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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

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The Practice-Based Implementation (PBI) Network: Technology (Tech) into Care pilot.

Kimberly M Pratt¹, LaToya Z Branch¹, Jorielle B Houston¹

¹Department of Defense, Psychological Health Center of Excellence, Practice-Based Implementation Network, Silver Spring, MD, USA.

Translational Behavioral Medicine

|November 30, 2019

Summary

This summary is machine-generated.

Integrating mobile applications into behavioral health care is feasible, improving provider knowledge and comfort. However, organizational challenges like time constraints can hinder successful implementation in the Military Health System.

Keywords:

DoD Implementation Mobile apps PARIHS PBI Network Practice-based implementation

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Area of Science:

Digital health interventions
Behavioral health technology integration
Healthcare implementation science

Background:

Mobile applications (apps) show potential for enhancing behavioral health treatment delivery.
Limited guidance exists for clinicians on safely integrating mobile apps into practice.
Evidence-based treatments can be supported by technology, improving patient engagement and adherence.

Purpose of the Study:

To describe the Department of Defense Practice-Based Implementation (PBI) Network's approach to integrating mobile apps into behavioral health care.
To present results from the Technology (Tech) into Care pilot.
To address provider knowledge gaps and assess feasibility of widespread dissemination within the Military Health System (MHS).

Main Methods:

A mixed-method design guided by the Promoting Action on Research Implementation in Health Services (PARIHS) framework.
Evaluation of the Tech into Care pilot within the Military Health System (MHS).
Identification of facilitators and barriers to practice change.

Main Results:

The Tech into Care approach demonstrated preliminary support for feasibility.
Improvements were observed in providers' knowledge, comfort, and perceived readiness to integrate mobile apps.
Organizational challenges, including time constraints and staff turnover, negatively impacted implementation.

Conclusions:

The PBI Network's Tech into Care approach is a feasible method for addressing knowledge gaps in integrating mobile apps into clinical practice within the MHS.
Contextual factors, such as competing time demands, can impede effective integration of mobile apps into care.
Further strategies are needed to overcome organizational barriers for successful widespread adoption.