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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0441

Patient and provider perspectives on the quality of virtual mental health care for adolescents and young adults: a qualitative evidence synthesis

PATIENT AND PROVIDER PERSPECTIVES ON THE QUALITY OF VIRTUAL MENTAL HEALTH CARE FOR YOUTH AND YOUNG ADULTS: A QUALITATIVE EVIDENCE SYNTHESIS

The quality of virtual mental health care for young people should be considered in conjunction with the intersectionality of individual determinants of equity and five critical equity considerations.

The study aimed to synthesize the qualitative literature published since 2020 on the quality of virtual mental health care for adolescents and young adults, from youth and provider perspectives and through an equity lens. A qualitative evidence synthesis was conducted using a best fit framework synthesis approach: searches of five databases, deductive analysis using an a priori framework based on 12 existing frameworks addressing equity in virtual care quality, and subsequent inductive thematic analysis; a youth advisory group was consulted before the second step and after the third step. The synthesis included 59 studies involving 1,596 young people and 1,779 providers. Complex and intersecting relationships were identified between care quality and a total of 74 determinants of equity across eight categories (structural/system-level factors, organizational factors, environmental factors, individual experiences and attitudes, individual identity, provider and patient–provider relationship factors, technological competence and access, and the nature of the consultation). These relationships were mediated by five interconnected themes: the ability to establish a therapeutic space and alliance remotely; the ability to maintain safety, security, and privacy remotely; the ability to engage and sustain attention remotely; the ability of technology to mediate the care encounter; and the suitability or unsuitability of the remote environment. The authors conclude that these five critical equity considerations may help patients and providers jointly determine the role of virtual care in the care plan.

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