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SYNCHRONOUS TELEHEALTH TECHNOLOGIES IN PSYCHOTHERAPY FOR DEPRESSION: A META-ANALYSIS
Article first published online: 6 AUG 2013
Published 2013. This article is a U.S. Government work and is in the public domain in the USA.
Depression and Anxiety
Volume 30, Issue 11, pages 1058–1067, November 2013
How to Cite
Osenbach, J. E., O'Brien, K. M., Mishkind, M. and Smolenski, D. J. (2013), SYNCHRONOUS TELEHEALTH TECHNOLOGIES IN PSYCHOTHERAPY FOR DEPRESSION: A META-ANALYSIS. Depress. Anxiety, 30: 1058–1067. doi: 10.1002/da.22165
- Issue published online: 4 NOV 2013
- Article first published online: 6 AUG 2013
- Manuscript Accepted: 13 JUL 2013
- Manuscript Revised: 9 JUL 2013
- Manuscript Received: 7 MAY 2013
- telemental health;
Many patients suffering from depression lack immediate access to care. The use of synchronous telehealth modalities to deliver psychotherapy is one solution to this problem. This meta-analysis examined differences in treatment efficacy for psychotherapy administered via synchronous telehealth as compared to standard nontelehealth approaches.
We located 14 articles that met inclusion criteria of the use of a synchronous telehealth modality for treatment compared to a standard nontelehealth modality comparison group.
Overall, a statistically significant systematic difference between modes of delivery was not identified (g = 0.14, SE = 0.08, 95% CI = [−0.03, 0.30], P = .098, I2 = 49.74%). Stratification methods and metaregression were used to analyze the contributions of type of comparison group, intervention modality, and targeted mental health outcome to moderation of effect size (ES) estimates and heterogeneity. Type of comparison group (face-to-face versus care-as-usual) had the strongest influence on observed heterogeneity and moderated the summary ES. The only detectable difference in efficacy was restricted to studies that used care-as-usual as the comparison group (g = 0.29, SE = 0.06, 95% CI = [0.16, 0.41], P < .001, I2 = 5.14%).
Overall, we found no evidence to suggest that the delivery of psychotherapy via synchronous telehealth modalities is less effective than nontelehealth means in reducing depression symptoms.