Establishing and Governing e-Mental Health Care in Australia: A Systematic Review of Challenges and A Call For Policy-Focussed Research

Journal of Medical Internet Research
Carla MeurkHarvey Whiteford

Abstract

Growing evidence attests to the efficacy of e-mental health services. There is less evidence on how to facilitate the safe, effective, and sustainable implementation of these services. We conducted a systematic review on e-mental health service use for depressive and anxiety disorders to inform policy development and identify policy-relevant gaps in the evidence base. Following the PRISMA protocol, we identified research (1) conducted in Australia, (2) on e-mental health services, (3) for depressive or anxiety disorders, and (4) on e-mental health usage, such as barriers and facilitators to use. Databases searched included Cochrane, PubMed, PsycINFO, CINAHL, Embase, ProQuest Social Science, and Google Scholar. Sources were assessed according to area and level of policy relevance. The search yielded 1081 studies; 30 studies were included for analysis. Most reported on self-selected samples and samples of online help-seekers. Studies indicate that e-mental health services are predominantly used by females, and those who are more educated and socioeconomically advantaged. Ethnicity was infrequently reported on. Studies examining consumer preferences found a preference for face-to-face therapy over e-therapies, but not an aversion ...Continue Reading

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Citations

May 26, 2017·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Eva SerhalPaul Kurdyak
Oct 14, 2016·The Australian and New Zealand Journal of Psychiatry·Nickolai TitovOlav B Nielssen
Dec 19, 2017·Nurse Researcher·Rhonda Lynne Wilson, Kim Usher
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Jan 17, 2020·Journal of Community Psychology·Louise A EllisJeffrey Braithwaite
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Aug 29, 2020·Journal of Medical Internet Research·Nidal DrissiMounir Ghogho
Jul 26, 2019·Journal of Medical Internet Research·Hanneke Scholten, Isabela Granic
Jun 26, 2020·Frontiers in Psychology·Izaak DekkerBas Giesbers
Nov 24, 2016·International Journal of Mental Health Nursing·Simone OrlowskiPeter Musiat
May 17, 2019·Revista Panamericana De Salud Pública = Pan American Journal of Public Health·Rafaela Santana CelesCarla Cardoso
Jun 5, 2017·BMC Medical Informatics and Decision Making·Lori WozneyPatrick McGrath
Jan 13, 2021·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Susan FletcherJane Gunn
Mar 2, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Aarthi GanapathyLeanne M Casey
Sep 28, 2021·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Andrew James AmosFergus W Gardiner

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Methods Mentioned

BETA
pharmacotherapies

Software Mentioned

EMTREE
Embase
ProQuest Science
ProQuest Social Science
Google Scholar

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