Needs and preferences regarding information strategies on e-mental health interventions among healthcare professionals: a mixed-methods study involving a discrete choice experiment

医疗保健专业人员电子心理健康干预信息策略的需求和偏好：涉及离散选择实验的混合方法研究

• 批准号: 528399867
• 负责人: Dr. Jennifer Apolinário-Hagen
• 金额: --
• 依托单位: Institut für Arbeits-, Sozial- und Umweltmedizin
• 依托单位国家: 德国
• 项目类别: Research Grants
• 资助国家: 德国
• 项目状态: 未结题
• 来源: https://gepris.dfg.de/gepris/projekt/528399867?language=en
• 关键词: Needs; preferences; regarding; information; strategies

There is a remarkable discrepancy between the prevalence of mental disorders and the marginal uptake rates of evidence-based e-mental health interventions as additional prevention and treatment options. Since fall 2020, physicians and psychotherapists can prescribe certain digital health applications (German DiGA) on the expense of statutory health insurance companies, but still many professionals feel not well informed about these innovations. However, it remains unclear which information is most important for them and how exactly the information should be provided given the countless option for information strategies (e.g. attributes like content, format, media or commutation channel, sources, etc.). Hence, this issue calls for basic research aiming at understanding complex information needs and preferences regarding e-mental health interventions among healthcare professionals as key multipliers for their adoption in the general population. Our focus on information strategies for healthcare professionals as trusted health information source for patients and promoting the informed use of e-mental health interventions requires a context-sensitive inquiry involving both qualitative and quantitative research methods. Prospectively, the results of the proposed investigation could help develop tailored information strategies on digital health tools, which will be investigated with a mixed-methods research approach with a stated preferences survey (i.e. discrete-choice-experiment: DCE). The aims of the study are: (1) To explore information needs regarding e-mental health interventions, and to identify potentially important features (attributes varying in levels) of information strategies among healthcare professionals in Germany for the preference assessment (formative qualitative research). (2) To select attributes varying in levels and to derive assumptions on potential designs of information strategies on e-mental health interventions (conceptual development). (3) To construct and pretest choice tasks mimicking real-world information strategies using participatory approaches (methodological development). (4) To conduct a DCE in order to evaluate information preferences regarding e-mental health interventions in healthcare professionals (quantitative main study). Outcomes include information strategy choice (composed of attributes and levels) and the relative importance (trade-offs) as well as the identification of latent classes of healthcare professionals based on shared preferences. In addition, we aim to derive recommendations for information strategies as basis for an action guideline in order to increase the practical value with respect to effective implementation strategies.

作为额外的预防和治疗选择，精神障碍的流行率与基于证据的电子心理健康干预措施的边际接受率之间存在显着差异。自2020年秋季以来，医生和心理治疗师可以用法定的医疗保险公司的费用开出某些数字健康应用程序(德国Diga)，但许多专业人士仍然觉得对这些创新没有很好的了解。然而，目前还不清楚哪些信息对他们来说是最重要的，以及在信息策略有无数选择的情况下，应该如何确切地提供信息(例如，内容、格式、媒体或换乘渠道、来源等属性)。因此，这一问题需要进行基础研究，旨在了解医疗保健专业人员关于电子心理健康干预的复杂信息需求和偏好，以此作为其在普通人群中采用的关键倍增因素。我们专注于将医疗保健专业人员作为患者可信的健康信息源的信息战略，并促进知情地使用电子心理健康干预措施，这需要一种上下文敏感的调查，包括定性和定量的研究方法。展望未来，拟议的调查结果可能有助于制定针对数字健康工具的量身定制的信息战略，将采用混合方法研究方法和声明的偏好调查(即离散选择实验：DCE)。这项研究的目的是：(1)探索关于电子心理健康干预的信息需求，并确定德国医疗保健专业人员在偏好评估(形成性定性研究)中信息策略的潜在重要特征(属性在水平上不同)。(2)选择不同级别的属性，并对电子心理健康干预(概念发展)信息战略的潜在设计作出假设。(3)使用参与性方法(方法论发展)构建和预测模拟现实世界信息战略的选择任务。(4)进行DCE，以评估保健专业人员对电子心理健康干预的信息偏好(量化主要研究)。结果包括信息战略选择(由属性和级别组成)和相对重要性(权衡)，以及基于共同偏好确定潜在的医疗保健专业人员类别。此外，我们的目标是提出关于信息战略的建议，作为行动准则的基础，以增加有效执行战略的实际价值。