Telemedicine’s Impact on Mental Health and Physical Disorders
DOI:
https://doi.org/10.58445/rars.1136Keywords:
telemedicine, telehealth, tele-psychotherapy, tele-rehabilitation, mental health, chronic disordersAbstract
The utilization of telemedicine increased 766% at the beginning of the pandemic and became an integral part of access to healthcare. In order to prevent the spread of COVID-19, healthcare providers maintained their patients’ access to care by conducting visits through video conferences. Telemedicine improves patients’ management and treatment of chronic conditions such as depression, anxiety, diabetes, chronic obstructive pulmonary disease, and hypertension due to increased access to care and lower associated costs. The use of online programs in telemedicine such as adapted virtual cognitive behavioral therapy and applications accessible through smart phones allowed patients to treat and address ongoing challenges with mental health disorders such as depression and anxiety. Digital interventions with self-management programs have created advancements for patients suffering from type 2 diabetes mellitus, chronic obstructive pulmonary disease, and hypertension. Telerehabilitation has allowed patients with various physical disorders to exceed their treatment adherence and have access to constant medical support which assists medical care. Although telemedicine has offered accessibility, lower income patients are challenged by less support and privacy for telemedicine visits. The utilization of telemedicine has played an important role in the way patients approach and manage their chronic diseases. Future research on how racial and ethnic groups are impacted due to the cost of technology equipment could improve the challenge for different age groups who currently face communication barriers and other safety and security concerns.
References
Agarwal, A. K. (2023a, August 7). Chronic obstructive pulmonary disease. StatPearls.
https://www.ncbi.nlm.nih.gov/books/NBK559281/
Alkureishi, M. A., Choo, Z. Y., Rahman, A., Ho, K., Benning-Shorb, J., Lenti, G., Velázquez Sánchez, I., Zhu, M., Shah, S. D., & Lee, W. W. (2021). Digitally disconnected: Qualitative study of patient perspectives on the digital divide and potential solutions. JMIR Human Factors, 8(4), e33364. https://doi.org/10.2196/33364
American Diabetes Association (2013). Diagnosis and classification of diabetes mellitus. Diabetes Care, 36 Suppl 1(Suppl 1), S67–S74. https://doi.org/10.2337/dc13-S067
Arafat, M. Y., Zaman, S., & Hawlader, M. D. H. (2021). Telemedicine improves mental health https://doi.org/10.7189/jogh.11.03004
Association, A. L. (n.d.). Understanding your COPD medications. Managing Your COPD Medications | American Lung Association.
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/treating/copd-medications
Balestrieri, M., Sisti, D., Rocchi M., Rucci P., Simon G., Araya R., Girolamo G., Effectiveness of clinical decision support systems and telemedicine on outcomes of depression: a cluster randomized trial in general practice, Family Practice, Volume 37, Issue 6, December 2020, Pages 731–737, https://doi.org/10.1093/fampra/cmaa077
Bashshur, R. L., Shannon, G. W., Bashshur, N., & Yellowlees, P. M. (2016). The empirical evidence for telemedicine interventions in mental disorders. Telemedicine Journal and e-Health: The Official Journal of the American Telemedicine Association, 22(2), 87–113. https://doi.org/10.1089/tmj.2015.0206
Bentley, C. L., Powell, L., Potter, S., Parker, J., Mountain, G. A., Bartlett, Y. K., Farwer, J., O'Connor, C., Burns, J., Cresswell, R. L., Dunn, H. D., & Hawley, M. S. (2020). The use of a smartphone app and an activity tracker to promote physical activity in the
management of chronic obstructive pulmonary disease: Randomized controlled feasibility study. JMIR mHealth and uHealth, 8(6), e16203. https://doi.org/10.2196/16203
Bertollo, A. G., Braga, G. C., Tonin, P. T., Luzardo, A. R., Bagatini, M. D., & Ignácio, Z. M. (2023). The impact of stress from social isolation during the COVID-19 pandemic on 16 psychiatric disorders: An analysis from the scientific literature. Brain Sciences, 13(10), 1414. https://doi.org/10.3390/brainsci13101414
Bulkes, N. Z., Davis, K., Kay, B., & Riemann, B. C. (2022). Comparing efficacy of telehealth to in-person mental health care in intensive-treatment-seeking adults. Journal of Psychiatric Research, 145, 347–352. https://doi.org/10.1016/j.jpsychires.2021.11.003
C. C. medical. (n.d.). Supplemental oxygen therapy: Types, benefits & complications. Cleveland Clinic. https://my.clevelandclinic.org/health/treatments/23194-oxygen-therapy
C. C. medical. (n.d.-b). What’s draggin’ your heart down? Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/16898-coronary-artery-disease
Centers for Disease Control and Prevention. (2023, April 18). Type 2 diabetes. Centers for Disease Control and Prevention.
