Khosravi Mohsen, Izadi Reyhane, Azar Ghazaleh
Imam Hossein Hospital, Shahroud University of Medical Sciences, Hafte Tir Square, Shahroud, 3614773955, Iran.
Department of Healthcare Services Management, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Zand St, Shiraz, Iran.
Adm Policy Ment Health. 2025 Mar;52(2):415-427. doi: 10.1007/s10488-024-01420-z. Epub 2024 Oct 30.
Mental disorders impact approximately one-third of the global population, affecting adults, children, and youth worldwide. Recently, electronic mental health (e-mental health) technologies have been proposed to facilitate the provision of mental health care by professionals and other stakeholders, aiming to address the challenges associated with delivering mental health services. The objective of this study was to investigate the existing factors influencing engagement with e-mental health technologies. This study was a systematic review of existing reviews conducted in 2024. PubMed, Scopus, ProQuest, and Cochrane databases were searched. The authors assessed the quality of the studies using the CASP (Critical Appraisal Skills Programme) Checklist. Subsequently, they extracted and analyzed the data, utilizing the Boyatzis thematic analysis approach. The systematic review resulted in 15 papers, all of which exhibited an acceptable level of quality and risk of bias. The thematic analysis classified the data into five main themes: 'Technical', 'Ethical and Legal', 'Clinical', 'Organizational', and 'Social'. The study underscored the significance of ensuring accessibility, affordability, and reimbursement to effectively engage patients with e-mental health services. Additionally, transparency-facilitated by self-certification and user involvement-alongside critical factors like informed consent and privacy safeguards, was presented as playing a pivotal role in the process. Moreover, facilitators, including tailored interventions that consider the specific needs of particular groups and temporary project teams composed of individuals working together on specific initiatives, were identified as essential contributors. Overall, the factors influencing engagement with e-mental health technologies and potential solutions for enhancing such engagement appear to be interconnected.
精神障碍影响着全球约三分之一的人口，在全球范围内对成年人、儿童和青少年都有影响。最近，电子心理健康（e-心理健康）技术被提出来，以促进专业人员和其他利益相关者提供心理健康护理，旨在应对提供心理健康服务所面临的挑战。本研究的目的是调查影响使用e-心理健康技术的现有因素。本研究是对2024年进行的现有综述的系统评价。检索了PubMed、Scopus、ProQuest和Cochrane数据库。作者使用CASP（批判性评估技能计划）清单评估了研究的质量。随后，他们采用博亚齐斯主题分析方法提取和分析数据。该系统评价产生了15篇论文，所有论文的质量和偏倚风险都处于可接受水平。主题分析将数据分为五个主要主题：“技术”、“伦理和法律”、“临床”、“组织”和“社会”。该研究强调了确保可及性、可承受性和报销的重要性，以有效地让患者参与e-心理健康服务。此外，通过自我认证和用户参与促进的透明度，以及诸如知情同意和隐私保护等关键因素，在这一过程中发挥了关键作用。此外，促进因素，包括考虑特定群体特殊需求的量身定制干预措施，以及由在特定倡议上共同工作的个人组成的临时项目团队，被确定为重要贡献因素。总体而言，影响使用e-心理健康技术的因素和增强这种使用的潜在解决方案似乎是相互关联的。
