Clinician Perspectives on Barriers and Facilitators to Implementing e-Health Technology in Substance Use Disorder (SUD) Treatment Facilities.
Clinician Perspectives on Barriers and Facilitators to Implementing e-Health Technology in Substance Use Disorder (SUD) Treatment Facilities.
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DOI：
10.1177/11782218211053360
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Gustafson DH
中科院分区：
文献类型：
--
作者：
Fleddermann K;Molfenter T;Jacobson N;Horst J;Roosa MR;Boss D;Ross JC;Preuss E;Gustafson DH
在美国，物质使用障碍（SUD）每年导致许多可预防的死亡。寻找有效的方法来管理SUD对于改善寻求治疗的个人的结果至关重要。这增加了在行为医疗保健环境中使用电子健康技术的兴趣。这项研究是一项更大规模研究的一部分，该研究评估了NIATx教练干预在SUD治疗组织中实施RISE爱荷华州（一种电子健康患者恢复应用程序）的有效性，并试图研究临床医生对其实施的障碍和促进因素的看法。半结构化的定性访谈进行了13名临床医生从9个不同的干预网站参与了这项研究。实施电子保健技术的主要障碍包括无法获得技术，患者和临床医生都没有时间，以及患者缺乏做出改变的动力。促进实施的因素包括与使用电子保健技术的其他工作人员合作，并将技术的使用纳入典型的工作流程。在SUD治疗中实施电子医疗技术将需要将该技术整合到临床工作流程中，并改善患者对该技术的访问。
Substance use disorders (SUDs) in the United States cause many preventable deaths each year. Finding effective ways to manage SUDs is vital to improving outcomes for individuals seeking treatment. This has increased interest in using e-health technologies in behavioral healthcare settings. This research is part of a larger study evaluating the efficacy of the NIATx coaching intervention for implementing RISE Iowa, an e-health patient recovery app, in SUD treatment organizations and seeks to examine clinician perspectives of the barriers and facilitators to its implementation. Semi-structured qualitative interviews were conducted with 13 clinicians from 9 different intervention sites involved in the study. Major barriers to implementing e-health technology include inability to access the technology, lack of time for both patients and clinicians, and a perceived lack of patient motivation to make changes. Facilitators to implementation include collaboration with other staff using e-health technology and integrating technology use into typical workflows. Implementation of e-health technology in SUD treatment will require integrating the technology into clinical workflows and improving patient access to the technology.
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影响因子：
25.8
作者：
Gustafson, David H.;McTavish, Fiona M.;Chih, Ming-Yuan;Atwood, Amy K.;Johnson, Roberta A.;Boyle, Michael G.;Levy, Michael S.;Driscoll, Hilary;Chisholm, StevenM.;Dillenburg, Lisa;Isham, Andrew;Shah, Dhavan
通讯作者：
Shah, Dhavan
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：
3.8
作者：
Interian, Alejandro;King, Arlene R.;Damschroder, Laura J.
通讯作者：
Damschroder, Laura J.
影响因子：
3.9
作者：
Glass JE;McKay JR;Gustafson DH;Kornfield R;Rathouz PJ;McTavish FM;Atwood AK;Isham A;Quanbeck A;Shah D
通讯作者：
Shah D
影响因子：
3.9
作者：
Marsch, Lisa A.;Guarino, Honoria;Edwards, Joyce
通讯作者：
Edwards, Joyce