BACKGROUND AND OBJECTIVE Telemedicine interventions have emerged as a promising solution to improve medication adherence by providing remote support and monitoring of patients with mental disorders. This study aims to investigate the effectiveness of telemedicine interventions in enhancing medication adherence among patients with mental disorders. METHODS PubMed, Scopus, and Web of Science were searched systematically. After deleting the double-included studies, two researchers independently selected articles and extracted data using a standardized data collection form. The risk of bias in the included studies was assessed using the Mixed Methods Appraisal Tool. The intervention effects were combined using a random effects model. Standardized mean differences (Hedges's g) between the treatment and control groups were calculated. Heterogeneity variance was estimated using the Q test and I2 statistic. The analysis was performed in Stata version 17.0. RESULTS Out of the 1088 articles retrieved, nine studies were included in the analysis. Overall, telemedicine interventions demonstrated a statistically significant improvement in medication adherence among patients with mental disorders (Hedges' g = 0.25, 95% confidence interval: 0.12-0.38, p-value: < 0.01). The type of mental disorder was a significant moderator of the heterogeneity between studies (p = 0.022). CONCLUSION Telemedicine interventions have a positive impact on medication adherence in patients with mental disorders by offering remote support and monitoring. Integrating telemedicine into mental healthcare can enhance overall adherence rates, leading to improved management of mental disorders.

中文翻译：

---

精神障碍患者的药物依从性：远程医疗干预的系统回顾和荟萃分析。

背景和目的远程医疗干预已成为一种有前途的解决方案，通过为精神障碍患者提供远程支持和监测来提高药物依从性。本研究旨在探讨远程医疗干预在提高精神障碍患者用药依从性方面的有效性。方法 系统检索 PubMed、Scopus 和 Web of Science。删除双纳入研究后，两名研究人员独立选择文章并使用标准化数据收集表格提取数据。使用混合方法评估工具评估纳入研究的偏倚风险。使用随机效应模型组合干预效应。计算治疗组和对照组之间的标准化平均差（Hedges g）。使用 Q 检验和 I2 统计来估计异质性方差。分析在 Stata 17.0 版本中进行。结果 在检索到的 1088 篇文章中，分析中纳入了 9 项研究。总体而言，远程医疗干预显示精神障碍患者的药物依从性在统计上显着改善（Hedges' g = 0.25，95% 置信区间：0.12-0.38，p 值：< 0.01）。精神障碍的类型是研究之间异质性的重要调节因素（p = 0.022）。结论 远程医疗干预通过提供远程支持和监测，对精神障碍患者的药物依从性产生积极影响。将远程医疗纳入精神卫生保健可以提高整体依从率，从而改善精神障碍的管理。