Hera Fuentes Gina, Wilson Jessica, Tickner Campbell, Kay-Lambkin Frances, Heinsch Milena
Population Health, Hunter New England Local Health District, Wallsend, NSW, 2287, Australia.
School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, 2308, Australia.
Community Ment Health J. 2025 Apr;61(3):440-461. doi: 10.1007/s10597-024-01350-y. Epub 2024 Sep 13.
Mental health and substance use disorders affect the lives of many people worldwide. Prevention and treatment of these conditions is important for optimal health and wellbeing, yet service access barriers are common. Virtual models of care may help to reduce barriers to receiving care. However, to facilitate uptake and use of virtual services, they need to appeal to patients and clinicians. This systematic review aimed to synthesise preference elicitation studies to determine what features of virtual mental health and substance use care are preferred by service users and service providers. Following the PRISMA guidelines for systematic reviews, we searched PubMed, PsycINFO, EconLit, MEDLINE, CINAHL, Academic Search Ultimate, and ProQuest Central for all available studies from database inception until May 2023. The Mixed Methods Appraisal Tool was used to assess the methodological quality of included studies. Nineteen studies met the eligibility criteria. However, none examined preferences for elements of different models of virtual care. Across the included studies, we identified 41 unique features that mapped to four themes of mental health and substance use care ('service', 'treatment', 'clinician' and 'additional supports'). Participant preferences were for individual, in-person, effective, flexible, and low-cost treatment. These preferences varied based on demographic factors, such as culture, gender, and participant type (e.g., patients, clinicians, general population). A user-centred approach should be adopted when designing and implementing mental health and substance use services. While preferences for features of mental health and substance use services more broadly are known, preferences for different models of virtual care remain unexplored. Future research should examine what features of virtual services would lead to optimal uptake and use across different users and stakeholders.
心理健康和物质使用障碍影响着全球许多人的生活。预防和治疗这些疾病对于实现最佳健康和幸福至关重要，但获得服务的障碍却很常见。虚拟护理模式可能有助于减少接受护理的障碍。然而，为了促进虚拟服务的采用和使用，它们需要吸引患者和临床医生。本系统评价旨在综合偏好诱导研究，以确定服务使用者和服务提供者更喜欢虚拟心理健康和物质使用护理的哪些特征。遵循系统评价的PRISMA指南，我们在PubMed、PsycINFO、EconLit、MEDLINE、CINAHL、Academic Search Ultimate和ProQuest Central中搜索了从数据库创建到2023年5月的所有可用研究。使用混合方法评估工具来评估纳入研究的方法学质量。19项研究符合纳入标准。然而，没有一项研究考察了对不同虚拟护理模式要素的偏好。在纳入的研究中，我们确定了41个独特的特征，这些特征映射到心理健康和物质使用护理的四个主题（“服务”、“治疗”、“临床医生”和“额外支持”）。参与者更喜欢个性化、面对面、有效的、灵活的和低成本的治疗。这些偏好因人口统计学因素而异，如文化、性别和参与者类型（如患者、临床医生、普通人群）。在设计和实施心理健康和物质使用服务时，应采用以用户为中心的方法。虽然人们对心理健康和物质使用服务更广泛的特征偏好是已知的，但对不同虚拟护理模式的偏好仍未得到探索。未来的研究应该考察虚拟服务的哪些特征会导致不同用户和利益相关者的最佳采用和使用。
