Usability Issues in Evidence-Based Psychosocial Interventions and Implementation Strategies: Cross-project Analysis.
Usability Issues in Evidence-Based Psychosocial Interventions and Implementation Strategies: Cross-project Analysis.
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DOI：
10.2196/37585
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发表时间：
2022-06-14
影响因子：
7.4
通讯作者：
Lyon, Aaron R.
中科院分区：
文献类型：
--
作者：
Munson, Sean A.;Cpe, Emily C. Friedman;Osterhage, Katie;Allred, Ryan;Pullmann, Michael D.;Arean, Patricia A.;Lyon, Aaron R.
关键词：
人们往往更喜欢循证心理社会干预（EBPI）的精神卫生保健;然而，这些干预措施往往仍然无法在非专业或综合设置，如初级保健和学校的人。之前的研究表明，可用性是一个来自以人为本的设计的概念，可以支持了解成功采用EBPI的障碍和促进因素，并支持EBPI和实施策略的重新设计。本研究旨在识别和分类EBPI及其实施策略中的可用性问题。我们从以人为中心的设计中采用了可用性问题分析和报告格式。共有13个由国家精神健康研究所资助的项目，加速青少年和成年人精神疾病治疗中心的覆盖和影响，华盛顿大学使用这种格式来描述EBPI的可用性问题和实施策略。中心的研究人员使用迭代的亲和性建模和编码过程来识别可用性问题类别。基于这些类别和潜在的问题，我们提出了设计或重新设计EBPI和实施策略的方法。这13个项目共报告了90个可用性问题，我们将其分为12类，包括复杂和/或认知上的压倒性问题、所需时间超过可用时间、与干预者偏好或实践不兼容、与现有工作流程不兼容、客户/接受者定制不足、干预者购买（价值）、干预者购买（信任）、过度依赖技术、需要没有基础设施，客户/接受者的脚手架不足，干预人员的培训和脚手架不足，以及缺乏必要的沟通支持。这些问题的范围从影响少数干预者或接受者的轻微不便到阻止所有干预者或接受者在一个环境中完成部分或全部干预的严重问题。我们提出了12个相应的技巧来指导EBPI和实施策略设计者预防和解决这些可用性问题。可用性问题普遍存在于所研究的EBPI和实施策略中。我们建议使用可用性评估的透镜来理解和解决有效使用EBPI和实施策略的障碍。RR2-10.2196/14990
People often prefer evidence-based psychosocial interventions (EBPIs) for mental health care; however, these interventions frequently remain unavailable to people in nonspecialty or integrated settings, such as primary care and schools. Previous research has suggested that usability, a concept from human-centered design, could support an understanding of the barriers to and facilitators of the successful adoption of EBPIs and support the redesign of EBPIs and implementation strategies. This study aimed to identify and categorize usability issues in EBPIs and their implementation strategies. We adapted a usability issue analysis and reporting format from a human-centered design. A total of 13 projects supported by the National Institute of Mental Health—funded Accelerating the Reach and Impact of Treatments for Youth and Adults with Mental Illness Center at the University of Washington used this format to describe usability issues for EBPIs and implementation strategies with which they were working. Center researchers used iterative affinity diagramming and coding processes to identify usability issue categories. On the basis of these categories and the underlying issues, we propose heuristics for the design or redesign of EBPIs and implementation strategies. The 13 projects reported a total of 90 usability issues, which we categorized into 12 categories, including complex and/or cognitively overwhelming, required time exceeding available time, incompatibility with interventionist preference or practice, incompatibility with existing workflow, insufficient customization to clients/recipients, intervention buy-in (value), interventionist buy-in (trust), overreliance on technology, requires unavailable infrastructure, inadequate scaffolding for client/recipient, inadequate training and scaffolding for interventionists, and lack of support for necessary communication. These issues range from minor inconveniences that affect a few interventionists or recipients to severe issues that prevent all interventionists or recipients in a setting from completing part or all of the intervention. We propose 12 corresponding heuristics to guide EBPIs and implementation strategy designers in preventing and addressing these usability issues. Usability issues were prevalent in the studied EBPIs and implementation strategies. We recommend using the lens of usability evaluation to understand and address barriers to the effective use and reach of EBPIs and implementation strategies. RR2-10.2196/14990
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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：
3.6
作者：
Dopp, Alex R.;Parisi, Kathryn E.;Lyon, Aaron R.
通讯作者：
Lyon, Aaron R.
影响因子：
4.1
作者：
Becker, Emily M.;Smith, Ashley M.;Jensen-Doss, Amanda
通讯作者：
Jensen-Doss, Amanda
影响因子：
1.3
作者：
Cabassa, Leopoldo J.
通讯作者：
Cabassa, Leopoldo J.
影响因子：
--
作者：
Dopp, Alex R.;Parisi, Kathryn E.;Lyon, Aaron R.
通讯作者：
Lyon, Aaron R.