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Provider Perspectives on Implementing an Enhanced Digital Screening for Adolescent Depression and Suicidality:
Morgan A Coren1, Oliver Lindhiem1, Abby R Angus2
1School of Medicine, University of Pittsburgh, 100 N Bellefield, Office 537, Pittsburgh, PA, 15213, United States, 1 412-2465909.
JMIR Formative Research
|April 10, 2025
Summary
Pediatric providers see value in digital mental health screening tools for adolescents but face barriers like EHR integration and workflow disruption. Customization options could improve implementation in community settings.
Area of Science:
- Pediatric primary care
- Digital health interventions
- Adolescent mental health
Background:
- Rising adolescent mental health concerns necessitate enhanced screening in primary care.
- Pediatric societies recommend primary care providers (PCPs) conduct mental health screenings.
- Novel technology can support PCPs in guiding patients to behavioral health services.
Purpose of the Study:
- To gather community PCP feedback on a web-based, digitally enhanced adolescent mental health screening tool.
- To inform the implementation of this tool in community primary care settings.
- To assess the tool's utility and identify barriers/facilitators for adoption.
Main Methods:
- Recruited 10 adolescent providers to pilot the screening tool.
- Conducted structured interviews based on the Consolidated Framework for Implementation Research.
- Utilized template analysis with a prespecified codebook for interview data.
Main Results:
- Providers prioritized improving adolescent mental health screening and treatment.
- Agreed that a digital tool could aid in identifying and managing adolescent depression.
- Identified barriers: lack of EHR integration, time constraints, workflow impact, accessibility, and organizational transparency.
Conclusions:
- Digital tools can enhance behavioral health support in primary care.
- Significant barriers hinder the real-world implementation of new health technologies.
- Provider suggestions included customization options for better integration.
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