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Technology-Enabled Solutions for Australian Mental Health Services Reform: Impact Evaluation
Haley M LaMonica1, Alyssa Milton1, Katharine Braunstein2
1Brain and Mind Centre, The University of Sydney, Camperdown, Australia.
JMIR Formative Research
|November 19, 2020
Summary
Health information technologies (HITs) show promise for improving mental health care. However, successful implementation of platforms like InnoWell requires addressing digital literacy and service readiness among staff and consumers.
Area of Science:
- Mental Health Services Research
- Health Information Technology Evaluation
- Digital Health Implementation Science
Background:
- Health information technologies (HITs) are increasingly recognized for their potential to enhance mental health service delivery and drive system reforms.
- Innovative technological solutions are crucial for improving mental health outcomes and addressing service gaps.
Purpose of the Study:
- To describe baseline results of implementing the InnoWell Platform, a health information technology, in Australian mental health services.
- To systematically monitor and evaluate the impact of the InnoWell Platform to inform iterative refinement of the technology and service model.
- To ensure the InnoWell Platform meets the needs of consumers, their support networks, health professionals, and service providers.
Main Methods:
- Data collection through web-based surveys, semistructured interviews, and a staff workshop.
- Descriptive statistics, Fisher exact tests, and reliability analysis for survey data.
- Thematic analysis for interview data and basic content analysis for workshop data.
Main Results:
- Staff generally agreed on the benefits of technology in work (81%) and the InnoWell Platform's potential to improve consumer outcomes (60%).
- Significant uncertainty existed regarding consumer digital literacy and alignment with the InnoWell Platform's use (42% agreed/strongly agreed).
- Barriers identified included consumer and health professional digital literacy, and service readiness for change, with only 44% indicating readiness for new technology.
Conclusions:
- While HITs show potential for improved mental health outcomes, service readiness (infrastructure, digital literacy) is a key factor for successful implementation.
- Less than half of participants felt their service was ready to implement new technologies for enhanced mental health care.
- Opinions were mixed regarding health professionals' responsibility in recommending technology as part of standard care.
Keywords:
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