Digital Clinics and Mobile Technology Implementation for Mental Health Care.
Digital Clinics and Mobile Technology Implementation for Mental Health Care.
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DOI：
10.1007/s11920-021-01254-8
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发表时间：
2021-05-07
影响因子：
6.7
通讯作者：
Torous J
中科院分区：
文献类型：
--
作者：
Connolly SL;Kuhn E;Possemato K;Torous J
鉴于获得心理健康服务的机会有限，以及新冠肺炎期间对远程护理的需求，人们对数字心理健康，尤其是智能手机应用的兴趣有所扩大。将应用程序融入常规护理的数字诊所，为常见的实施挑战提供了潜在的解决方案，包括用户参与度低和缺乏应用程序的临床集成。虽然商业市场上提供的心理健康应用程序的数量持续增加，但成功将这些应用程序应用到护理环境中的例子很少。我们回顾了一个在学术医疗中心内创建的数字诊所的例子，以及在退伍军人事务部内创建的另一个例子。然后，我们讨论实施科学如何为新的努力提供信息，以有效地将心理健康技术整合到不同的用例中。将心理健康应用程序整合到护理环境中是可行的，但需要仔细注意将影响实施成功的多个领域，包括创新的特征(例如，应用程序的实用性和复杂性)、技术的接受者(例如，患者和临床医生)以及背景(例如，医疗保健系统的买入、报销和监管政策)。可用于改进执行工作的有效促进战略的例子包括共同制作涉及所有最终用户的技术、对工作人员和患者进行专门培训、创建新的团队成员以帮助应用程序的使用(例如，数字导航器)以及重新设计临床工作流程。
Interest in digital mental health, especially smartphone apps, has expanded in light of limited access to mental health services and the need for remote care during COVID-19. Digital clinics, in which apps are blended into routine care, offer a potential solution to common implementation challenges including low user engagement and lack of clinical integration of apps. While the number of mental health apps available in commercial marketplaces continues to rise, there are few examples of successful implementation of these apps into care settings. We review one example of a digital clinic created within an academic medical center and another within the Department of Veterans Affairs. We then discuss how implementation science can inform new efforts to effectively integrate mental health technologies across diverse use cases. Integrating mental health apps into care settings is feasible but requires careful attention to multiple domains that will influence implementation success, including characteristics of the innovation (e.g., utility and complexity of the app), the recipients of the technology (e.g., patients and clinicians), and context (e.g., healthcare system buy-in, reimbursement, and regulatory policies). Examples of effective facilitation strategies that can be utilized to improve implementation efforts include co-production of technology involving all end users, specialized trainings for staff and patients, creation of new team members to aid in app usage (e.g., digital navigators), and re-design of clinical workflows.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
1.2
作者：
Kuhn, Eric;Greene, Carolyn;Ruzek, Josef
通讯作者：
Ruzek, Josef
影响因子：
5.8
作者：
Connolly, Samantha L.;Miller, Christopher J.;Lindsay, Jan A.;Bauer, Mark S.
通讯作者：
Bauer, Mark S.
影响因子：
7.4
作者：
Humer E;Stippl P;Pieh C;Pryss R;Probst T
通讯作者：
Probst T
影响因子：
7.2
作者：
Harvey, Gill;Kitson, Alison
通讯作者：
Kitson, Alison