在多个地点的数字心理健康干预项目中遇到的挑战的同行观点
Biblia S Cha1,2, Elizabeth V Eikey3,4, Dana B Mukamel5
1Department of General Internal Medicine, University of California, Irvine, CA, USA. bibliak@uci.edu.
Administration and policy in mental health
|April 19, 2025
概括
与同龄人一起实施数字心理健康干预 (DMHI) 面临技术,角色明确性和沟通方面的挑战. 解决这些障碍是成功在精神卫生保健中同行融合的关键.
科学领域:
- 实施科学 实施科学
- 数字心理健康数字心理健康
- 同行支持同行支持
背景情况:
- 同龄人,有过精神健康经验的个人,受过培训来支持他人.
- 在Help@Hand项目中,同行被整合到多个站点的数字心理健康干预 (DMHI) 实施中.
- 了解实施挑战对于有效的DMHI整合至关重要.
研究的目的:
- 通过使用实施研究综合框架 (CFIR) 来识别和框架DMHI实施期间同行遇到的挑战.
- 为优化数字心理健康服务中的同行支持整合提供见解.
主要方法:
- 一项涉及103次季度调查和39次两年一次的同行劳动力领导人的多站点研究.
- 从2020年夏季到2022年秋季的11个Help@Hand网站收集的数据.
- 使用实施研究综合框架 (CFIR) 进行的分析.
主要成果:
- 主要挑战包括设备分销,同行招聘和整合,沟通问题,不清楚的同行角色,结构性招聘障碍,劳动力流动,技术准备以及资金不确定性.
- 挑战跨越了CFIR领域:实施过程,个人,内部设置和外部设置.
- 资金不确定性影响了内部和外部结算.
结论:
- 通过CFIR模型构建DMHI实施挑战,当同行是合作伙伴时,提供了宝贵的教训.
- 成功实施需要充分的技术准备,明确的角色定义,简化招聘和强大的沟通道.
- 让同龄人成为合作伙伴可以提高数字心理健康倡议的规划和执行.
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