Feasibility of Group-Based Implementation Facilitation for Video Telemental Health.
Feasibility of Group-Based Implementation Facilitation for Video Telemental Health.
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DOI：
10.1007/s41347-022-00295-x
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发表时间：
2023-01-11
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视频远程医疗在COVID-19大流行期间在许多医疗保健领域（包括精神健康）经历了快速增长。退伍军人健康管理局的视频远程医疗平台VA Video Connect已被广泛用于接触可能难以获得护理的退伍军人，例如生活在农村地区或其他障碍（例如，运输）。实施VVC需要多方面的方法，包括培训提供者的技术技能，增加提供者和退伍军人获得设备的机会，并将VVC纳入诊所单位的文化和流程。此前在农村地区成功实施自愿捐款的努力侧重于利用实施便利同时进行一对一的提供者和领导参与。然而，鉴于疫情期间与现场护理相关的限制和危险，需要迅速扩大VVC，我们的团队开发了小组促进，通过IF扩大VVC实施的范围。团体促进将VVC和IF的技术和政策要素培训与来自诊所单位的提供者团体结合起来。这种方法旨在快速传播进行VVC所需的知识，并结合团队协作解决问题，以提高临床团队维持VVC的能力。通过多项选择和开放式问题，要求与会者对会议提出反馈意见。参与者（N = 26）报告对培训非常满意，并报告对其使用VVC的能力具有高度信心。根据评估数据和访谈反馈，供应商和诊所领导对小组促进感到满意。小组促进可能是一个有用的工具，在快速培训临床团队实施和维持视频远程健康。
Video telehealth experienced rapid growth throughout the COVID-19 pandemic in many healthcare sectors, including mental health. The Veterans Health Administration’s video telehealth platform, VA Video Connect, has been widely used to reach veterans who may have experienced difficulty accessing care, such as those living in rural areas or other barriers (e.g., transportation). Implementing VVC requires a multifaceted approach, including training providers on technical skills, increasing access to equipment for providers and veterans, and integrating VVC within the culture and processes of the clinic unit. Prior successful VVC implementation efforts in rural areas have focused on simultaneous one-on-one provider and leadership engagement using implementation facilitation (IF). However, given the rapid need for VVC expansion in light of limits and dangers associated with in-person care during the pandemic, our team developed group facilitation to increase the reach of VVC implementation through IF. Group facilitation combined training in technical and policy elements of VVC with IF with groups of providers from clinic units. This approach was designed to rapidly disseminate the necessary knowledge to conduct VVC combined with collaborative problem solving as a team to improve the ability of the clinical team to sustain VVC. Attendees were asked for feedback on the session through multiple choice and open-ended questions. Participants (N = 26) reported being highly satisfied with the training and reported a high degree of confidence in their ability to use VVC. Based on evaluation data and interview feedback, providers and clinic leaders were satisfied with group facilitation. Group facilitation may be a helpful tool in rapidly training clinical teams to implement and sustain video telemental health.