NURS 6052 EVIDENCE-BASED PROJECT, PART 1: IDENTIFYING RESEARCH METHODOLOGIES
Access to mental health care and services is essential in addressing the mental health problem in the U.S. health system. Accessing effective services for individuals with mental health problems allows them to get interventions, especially evidence-based practice (EBP) approaches in addressing their mental health issues (Mongelli et al., 2021). As such, getting sources and the methodologies used in understanding the issue of mental health in the U.S. is a critical part of developing requisite and effective interventions (Shidhaye, 2023). The purpose of this paper is to identify the research methodologies used in four articles addressing the issue of accessibility to mental health care and services.
| Full citation of selected article | Article #1 | Article #2 | Article #3 | Article #4 |
| Coombs, N. C., Meriwether, W. E., Caringi, J., & Newcomer, S. R. (2021). Barriers to healthcare access among US adults with mental health challenges: A population-based study. SSM-population health, 15, 100847. https://doi.org/10.1016/j.ssmph.2021.100847 | Kyanko, K. A., A. Curry, L., E. Keene, D., Sutherland, R., Naik, K., & Busch, S. H. (2022). Does primary care fill the gap in access to specialty mental health care? A mixed methods study. Journal of General Internal Medicine, 37(7), 1641-1647. DOI:https://doi.org/10.1007/s11606-021-07260-z | McBain, R. K., Schuler, M. S., Qureshi, N., Matthews, S., Kofner, A., Breslau, J., & Cantor, J. H. (2023). Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022. JAMA Network Open, 6(6), e2318045-e2318045. DOI:10.1001/jamanetworkopen.2023.18045 | Forchuk, C., Fisman, S., Reiss, J. P., Collins, K., Eichstedt, J., Rudnick, A., … & Booth, R. (2020). Improving Access and Mental Health for Youth Through Virtual Models of Care. In The Impact of Digital Technologies on Public Health in Developed and Developing Countries: 18th International Conference, ICOST 2020, Hammamet, Tunisia, June 24–26, 2020, Proceedings 18 (pp. 210-220). Springer International Publishing. | |
| Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | This article was selected because it is a population-based study concerning prevalent barriers to mental health care access among different populations in the U.S. The article relates to the clinical issue of interest as it illustrates the overall hindrances that people encounter in efforts to have mental health services. Research ethics in the article concern developing beneficial interventions to ensure increased access to mental health services | The selection of this article is based on its focus on having primary care as the most effective way in addressing unmet mental health treatment needs among the population. The article relates to the topic of interest as it demonstrates that primary access to mental health services is critical in addressing the mental health issue. The ethics of research from the article associated with the clinical issue of interest entails seeking informed consent from the participants. | The selection of this article is based on its focus; integration of health technologies like telehealth to increase access to mental health care services. The article explores state policies and telehealth availability based on the experiences emanating from the COVID-19 pandemic. The ethics of research in this case include focusing on beneficence of the participants by demonstrating the overall effects of integrating technology in mental health care access. | The selection of this article is based on the improvement of access to mental health services using technologies. This article explores the use of smartphones to improve mental health of youths. This article relates to the clinical topic of interest as it is focusing on improving access to mental healthcare. With technological advancement in the medical field, the research ethics in the article shows that youths and care providers can enhance mental healthcare using technology. |
Mental health disorders such as depression have immense impact on the affected populations and their significant others. Depression lowers the patient’s quality of life, as evidenced by the increased care needs, loss of productivity, and premature mortality. Nurses and other healthcare providers are increasingly involved in the implementation of evidence-based interventions to minimize burden due to depression in their populations. An example is exploring the effectiveness of technology incorporation into the treatments adopted for patients with major depression. Therefore, the purpose of this paper is to explore the effectiveness of telehealth interventions in improving the treatment outcomes in depression.
