关于实施青少年抑郁和自杀倾向的增强数字查的提供者观点:定性研究
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
概括
儿科提供者认为青少年的数字心理健康查工具具有价值,但面临诸如电子健康记录集成和工作流程中断等障碍. 定制选项可以改善社区环境中的实施.
科学领域:
- 儿科初级医疗保健的儿童初级医疗保健.
- 数字健康干预措施 数字健康干预措施
- 青少年心理健康 青少年心理健康
背景情况:
- 青少年心理健康问题日益增加,需要在初级保健中加强查.
- 儿科协会建议初级保健提供者 (PCP) 进行心理健康查.
- 新技术可以支持PCP指导患者到行为健康服务.
研究的目的:
- 收集社区PCP对基于Web的,数字增强的青少年心理健康查工具的反.
- 为社区初级保健机构实施该工具提供信息.
- 评估该工具的实用性,并确定采用障碍/促进者的障碍.
主要方法:
- 招募了10名青少年提供者来试点查工具.
- 根据"实施研究综合框架"进行结构化采访.
- 采用模板分析与预先指定的代码书采访数据.
主要成果:
- 提供者优先考虑改善青少年心理健康查和治疗.
- 同意数字工具可以帮助识别和管理青少年抑郁症.
- 识别的障碍:缺乏EHR集成,时间限制,工作流的影响,可访问性和组织透明度.
结论:
- 数字工具可以增强初级保健中的行为健康支持.
- 显著的障碍阻碍了新医疗技术在现实世界中实施.
- 提供商的建议包括为更好的集成提供定制选项.
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