Centers for Disease Control and Prevention. (2023, June 30). Basics about COPD. Centers for Disease Control and Prevention. https://www.cdc.gov/copd/basics-about.html
Cox, N. S., Dal Corso, S., Hansen, H., McDonald, C. F., Hill, C. J., Zanaboni, P., Alison, J. A., O'Halloran, P., Macdonald, H., & Holland, A. E. (2021). Telerehabilitation for chronic respiratory disease. The Cochrane Database of Systematic Reviews, 1(1), CD013040. https://doi.org/10.1002/14651858.CD013040.pub2
Dhediya, R., Chadha, M., Bhattacharya, A. D., Godbole, S., & Godbole, S. (2023). Role of telemedicine in diabetes management. Journal of Diabetes Science and Technology, 17(3), 775–781. https://doi.org/10.1177/19322968221081133
Egede, L. E., Acierno, R., Knapp, R. G., Walker, R. J., Payne, E. H., & Frueh, B. C. (2016). Psychotherapy for depression in older veterans via telemedicine. The Journal of Clinical Psychiatry, 77(12), 1704–1711. https://doi.org/10.4088/jcp.16m10951
Forte, A., Sarli, G., Polidori, L., Lester, D., & Pompili, M. (2021). The role of new technologies to prevent suicide in adolescence: A systematic review of the literature. Medicina (Kaunas, Lithuania), 57(2), 109. https://doi.org/10.3390/medicina57020109
Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218–221. https://doi.org/10.1016/j.nurpra.2020.09.013
Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K. B., Ostolaza, H., & Martín, C. (2020). Pathophysiology of Type 2 diabetes mellitus. International Journal of Molecular Sciences, 21(17), 6275.
https://doi.org/10.3390/ijms21176275
Graham, A. K., Greene, C. J., Kwasny, M. J., Kaiser, S. M., Lieponis, P., Powell, T., & Mohr, D. C. (2020). Coached mobile app platform for the treatment of depression and anxiety among primary care patients: A randomized clinical trial. JAMA Psychiatry, 77(9), 906–914. https://doi.org/10.1001/jamapsychiatry.2020.1011
Haleem, A., Javaid, M., Singh, R. P., & Suman, R. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2, 100117. https://doi.org/10.1016/j.sintl.2021.100117
Hashmi MF, Modi P, Basit H, et al. (2023). Dyspnea. In StatPearls. StatPearls https://www.ncbi.nlm.nih.gov/books/NBK499965/
Kambeitz-Ilankovic, L., Rzayeva, U., Völkel, L., Wenzel, J., Weiske, J., Jessen, F., Reininghaus, U., Uhlhaas, P. J., Alvarez-Jimenez, M., & Kambeitz, J. (2022). A systematic review of digital and face-to-face cognitive behavioral therapy for depression.
NPJ Digital Medicine, 5(1), 144. https://doi.org/10.1038/s41746-022-00677-8
Kaplan E. H. (1997). Telepsychotherapy. Psychotherapy by telephone, videotelephone, and computer videoconferencing. The Journal of Psychotherapy Practice and Research, 6(3), 227–237.
Kerai, A., Meda, N., Agarwal, K., Garg, M., Deb, B., Singh, P., Singla, P., Arar, T., Darko, G., & Oluigbo, N. (2023). The use of telemedicine to improve hypertension in an urban primary care clinic and predictors of improved blood pressure. Journal of Primary Care & Community Health, 14, 21501319231199014.
https://doi.org/10.1177/21501319231199014
Marios, T., A Smart, N., & Dalton, S. (2012). The effect of tele-monitoring on exercise training adherence, functional capacity, quality of life and glycemic control in patients with Type II diabetes. Journal of Sports Science & Medicine, 11(1), 51–56.
Matteo B., Davide Sisti, Marco Rocchi, Paola Rucci, Gregory Simon, Ricardo Araya, Giovanni de Girolamo, Effectiveness of clinical decision support systems and telemedicine on outcomes of depression: a cluster randomized trial in general practice,
Family Practice, Volume 37, Issue 6, December 2020, Pages 731–737,
https://doi.org/10.1093/fampra/cmaa077
Mayo Foundation for Medical Education and Research. (2022, October 29). Diabetes treatment: Medications for Type 2 diabetes. Mayo Clinic.
Mayo Foundation for Medical Education and Research. (2020, April 15). COPD. Mayo
Clinic. https://www.mayoclinic.org/diseases-conditions/copd/diagnosis-treatment/drc-20353685
Munir, S., & Takov, V. (2022). Generalized anxiety disorder. In StatPearls. StatPearls Publishing.
Nakao, M., Shirotsuki, K., & Sugaya, N. (2021). Cognitive-behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies. BioPsychoSocial medicine, 15(1), 16.
https://doi.org/10.1186/s13030-021-00219-w
National Institute of Mental Health. (2023). Depression. U.S. Department of Health and Human Services, National Institutes of Health, National Institute of Mental Health.
