Unlocking New Avenues in Inpatient Care: The Digital Mental Health transformation in India.
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| Title: | Unlocking New Avenues in Inpatient Care: The Digital Mental Health transformation in India. |
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| Alternate Title: | Abriendo nuevas vías en la atención hospitalaria: la transformación de la salud mental digital en la India. Abrindo novos caminhos na assistência hospitalar: a transformação da saúde mental digital na Índia. |
| Authors: | Devulkar, Namrata1 nmdevulkar@gmail.com, Ray, Supriya Pottal2 supriya.ray@bharatividyapeeth.edu, Salve, Pratik3 husain.nadaf@scon.edu.in, Nadaf, Husain4 mangesh@scon.edu.in, Jabade, Mangesh4 |
| Source: | Investigación & Educación en Enfermería. May-Jul2026, Vol. 44 Issue 2, p60-75. 16p. |
| Subjects: | Mental illness treatment, Patient compliance, Disabilities, Substance abuse, Mental health, Medical care, Digital health, Mental illness, Long-term health care, Telepsychiatry, Treatment effectiveness, Meta-analysis, Evaluation of medical care, Affective disorders, Descriptive statistics, Systematic reviews, MEDLINE, Eating disorders, Telemedicine, Quality of life, Medical databases, Online information services, Psychoses, Data analysis software, Patient aftercare, Integrated health care delivery, Psychology information storage & retrieval systems, Evaluation |
| Geographic Terms: | India |
| Abstract (English): | Objective. To systematically review and quantitatively synthesize evidence on the effectiveness of e-mental health (EMH) interventions in improving clinical outcomes among psychiatric inpatients in India, including symptom severity, relapse, treatment adherence, quality of life, and long-term post-discharge sustainability. Methods. A systematic review and meta-analysis were conducted following PRISMA guidelines. Searches of PubMed, PsycINFO, Cochrane CENTRAL, Science.gov, and ProQuest identified studies published between January 2000 and July 2024. Eligible studies included randomized controlled trials, quasi-experimental, and observational studies evaluating EMH interventions in Indian inpatient psychiatric settings. Data were analyzed using a random-effects model with Hedges’ g as the effect size measure. Risk of bias was assessed using the Cochrane RoB 2.0 tool, and publication bias was evaluated through funnel plots and Egger’s test. Results. Out of 1010 screened studies, 15 met inclusion criteria, involving 4235 participants. EMH interventions showed a significant overall positive effect on mental health outcomes (Hedges’ g = 0.30, 95% CI [0.20, 0.39], p < 0.001). Subgroup analyses demonstrated moderate effects for mood disorders (g = 0.38) and psychotic disorders (g = 0.43), with smaller but significant effects for eating disorders (g = 0.19) and substance use disorders (g = 0.21). Blended EMH interventions integrated with standard inpatient care (g = 0.42) were more effective than aftercare-only models (g = 0.29). Web-based and multimedia interventions outperformed app- and SMS-based approaches, with benefits remaining stable over time. Conclusion. EMH interventions significantly improve psychiatric outcomes among inpatients in India and offer scalable, cost-effective, and sustainable support, particularly in resource-limited settings. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo. Revisar sistemáticamente y sintetizar cuantitativamente la evidencia sobre la eficacia de las intervenciones de salud mental digital (SMD) para mejorar los resultados clínicos entre los pacientes psiquiátricos hospitalizados en la India, incluyendo la gravedad de los síntomas, las recaídas, la adherencia al tratamiento, la calidad de vida y la sostenibilidad a largo plazo tras el alta. Métodos. Se llevó a cabo una revisión sistemática y un metaanálisis siguiendo las directrices PRISMA. Las búsquedas en PubMed, PsycINFO, Cochrane CENTRAL, Science.gov y ProQuest identificaron estudios publicados entre enero de 2000 y julio de 2024. Los estudios elegibles incluyeron ensayos controlados aleatorios, estudios cuasi-experimentales y observacionales que evaluaban intervenciones de SMD en entornos psiquiátricos hospitalarios de la India. Los datos se analizaron utilizando un modelo de efectos aleatorios con el g de Hedges como medida del tamaño del efecto. El riesgo de sesgo se evaluó utilizando la herramienta Cochrane RoB 2.0, y el sesgo de publicación se evaluó mediante gráficos de embudo y la prueba de Egger. Resultados. De los 1010 estudios seleccionados, 15 cumplieron los criterios de inclusión, con 4235 participantes. Las intervenciones de SMD mostraron un efecto positivo general significativo en los resultados de salud mental (g de Hedges = 0.30; IC del 95 % [0.20; 0.39]; p < 0.001). Los análisis de subgrupos mostraron efectos moderados en los trastornos del estado de ánimo (g = 0.38) y los trastornos psicóticos (g = 0.43), con efectos más modestos pero significativos en los trastornos alimentarios (g = 0,19) y los trastornos por consumo de sustancias (g = 0.21). Las intervenciones combinadas de SMD integradas con la atención hospitalaria estándar (g = 0.42) fueron más efectivas que los modelos de solo atención de seguimiento (g = 0.29). Las intervenciones basadas en la web y multimedia superaron a los enfoques basados en aplicaciones y SMS, y los beneficios se mantuvieron estables a lo largo del tiempo. Conclusión. Las intervenciones de EMH mejoran significativamente los resultados psiquiátricos entre los pacientes hospitalizados en la India y ofrecen un apoyo escalable, rentable y sostenible, particularmente en entornos con recursos limitados. