在芝加哥儿科初级保健中数字心理健康整合的实施前决定因素
Colleen Stiles-Shields1,2, Erika L Gustafson1, Paulina S Lim3
1Institute for Juvenile Research, Department of Psychiatry, College of Medicine, University of Illinois Chicago, Chicago, IL, United States.
Journal of pediatric psychology
|August 5, 2024
概括
小儿初级保健 (PPC) 努力满足青少年的心理健康需求,尤其是少数群体的青少年. 整合数字心理健康 (DMH) 低强度治疗 (LIT) 由于工作流程和安全问题,其可行性较低,需要合作解决方案.
科学领域:
- 实施科学 实施科学
- 数字心理健康数字心理健康
- 儿科初级护理专业的儿童初级护理
背景情况:
- 儿科初级保健 (PPC) 是儿科心理健康服务的关键网站.
- 目前的PPC能力不足以满足所有青少年患者的需求,特别是那些来自少数群体的青少年患者.
- 数字心理健康 (DMH) 低强度治疗 (LIT) 提供了扩大护理的潜力,但面临实施挑战.
研究的目的:
- 探索在公共电信环境中具体的DMH LIT的实施背景.
- 了解提供者对DMH集成在PPC中的障碍和促进者的观点.
- 为未来的DMH在儿科初级保健中的实施策略提供信息.
主要方法:
- 混合方法设计,结合在线调查和半结构面试.
- 对105个提供商进行的定量调查评估了当前的DMH实践.
- 与6名儿科医生和心理学家进行的定性访谈分析了实施决定因素.
主要成果:
- 在PPC中报告了DMH的低当前利用率.
- 确定的主要障碍包括诊所工作流程,伦理考虑,患者隐私,系统因素和DMH设计.
- 安全问题是一个影响可行性的跨领域主题.
结论:
- 供应商报告的可行性较低,强调需要仔细规划.
- 与跨学科的同事合作对于成功的整合至关重要.
- 在PPC中,基于证据的数字护理的道德和无交付需要在实施之前进行进一步的调查.
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