https://www.nimh.nih.gov/health/topics/depression#:~:text=Depression%20
Nazemi, M., Kiani, S., & Zakerabasali, S. (2023). Tele-mental health during the COVID-19 pandemic: A systematic review of the literature focused on technical aspects and challenges. Health Science Reports, 6(10), e1637. https://doi.org/10.1002/hsr2.1637
Neelam, K., Duddu, V., Anyim, N., Neelam, J., & Lewis, S. (2021). Pandemics and pre-existing mental illness: A systematic review and meta-analysis. Brain, Hehavior, & Immunity - Health, 10, 100177. https://doi.org/10.1016/j.bbih.2020.100177
Otte, C., Gold, S. M., Penninx, B. W., Pariante, C. M., Etkin, A., Fava, M., Mohr, D. C., & Schatzberg, A. F. (2016). Major epressive disorder. Nature Reviews. Disease Primers, 2, 16065. https://doi.org/10.1038/nrdp.2016.65
Rosta, L., Menyhart, A., Mahmeed, W. A., Al-Rasadi, K., Al-Alawi, K., Banach, M., Banerjee, Y., Ceriello, A., Cesur, M., Cosentino, F., Firenze, A., Galia, M., Goh, S. Y., Janez, A., Kalra, S., Kapoor, N., Lessan, N., Lotufo, P., Papanas, N., Rizvi, A. A., …
Rizzo, M. (2023). Telemedicine for diabetes management during COVID-19: What we have learnt, what and how to implement. Frontiers in Endocrinology, 14, 1129793.
https://doi.org/10.3389/fendo.2023.1129793
Sawicka, B., Aslan, I., Della Corte, V., Periasamy, A., Krishnamurthy, S. K., Mohammed, A., Tolba Said, M. M., Saravanan, P., Del Gaudio, G., Adom, D., Sawicki, B., Nevola, G., Hanchate, D. B., & Umachandran, K. (2022). The coronavirus global pandemic and its impacts on society. Coronavirus Drug Discovery, 267–311.
https://doi.org/10.1016/B978-0-323-85156-5.00037-7
Seon, Q., Mady, N., Yang, M., Karia, M., Lashley, M., Sescu, C., Lalonde, M., Puskas, S., Outerbridge, J., Parent-Racine, E., Pagiatakis, C., Gomez-Cardona, L., Jiang, D., Bouchard, S., & Linnaranta, O. (2023). A virtual reality-assisted cognitive behavioral therapy for and with Inuit in Québec: Protocol for a proof-of-concept randomized controlled trial. JMIR Research Protocols, 12, e40236. https://doi.org/10.2196/40236
Shaker, A. A., Austin, S. F., Storebø, O. J., Schaug, J. P., Ayad, A., Sørensen, J. A., Tarp, K., Bechmann, H., & Simonsen, E. (2023). Psychiatric treatment conducted via telemedicine versus in-person modality in posttraumatic stress disorder, mood disorders, and anxiety disorders: Systematic review and meta-analysis. JMIR Mental Health, 10.
Stubbings, D. R., Rees, C. S., Roberts, L. D., & Kane, R. T. (2013). Comparing in-person to videoconference-based cognitive behavioral therapy for mood and anxiety disorders: randomized controlled trial. Journal of Medical Internet Research, 15(11), e258. https://doi.org/10.2196/jmir.2564
Theodoros, D., & Russell, T. (2008). Telerehabilitation: Current perspectives. Studies in Health Technology and Informatics, 131, 191–209.
U.S. Department of Health and Human Services. Depression. National Institute of Mental Health. https://www.nimh.nih.gov/health/topics/depression
U.S. Department of Health and Human Services. Treatment. National Heart Lung and Blood Institute. https://www.nhlbi.nih.gov/health/high-blood-pressure/treatment
U.S. Department of Health and Human Services. Type 2 diabetes - NIDDK. National Institute of Diabetes and Digestive and Kidney Diseases.
U.S. Department of Health and Human Services. What is COPD?. National Heart Lung and Blood Institute. https://www.nhlbi.nih.gov/health/copd
von Storch, K., Graaf, E., Wunderlich, M., Rietz, C., Polidori, M. C., & Woopen, C. (2019). Telemedicine-assisted self-management program for Type 2 diabetes patients. Diabetes Technology & Therapeutics, 21(9), 514–521. https://doi.org/10.1089/dia.2019.0056
Wright, H. H., O'Shea, M. C., Sekula, J., & Mitchell, L. J. (2022). Assessment of communication skills using telehealth: considerations for educators. Frontiers in medicine, 9, 841309. https://doi.org/10.3389/fmed.2022.841309
Yin, W., Liu, Y., Hu, H., Sun, J., Liu, Y., & Wang, Z. (2022). Telemedicine management of Type 2 diabetes mellitus in obese and overweight young and middle-aged patients during COVID-19 outbreak: A single-center, prospective, randomized control study. PloS One, 17(9), e0275251. https://doi.org/10.1371/journal.pone.0275251
Zanaboni, P., Dinesen, B., Hoaas, H., Wootton, R., Burge, A. T., Philp, R., Oliveira, C. C., Bondarenko, J., Tranborg Jensen, T., Miller, B. R., & Holland, A. E. (2023). Long-term telerehabilitation or unsupervised training at home for patients with chronic obstructive pulmonary disease: A randomized controlled trial. American Journal of Respiratory and Critical Care Medicine, 207(7), 865–875. https://doi.org/10.1164/rccm.202204-0643OC
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