Abstract
Background:During the COVID-19 pandemic, it has been necessary to deliver mental health care using technologies (e-mental health). But there have been difficulties in its application. Quantitative systematic reviews such as meta-analysis doesn't allow us to fully identify and properly describe this subject. Thus, our study has two main objectives: a) "to determine what evidence is available for synchronous e-mental health implementation"; and b) "to develop a framework informed by a realist analysis for the implementation of synchronous e-mental health". Methods:We will search MEDLINE, EBM Reviews, PsycINFO, EMBASE, SCOPUS, CINAHL Complete, and Web of Science databases from 1st January 2015 to September 2020, with no language restriction. A systematic review with a narrative description and a realist synthesis will be conducted. Primary studies relating to adults with common mental health problems using any type of mobile mental health intervention that includes a synchronic component and communication with a mental health professional will be included. For the analysis, we will make a realist synthesis of the systematic reviews, using a grounded theory approach with an emergent approach to synthesize the information, prioritizing the systematic reviews with a lower risk of bias in the AMSTAR-2 tool. The realist synthesis will be based on the interpretation, integration, and inference of the evaluated elements and the generation of hypotheses to better understand the implementation process of synchronous e-mental health. Finally, we will present the overall assessment in a Summary of Qualitative Findings table. Conclusion: Our results will allow a better understanding of the facilitator and limitations in implementing e-mental health.
Highlights
The realist synthesis will be based on the interpretation, integration, and inference of the evaluated elements and the generation of hypotheses to better understand the implementation process of synchronous e-mental health
Our study has two main objectives: a) “to determine what evidence is available for synchronous e-mental health implementation”; and b) “to develop a framework informed by a realist analysis for the implementation of synchronous e-mental health”
Our study seeks to perform a realist synthesis of the evidence, so we focused on different outcomes to use them as input that allows us to evaluate the implementation of synchronous e-mental health
Summary
Mental health problems using any type of mobile mental health intervention that includes a synchronic component and communication with a mental health professional will be included. The realist synthesis will be based on the interpretation, integration, and inference of the evaluated elements and the generation of hypotheses to better understand the implementation process of synchronous e-mental health. This new version of the protocol has changed its title, detailing its analysis “a realist synthesis of systematic reviews”. We updated several sections of the protocol to describe better the research question and specifies the realist synthesis using a grounded theory approach with an emergent approach to synthesize the information, prioritizing the systematic reviews with a low risk of bias. Our study has two main objectives: a) “to determine what evidence is available for synchronous e-mental health implementation”; and b) “to develop a framework informed by a realist analysis for the implementation of synchronous e-mental health”
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