Anton Margaret T, Jones Deborah J
Department of Psychology & Neuroscience, University of North Carolina at Chapel Hill.
Clin Psychol (New York). 2017 Sep;24(3):223-240. doi: 10.1111/cpsp.12197. Epub 2017 May 9.
As the efficacy of technology-enhanced mental health service delivery models (i.e., supportive or adjunctive technological tools) are examined, we must inform and guide clinician decision-making regarding acceptance and, in turn, uptake. Accordingly, this review aims to move beyond traditional discussions of geographic barriers by integrating, reconciling, and extending literatures on dissemination and implementation, as well as technology uptake, in order to anticipate and address organizational and clinician barriers to adoption of technology-enhancements. Specifically, a five-stage model is proposed to address organizational readiness for and clinician acceptance of technology-enhancements to evidence-based treatments, as well as the relevance of current adoption strategies for technology-enhanced services. Our aim is to provide a guiding framework for future research and practice.
随着对技术增强型心理健康服务提供模式（即支持性或辅助性技术工具）的疗效进行研究，我们必须为临床医生在接受度以及进而在采用率方面的决策提供信息并加以指导。因此，本综述旨在超越关于地理障碍的传统讨论，通过整合、协调和扩展关于传播与实施以及技术采用的文献，以预测和解决组织及临床医生在采用技术增强措施方面的障碍。具体而言，我们提出了一个五阶段模型，以解决组织对基于证据的治疗技术增强措施的准备情况以及临床医生对其的接受度，以及当前技术增强型服务采用策略的相关性。我们的目标是为未来的研究和实践提供一个指导框架。
