Training Staff Across the Veterans Affairs Health Care System to Use Mobile Mental Health Apps: A National Quality Improvement Project.
Training Staff Across the Veterans Affairs Health Care System to Use Mobile Mental Health Apps: A National Quality Improvement Project.
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DOI：
10.2196/41773
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发表时间：
2023-01-12
影响因子：
5.2
通讯作者：
Hampole, Shilpa
中科院分区：
文献类型：
--
作者：
McGee-Vincent, Pearl;Mackintosh, Margaret -Anne;Jamison, Andrea L.;Juhasz, Katherine;Becket-Davenport, Colleen;Bosch, Jeane;Avery, Timothy J.;Glamb, Lauren;Hampole, Shilpa
退伍军人事务部 (VA) 下属的国家创伤后应激障碍中心 (PTSD) 开发了一套免费、公开、有证据支持的应用程序，可以覆盖越来越多的退伍军人，并通过向不参与心理健康治疗的人提供资源来弥补护理方面的差距。为了扩大这些应用程序的覆盖范围，退伍军人管理局各服务线的工作人员了解了这些应用程序、它们的功能和局限性，以及如何向退伍军人介绍它们。本研究旨在开发、传播和评估针对多学科人员的培训，作为国家质量改进项目的一部分，以扩大移动心理健康应用程序作为退伍军人资源的覆盖范围。来自 VA 18 个地理区域的所有站点都参与了该项目。在每个站点，至少招募了 25 名与退伍军人直接接触的 VA 工作人员，包括来自心理健康服务线和所有其他服务线的工作人员参加。培训包括 3 小时的多学科核心模块和专为心理健康临床医生设计的 1 小时的临床整合模块。由于新冠肺炎 (COVID-19) 大流行，培训采取了基于网络的实时形式。培训前和培训后调查评估了计划范围（即每个站点注册的参与者）、满意度和培训有效性，通过退伍军人使用应用程序的知识、基本技能和行为意图的变化来衡量。共有来自 19 个 VA 站点、代表 34 个学科的 1110 名学员完成了培训。总体而言，67% (743/1109) 的参与者是心理健康工作人员。站点平均有 58.4 名参与者（SD 36.49，中位数 [IQR] 51）。大多数（961/1024，93.85%）参与者对培训感到满意，并表示他们（941/1018，92.44%）会向其他人推荐该培训。应用程序知识得分从训练前（平均正确率 80.8%，SD 15.77%）到训练后（平均正确率 91.1%，SD 9.57%；P<.001）显着增加。培训后，参与者还表示，他们对向退伍军人展示如何下载（z=−13.86；P<.001）和使用 VA 心理健康应用程序（z=−15.13；P<.001）的能力更有信心。工作人员几乎普遍认可他们向退伍军人推荐应用程序的意图，以及他们考虑至少向一位特定退伍军人推荐应用程序的能力。工作人员还报告了鼓励其他退伍军人管理局工作人员与退伍军人共享应用程序的强烈动机。此次培训远远超出了员工招聘和所有三个指标培训的最初目标。总体而言，33% (366/1109) 的参与者来自心理健康以外的服务领域，这表明在医疗预约和其他情况下引入这些心理健康资源的可行性。
The National Center for PTSD, within the Department of Veterans Affairs (VA), has developed a suite of free, publicly available, evidence-informed apps that can reach an increasing number of veterans and bridge gaps in care by providing resources to those who are not engaged in mental health treatment. To expand the reach of these apps, staff across VA service lines learned about these apps, their features and limitations, and how to introduce them to veterans. This study aimed to develop, disseminate, and evaluate a training for multidisciplinary staff as part of a national quality improvement project to increase the reach of mobile mental health apps as a resource for veterans. Sites from all of VA’s 18 geographic regions enrolled in this project. At each site, a minimum of 25 VA staff members who had direct contact with veterans, including staff from the mental health service line and all other service lines, were recruited to participate. Training included a 3-hour multidisciplinary core module, and a 1-hour clinical integration module designed specifically for mental health clinicians. Owing to the COVID-19 pandemic, the trainings were adapted to a live, web-based format. Pre- and posttraining surveys assessed program reach (ie, participants enrolled per site), satisfaction, and effectiveness of the training as measured by changes in knowledge, basic skills, and behavioral intentions to use apps with veterans. A total of 1110 participants representing 34 disciplines at 19 VA sites completed the training. Overall, 67% (743/1109) of participants were mental health staff members. Sites averaged 58.4 participants (SD 36.49, median [IQR] 51). Most (961/1024, 93.85%) participants were satisfied with the training and reported that they (941/1018, 92.44%) would recommend it to others. App knowledge scores significantly increased from pretraining (mean 80.8% correct, SD 15.77%) to posttraining (mean 91.1% correct, SD 9.57%; P<.001). At posttraining, participants also reported greater confidence in their ability to show veterans how to download (z=−13.86; P<.001) and use VA mental health apps (z=−15.13; P<.001). There was near universal endorsement by staff for their intentions to recommend apps to veterans as well as their ability to think of at least one specific veteran to whom they could recommend an app. Staff also reported a strong motivation to encourage other VA staff to share apps with veterans. The training far exceeded the initial goals for staff recruitment and training for all three metrics. Overall, 33% (366/1109) of participants came from service lines outside of mental health, indicating the feasibility of introducing these mental health resources during medical appointments and in other contexts.
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影响因子：
1.2
作者：
Kuhn, Eric;Greene, Carolyn;Ruzek, Josef
通讯作者：
Ruzek, Josef
影响因子：
1.7
作者：
Babson, Kimberly A.;Ramo, Danielle E.;Bonn-Miller, Marcel O.
通讯作者：
Bonn-Miller, Marcel O.
影响因子：
3
作者：
Koffel, Erin;Kuhn, Eric;Polusny, Melissa A.
通讯作者：
Polusny, Melissa A.
影响因子：
6.7
作者：
Connolly SL;Kuhn E;Possemato K;Torous J
通讯作者：
Torous J
DOI：
10.1037/tra0000092
发表时间：
2016-05-01
影响因子：
6.3
作者：
Miner, Adam;Kuhn, Eric;Taylor, C. Barr
通讯作者：
Taylor, C. Barr