Care manager perspectives on integrating an mHealth app system into clinical workflows: A mixed methods study

被引：13
作者：
Bechtel, Jared M. [1 ]
Lepoire, Erin [1 ]
Bauer, Amy M. [1 ]
Bowen, Deborah J. [1 ]
Fortney, John C. [1 ]
机构：
[1] Univ Washington, Dept Psychiat & Behav Sci, Seattle, WA 98195 USA
来源：
GENERAL HOSPITAL PSYCHIATRY | 2021年 / 68卷
关键词：
HEALTH-SERVICES; DIGITAL HEALTH; DEPRESSION; IMPLEMENTATION; VALIDITY; THERAPY; ACHIEVE; PHQ-9;
D O I：
10.1016/j.genhosppsych.2020.10.004
中图分类号：
R749 [精神病学];
学科分类号：
100205 ;
摘要：
Objective: mHealth can be a valuable means of monitoring symptoms and supporting care for rural patients, but barriers to implementation remain. This study aimed to examine care manager perspectives on the adoption, use and impact of an mHealth system deployed within a pragmatic Collaborative Care trial for rural patients with PTSD and/or Bipolar Disorder. Method: Sixteen care managers at 12 Federally Qualified Health Centers in 3 states participated in semi-structured interviews. Interviews were transcribed, coded, and thematically analyzed using the Unified Theory of Adoption and Use of Technology as a conceptual framework. App metadata was used to assess the frequency of a care manager reported phenomenon, clinically disengaged app use. Results: 4 themes were identified: infrastructural limitations; redundant and incompatible clinical and mHealth workflows; cross platform and web access; and patient engagement and clinically disengaged app use. Most users had a period of consistently submitting symptom measures via the app while disengaged from care for >4 weeks.
引用
收藏
页码：38 / 45
页数：8
相关论文
共 49 条
  • [1] Anderson M, 2017, DIGITAL DIVIDE PERSI, V22
  • [2] [Anonymous], 2020, STATUTORY ACCOUNTING, P1
  • [3] Archer J, 2012, COCHRANE DATABASE SY, V10, DOI 10.1002/
  • [4] Collaborative care for depression and anxiety problems
    Archer, Janine
    Bower, Peter
    Gilbody, Simon
    Lovell, Karina
    Richards, David
    Gask, Linda
    Dickens, Chris
    Coventry, Peter
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2012, (10):
  • [5] Baloh J, 2019, MED CARE RES REV
  • [6] Applying the Principles for Digital Development: Case Study of a Smartphone App to Support Collaborative Care for Rural Patients With Posttraumatic Stress Disorder or Bipolar Disorder
    Bauer, Amy M.
    Hodsdon, Sarah
    Bechtel, Jared M.
    Fortney, John C.
    [J]. JOURNAL OF MEDICAL INTERNET RESEARCH, 2018, 20 (06)
  • [7] Bauer AM, 2017, PROCEEDINGS OF THE 2017 ACM INTERNATIONAL JOINT CONFERENCE ON PERVASIVE AND UBIQUITOUS COMPUTING AND PROCEEDINGS OF THE 2017 ACM INTERNATIONAL SYMPOSIUM ON WEARABLE COMPUTERS (UBICOMP/ISWC '17 ADJUNCT), P772, DOI [10.1145/3123021.3125610, 10.1145/3123024.3125610]
  • [8] Large-Scale Implementation of Collaborative Care Management for Depression and Diabetes and/or Cardiovascular Disease
    Beck, Arne
    Boggs, Jennifer M.
    Alem, Angelika
    Coleman, Karen J.
    Rossom, Rebecca C.
    Neely, Claire
    Williams, Mark D.
    Ferguson, Robert
    Solberg, Leif I.
    [J]. JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE, 2018, 31 (05) : 702 - 711
  • [9] Berkowitz CM, 2017, JCO CLIN CANCER INFO, V1, DOI 10.1200/CCI.17.00107
  • [10] "They Are Not Hard-to-Reach Clients. We Have Just Got Hard-to-Reach Services." Staff Views of Digital Health Tools in Specialist Mental Health Services
    Bucci, Sandra
    Berry, Natalie
    Morris, Rohan
    Berry, Katherine
    Haddock, Gillian
    Lewis, Shon
    Edge, Dawn
    [J]. FRONTIERS IN PSYCHIATRY, 2019, 10
12345