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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.
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]
Copyright of Investigación & Educación en Enfermería is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Unlocking New Avenues in Inpatient Care: The Digital Mental Health transformation in India.
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  Data: Abriendo nuevas v&#237;as en la atenci&#243;n hospitalaria: la transformaci&#243;n de la salud mental digital en la India.&lt;br /&gt;Abrindo novos caminhos na assist&#234;ncia hospitalar: a transforma&#231;&#227;o da sa&#250;de mental digital na &#205;ndia.
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– Name: Abstract
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  Data: 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 &lt; 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]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Objetivo. Revisar sistem&#225;ticamente y sintetizar cuantitativamente la evidencia sobre la eficacia de las intervenciones de salud mental digital (SMD) para mejorar los resultados cl&#237;nicos entre los pacientes psiqui&#225;tricos hospitalizados en la India, incluyendo la gravedad de los s&#237;ntomas, las reca&#237;das, la adherencia al tratamiento, la calidad de vida y la sostenibilidad a largo plazo tras el alta. M&#233;todos. Se llev&#243; a cabo una revisi&#243;n sistem&#225;tica y un metaan&#225;lisis siguiendo las directrices PRISMA. Las b&#250;squedas 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 psiqui&#225;tricos hospitalarios de la India. Los datos se analizaron utilizando un modelo de efectos aleatorios con el g de Hedges como medida del tama&#241;o del efecto. El riesgo de sesgo se evalu&#243; utilizando la herramienta Cochrane RoB 2.0, y el sesgo de publicaci&#243;n se evalu&#243; mediante gr&#225;ficos de embudo y la prueba de Egger. Resultados. De los 1010 estudios seleccionados, 15 cumplieron los criterios de inclusi&#243;n, 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 &lt; 0.001). Los an&#225;lisis de subgrupos mostraron efectos moderados en los trastornos del estado de &#225;nimo (g = 0.38) y los trastornos psic&#243;ticos (g = 0.43), con efectos m&#225;s 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 atenci&#243;n hospitalaria est&#225;ndar (g = 0.42) fueron m&#225;s efectivas que los modelos de solo atenci&#243;n 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. Conclusi&#243;n. Las intervenciones de EMH mejoran significativamente los resultados psiqui&#225;tricos entre los pacientes hospitalizados en la India y ofrecen un apoyo escalable, rentable y sostenible, particularmente en entornos con recursos limitados. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Portuguese)
  Group: Ab
  Data: Objetivo. Realizar uma revis&#227;o sistem&#225;tica e sintetizar quantitativamente as evid&#234;ncias sobre a efic&#225;cia das interven&#231;&#245;es em sa&#250;de mental digitais (SMD) para melhorar os resultados cl&#237;nicos em doentes psiqui&#225;tricos hospitalizados na &#205;ndia, incluindo a gravidade dos sintomas, as reca&#237;das, a ades&#227;o ao tratamento, a qualidade de vida e a sustentabilidade a longo prazo ap&#243;s a alta. M&#233;todos. Foi realizada uma revis&#227;o sistem&#225;tica e uma meta-an&#225;lise 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 eleg&#237;veis inclu&#237;ram ensaios cl&#237;nicos randomizados, estudos quase-experimentais e observacionais que avaliavam interven&#231;&#245;es de SMD em ambientes psiqui&#225;tricos hospitalares na &#205;ndia. Os dados foram analisados utilizando um modelo de efeitos aleat&#243;rios com o g de Hedges como medida do tamanho do efeito. O risco de vi&#233;s foi avaliado utilizando a ferramenta Cochrane RoB 2.0, e o vi&#233;s de publica&#231;&#227;o foi avaliado atrav&#233;s de gr&#225;ficos em funil e do teste de Egger. Resultados. Dos 1010 estudos selecionados, 15 cumpriram os crit&#233;rios de inclus&#227;o, com 4235 participantes. As interven&#231;&#245;es de SMD mostraram um efeito positivo geral significativo nos resultados de sa&#250;de mental (g de Hedges = 0.30; IC de 95 % [0.20; 0.39]; p &lt; 0.001). As an&#225;lises de subgrupos revelaram efeitos moderados nos transtornos do humor (g = 0,38) e nos transtornos psic&#243;ticos (g = 0.43), com efeitos mais modestos, mas significativos, nos transtornos alimentares (g = 0.19) e nos transtornos relacionados ao consumo de subst&#226;ncias (g = 0.21). As interven&#231;&#245;es combinadas de SMD integradas aos cuidados hospitalares padr&#227;o (g = 0.42) foram mais eficazes do que os modelos de apenas acompanhamento (g = 0.29). As interven&#231;&#245;es baseadas na web e em multim&#233;dia superaram as abordagens baseadas em aplica&#231;&#245;es e SMS, e os benef&#237;cios mantiveram-se est&#225;veis ao longo do tempo. Conclus&#227;o. As interven&#231;&#245;es de EMH melhoram significativamente os resultados psiqui&#225;tricos entre os doentes hospitalizados na &#205;ndia e oferecem um apoio escal&#225;vel, rent&#225;vel e sustent&#225;vel, particularmente em ambientes com recursos limitados. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Investigaci&#243;n &amp; Educaci&#243;n en Enfermer&#237;a is the property of Universidad de Antioquia, Facultad de Enfermeria and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – SubjectFull: Evaluation
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      – SubjectFull: India
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    Titles:
      – TitleFull: Unlocking New Avenues in Inpatient Care: The Digital Mental Health transformation in India.
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          Name:
            NameFull: Ray, Supriya Pottal
      – PersonEntity:
          Name:
            NameFull: Salve, Pratik
      – PersonEntity:
          Name:
            NameFull: Nadaf, Husain
      – PersonEntity:
          Name:
            NameFull: Jabade, Mangesh
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 05
              Text: May-Jul2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 01205307
          Numbering:
            – Type: volume
              Value: 44
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: Investigación & Educación en Enfermería
              Type: main
ResultId 1