4.4 Review

A systematic review of electronic mental health interventions for Indigenous youth: Results and recommendations

Journal

JOURNAL OF TELEMEDICINE AND TELECARE
Volume 27, Issue 9, Pages 539-552

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1357633X19899231

Keywords

Electronic health; Indigenous health; online health; telehealth; telepsychiatry

Funding

  1. Canada Research Chairs Program

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Electronic health interventions utilizing the Internet and related technologies are important for addressing mental health concerns among Indigenous populations. While some studies show promising results of Indigenous engagement with electronic health services, further research is needed to confirm these results and recommendations for future development can be made based on identified barriers and facilitators in the literature.
Electronic health interventions involve health services delivered using the Internet and related technologies. These services can be particularly relevant for Indigenous populations who often have differential access to health-care services compared to general populations, especially within rural and remote areas. As the popularity of electronic health interventions grows, there is an increased need for evidence-based recommendations for the effective use of these technologies. The current study is a systematic review of peer-reviewed and available grey literature with the aim of understanding outcomes of electronic health interventions for mental health concerns among Indigenous people. Studies used electronic health technologies for substance use treatment or prevention, suicide prevention, parenting supports, goal setting and behaviour change and consultation services. Various technological platforms were used across interventions, with both novel and adapted intervention development. Most studies provided qualitative results, with fewer studies focusing on quantitative outcomes. Some preliminary results from the engagement of Indigenous individuals with electronic health services has been demonstrated, but further research is needed to confirm these results. Identified barriers and facilitators are identified from the reviewed literature. Recommendations for future development of electronic health interventions for Indigenous youth are provided.

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