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo. Realizar uma revisão sistemática e sintetizar quantitativamente as evidências sobre a eficácia das intervenções em saúde mental digitais (SMD) para melhorar os resultados clínicos em doentes psiquiátricos hospitalizados na Índia, incluindo a gravidade dos sintomas, as recaídas, a adesão ao tratamento, a qualidade de vida e a sustentabilidade a longo prazo após a alta. Métodos. Foi realizada uma revisão sistemática e uma meta-análise seguindo as diretrizes PRISMA. As pesquisas no PubMed, PsycINFO, Cochrane CENTRAL, Science.gov e ProQuest identificaram estudos publicados entre janeiro de 2000 e julho de 2024. Os estudos elegíveis incluíram ensaios clínicos randomizados, estudos quase-experimentais e observacionais que avaliavam intervenções de SMD em ambientes psiquiátricos hospitalares na Índia. Os dados foram analisados utilizando um modelo de efeitos aleatórios com o g de Hedges como medida do tamanho do efeito. O risco de viés foi avaliado utilizando a ferramenta Cochrane RoB 2.0, e o viés de publicação foi avaliado através de gráficos em funil e do teste de Egger. Resultados. Dos 1010 estudos selecionados, 15 cumpriram os critérios de inclusão, com 4235 participantes. As intervenções de SMD mostraram um efeito positivo geral significativo nos resultados de saúde mental (g de Hedges = 0.30; IC de 95 % [0.20; 0.39]; p < 0.001). As análises de subgrupos revelaram efeitos moderados nos transtornos do humor (g = 0,38) e nos transtornos psicóticos (g = 0.43), com efeitos mais modestos, mas significativos, nos transtornos alimentares (g = 0.19) e nos transtornos relacionados ao consumo de substâncias (g = 0.21). As intervenções combinadas de SMD integradas aos cuidados hospitalares padrão (g = 0.42) foram mais eficazes do que os modelos de apenas acompanhamento (g = 0.29). As intervenções baseadas na web e em multimédia superaram as abordagens baseadas em aplicações e SMS, e os benefícios mantiveram-se estáveis ao longo do tempo. Conclusão. As intervenções de EMH melhoram significativamente os resultados psiquiátricos entre os doentes hospitalizados na Índia e oferecem um apoio escalável, rentável e sustentável, particularmente em ambientes com recursos limitados. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective. To systematically review and quantitatively synthesize evidence on the effectiveness of e-mental health (EMH) interventions in improving clinical outcomes among psychiatric inpatients in India, including symptom severity, relapse, treatment adherence, quality of life, and long-term post-discharge sustainability. Methods. A systematic review and meta-analysis were conducted following PRISMA guidelines. Searches of PubMed, PsycINFO, Cochrane CENTRAL, Science.gov, and ProQuest identified studies published between January 2000 and July 2024. Eligible studies included randomized controlled trials, quasi-experimental, and observational studies evaluating EMH interventions in Indian inpatient psychiatric settings. Data were analyzed using a random-effects model with Hedges’ g as the effect size measure. Risk of bias was assessed using the Cochrane RoB 2.0 tool, and publication bias was evaluated through funnel plots and Egger’s test. Results. Out of 1010 screened studies, 15 met inclusion criteria, involving 4235 participants. EMH interventions showed a significant overall positive effect on mental health outcomes (Hedges’ g = 0.30, 95% CI [0.20, 0.39], p < 0.001). Subgroup analyses demonstrated moderate effects for mood disorders (g = 0.38) and psychotic disorders (g = 0.43), with smaller but significant effects for eating disorders (g = 0.19) and substance use disorders (g = 0.21). Blended EMH interventions integrated with standard inpatient care (g = 0.42) were more effective than aftercare-only models (g = 0.29). Web-based and multimedia interventions outperformed app- and SMS-based approaches, with benefits remaining stable over time. Conclusion. EMH interventions significantly improve psychiatric outcomes among inpatients in India and offer scalable, cost-effective, and sustainable support, particularly in resource-limited settings. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01205307 |
| DOI: | 10.17533/udea.iee.v44n2e07 |
