Background: Telemental health care has been rapidly adopted for maintaining services during the COVID-19 pandemic, and a substantial interest is now being devoted in its future role. Service planning and policy making for recovery from the pandemic and beyond should draw on both COVID-19 experiences and the substantial research evidence accumulated before this pandemic. Objective: We aim to conduct an umbrella review of systematic reviews available on the literature and evidence-based guidance on telemental health, including both qualitative and quantitative literature. Methods: Three databases were searched between January 2010 and August 2020 for systematic reviews meeting the predefined criteria. The retrieved reviews were independently screened, and those meeting the inclusion criteria were synthesized and assessed for risk of bias. Narrative synthesis was used to report these findings. Results: In total, 19 systematic reviews met the inclusion criteria. A total of 15 reviews examined clinical effectiveness, 8 reported on the aspects of telemental health implementation, 10 reported on acceptability to service users and clinicians, 2 reported on cost-effectiveness, and 1 reported on guidance. Most reviews were assessed to be of low quality. The findings suggested that video-based communication could be as effective and acceptable as face-to-face formats, at least in the short term. Evidence on the extent of digital exclusion and how it can be overcome and that on some significant contexts, such as children and young people’s services and inpatient settings, was found to be lacking. Conclusions: This umbrella review suggests that telemental health has the potential to be an effective and acceptable form of service delivery. However, we found limited evidence on the impact of its large-scale implementation across catchment areas. Combining previous evidence and COVID-19 experiences may allow realistic planning for the future implementation of telemental health. Trial Registration:

This is the abstract only. Read the full article on the JMIR site. JMIR is the leading open access journal for eHealth and healthcare in the Internet age.

中文翻译：

---

COVID-19 之前远程心理健康服务的实施：系统审查的快速总括审查

背景：在 COVID-19 大流行期间，远程医疗保健已被迅速用于维持服务，现在人们对其未来的作用产生了浓厚的兴趣。从大流行病中恢复的服务规划和政策制定应借鉴 COVID-19 的经验和大流行之前积累的大量研究证据。目标：我们的目标是对有关远程心理健康的文献和循证指导的系统评价进行总体审查，包括定性和定量文献。方法：在 2010 年 1 月至 2020 年 8 月期间搜索了三个数据库，以查找符合预定义标准的系统评价。对检索到的评论进行独立筛选，对符合纳入标准的评论进行综合并评估偏倚风险。叙事综合被用来报告这些发现。结果：总共有 19 篇系统评价符合纳入标准。共有 15 篇评论检查了临床有效性，8 篇报告了远程心理健康实施方面，10 篇报告了服务使用者和临床医生的可接受性，2 篇报告了成本效益，1 篇报告了指导。大多数评论被评估为低质量。研究结果表明，至少在短期内，基于视频的交流与面对面交流一样有效和可接受。发现缺乏关于数字排斥程度以及如何克服这种排斥以及在某些重要背景下（例如儿童和青年服务和住院环境）的证据。结论：这一总括性审查表明，远程心理健康有可能成为一种有效且可接受的服务提供形式。然而，我们发现有关其跨流域大规模实施的影响的证据有限。结合先前的证据和 COVID-19 的经验，可能会为未来远程心理健康的实施做出现实的规划。试用注册：

这只是摘要。阅读 JMIR 网站上的完整文章。JMIR 是互联网时代电子健康和医疗保健领域领先的开放获取期刊。