| Full citation of selected article | Article #1 | Article #2 | Article #3 | Article #4 |
| References Bellanti, D. M., Kelber, M. S., Workman, D. E., Beech, E. H., & Belsher, B. E. (2022). Rapid Review on the Effectiveness of Telehealth Interventions for the Treatment of Behavioral Health Disorders. Military Medicine, 187(5–6), e577–e588. https://doi.org/10.1093/milmed/usab318 | Egede, L. E., Dismuke, C. E., Walker, R. J., Acierno, R., & Frueh, B. C. (2018). Cost-Effectiveness of Behavioral Activation for Depression in Older Adult Veterans: In-Person Care Versus Telehealth. The Journal of Clinical Psychiatry, 79(5), 3853. https://doi.org/10.4088/JCP.17m11888 | Scott, A. M., Clark, J., Greenwood, H., Krzyzaniak, N., Cardona, M., Peiris, R., Sims, R., & Glasziou, P. (2022). Telehealth v. face-to-face provision of care to patients with depression: A systematic review and meta-analysis. Psychological Medicine, 52(14), 2852–2860. https://doi.org/10.1017/S0033291722002331 | Zhao, L., Chen, J., Lan, L., Deng, N., Liao, Y., Yue, L., Chen, I., Wen, S. W., & Xie, R. (2021). Effectiveness of Telehealth Interventions for Women With Postpartum Depression: Systematic Review and Meta-analysis. JMIR MHealth and UHealth, 9(10), e32544. https://doi.org/10.2196/32544 | |
| Why you chose this article and/or how it relates to the clinical issue of interest (include a brief explanation of the ethics of research related to your clinical issue of interest) | I chose this article because it examines the effectiveness of telehealth interventions for treating behavioral health disorders. The research shows that the use of telehealth in behavioral problems such as depression is comparable to face-to-face provision of psychiatry and psychotherapy services. The ethics of research related to my clinical issue of interest includes ensuring informed consent, privacy, and confidentiality when using telehealth interventions. | https://scribinggeniouses.com/qualitative-vs-quantitative-research/I chose this study because it supports the use of telehealth in mental health problems that include depression. The research shows that telehealth interventions are cost-effective as compared to face-to-face delivery of treatment interventions. The ethics of research that relate to my clinical issue of interest include safety, quality, efficiency, and patient empowerment. | I chose this article because it demonstrates the effectiveness of telehealth among patients with depression as compared to face-to-face. The article demonstrates the feasibility of telehealth interventions alongside their applicability to addressing the needs of patients suffering from depression. The research ethics that will inform my clinical issue of interest include beneficence, informed consent, and patient autonomy. | I chose this study because it explores the effectiveness of telehealth in improving depressive and anxiety symptoms among patients with post-partum depression. The study informs the relevance of telehealth use in the delivery of virtual care for patients suffering from mental health disorders. The issue of ethics that relates to my clinical issue is informed consent and data privacy and confidentiality. |
| Brief description of the aims of the research of each peer-reviewed article | The aim of this research was to investigate the effectiveness of behavioral health treatments delivered in person as compared to telehealth through telephone and teleconference. | The aim of this study was to examine whether the delivery of behavioral activation for depression through telehealth was cost-effective as compared to in-person care. | The aim of this study was to compare the real-time to face-to-face therapy for patients suffering from depression. | The aim of this study was to evaluate the effectiveness of telehealth interventions in reducing anxiety and depressive symptoms in women with post-partum depression. |
| Brief description of the research methodology used Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. | This study was quantitative research. The researchers searched relevant articles on PubMed database where hand-searching of relevant systematic review, dual screening, dual of risk bias assessment, and data abstraction were done. | The research was quantitative. It was a randomized, non-inferior trial that involved assigning participants to 1 of 2 arms of 8-week behavioral activation therapy either through telehealth or in-person. | The study was quantitative. It was a systematic review that utilized evidence from articles that were obtained from databases that included Cochrane Central, Embase, and Medline. The included studies were mainly randomized controlled trials that compared the use of telehealth vs face-to-face for patients with major depression. | The study was quantitative. It was a systematic review and meta-analysis of evidence from articles that were obtained from databases that included CINAHL, Cochrane library, PsycINFO, CNKI, and Wanfang. |
| A brief description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected. | One of the strengths of this study is that it compares the effectiveness of telehealth interventions with the traditional face-to-face interaction in the delivery of behavioral interventions. It also reviewed best-available evidence on the topic to come up with conclusive evidence. The reliability and validity of findings were maintained by having a third researcher independently assessing the relevance, appropriateness, and need for the selected articles and data abstraction. | The strength of this research is that it randomized participants into either control or intervention groups to determine the true effect of the interventions. The randomization also enhanced the validity and reliability of the research. The other strength is the use of a large sample size, which strengthened the generalizability of findings. | One of the strengths of this study is that it reviewed evidence obtained from randomized controlled trials to come up with conclusive evidence on the effectiveness of telehealth as compared to face-to-face interventions in depression. The other strength is the inclusion of studies that used a high number of participants, which enhanced the generalizability of outcomes. The authors achieved reliability by using a large sample size. They ensured validity by selecting studies that related to the topic and using independent researchers in searching and extracting data from the selected articles. | The study is associated with the strength of utilizing randomized controlled trials for the systematic review and meta-analysis. It also used a large sample size to ensure reliability and validity of findings. The selected studies were reviewed for potential bias, to ensure the obtained results had a high reliability rate. |
| General Notes/Comments | This article informs the need for telehealth in the delivery of behavioral interventions for patients with mental health problems. | This research demonstrates that the use of telehealth is cost-effective as compared to the use of in-person interventions. | This article shows the effectiveness of telehealth interventions in improving treatment outcomes among patients with depression. | This study supports the use of telehealth interventions to improve outcomes among patients suffering from depression. |
