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Telemental Health For Youth With Chronic Illnesses: Systematic Review.
Nancy Lau1,2,3, Susannah F Colt4, Shayna Waldbaum5
1Palliative Care and Resilience Lab, Center for Clinical and Translational Research, Seattle Children's Research Institute, Seattle, WA, United States.
JMIR Mental Health
|August 27, 2021
Summary
Telemental health interventions show promise for youth with chronic conditions, demonstrating feasibility but mixed efficacy. Further research is needed to confirm their sustainability as an alternative to in-person care post-pandemic.
Area of Science:
- Pediatric chronic illness management
- Mental health services delivery
- Digital health interventions
Background:
- Youth with chronic conditions face significant mental health challenges and reduced quality of life.
- The COVID-19 pandemic accelerated the shift to telemental health, necessitating an evaluation of its effectiveness.
- Existing research gaps highlight the need to understand the feasibility and efficacy of remote mental health services for this population.
Purpose of the Study:
- To systematically review studies on the feasibility and efficacy of telemental health interventions for individuals aged 25 years and younger with chronic illnesses.
- To synthesize current evidence on the appropriateness, acceptability, and effectiveness of remote mental health care for pediatric populations.
Main Methods:
- A systematic literature search was conducted across major databases (PubMed, Embase, Web of Science, PsycInfo, Cochrane) from 2008 to 2020.
- Included studies were experimental, quasiexperimental, or observational, focusing on telemental health interventions for youth with chronic illnesses measuring feasibility or efficacy.
- Studies were limited to English-language, peer-reviewed publications, excluding those focused on caregivers, general mental health, or disease management.
Main Results:
- Twelve studies, representing seven unique telemental health interventions, met the inclusion criteria.
- Feasibility outcomes indicated that telemental health interventions were appropriate, acceptable, and satisfactory, with technology not posing access barriers.
- Efficacy findings were mixed, with significant heterogeneity across studies precluding meta-analysis.
Conclusions:
- The scientific evidence for telemental health interventions in youth with chronic illnesses is still developing.
- Early findings support the feasibility of delivering traditional interventions via telehealth.
- Further research is crucial to determine if telemental health can be a sustainable alternative to in-person care.
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