Piper Sarah, Davenport Tracey A, LaMonica Haley, Ottavio Antonia, Iorfino Frank, Cheng Vanessa Wan Sze, Cross Shane, Lee Grace Yeeun, Scott Elizabeth, Hickie Ian B
The University of Sydney, Brain and Mind Centre, 94 Mallett St, Camperdown, Sydney, NSW, 2050, Australia.
BMC Health Serv Res. 2021 May 12;21(1):452. doi: 10.1186/s12913-021-06394-4.
The World Economic Forum has recently highlighted substantial problems in mental health service provision and called for the rapid deployment of smarter, digitally-enhanced health services as a means to facilitate effective care coordination and address issues of demand. In mental health, the biggest enabler of digital solutions is the implementation of an effective model of care that is facilitated by integrated health information technologies (HITs); the latter ensuring the solution is easily accessible, scalable and sustainable. The University of Sydney's Brain and Mind Centre (BMC) has developed an innovative digital health solution - delivered through the Youth Mental Health and Technology Program - which incorporates two components: 1) a highly personalised and measurement-based (data-driven) model of youth mental health care; and 2) an industrial grade HIT registered on the Australian Register of Therapeutic Goods. This paper describes a research protocol to evaluate the impact of implementing the BMC's digital health solution into youth mental health services (i.e. headspace - a highly accessible, youth-friendly integrated service that responds to the mental health, physical health, alcohol or other substance use, and vocational concerns of young people aged 12 to 25 years) within urban and regional areas of Australia.
The digital health solution will be implemented into participating headspace centres using a naturalistic research design. Quantitative and qualitative data will be collected from headspace health professionals, service managers and administrators, as well as from lead agency and local Primary Health Network (PHN) staff, via service audits, Implementation Officer logs, online surveys, and semi-structured interviews, at baseline and then three-monthly intervals over the course of 12 months.
At the time of publication, six headspace centres had been recruited to this study and had commenced implementation and impact evaluation. The first results are expected to be submitted for publication in 2021. This study will focus on the impact of implementing a digital health solution at both a service and staff level, and will evaluate digital readiness of service and staff adoption; quality, usability and acceptability of the solution by staff; staff self-reported clinical competency; overall impact on headspace centres as well as their lead agencies and local PHNs; and social return on investment.
世界经济论坛最近强调了心理健康服务提供方面的重大问题，并呼吁迅速部署更智能、数字化增强的健康服务，以此促进有效的护理协调并解决需求问题。在心理健康领域，数字解决方案的最大推动者是实施由综合健康信息技术（HIT）推动的有效护理模式；后者确保解决方案易于获取、可扩展且可持续。悉尼大学的脑与心智中心（BMC）开发了一种创新的数字健康解决方案——通过青少年心理健康与技术项目提供——该方案包含两个部分：1）高度个性化且基于测量（数据驱动）的青少年心理健康护理模式；2）在澳大利亚治疗用品注册登记册上注册的工业级HIT。本文描述了一项研究方案，以评估在澳大利亚城市和地区的青少年心理健康服务（即headspace——一个极易获取、对青少年友好的综合服务机构，负责应对12至25岁青少年的心理健康、身体健康、酒精或其他物质使用以及职业问题）中实施BMC数字健康解决方案的影响。
将使用自然主义研究设计在参与研究的headspace中心实施数字健康解决方案。将通过服务审计、实施官员日志、在线调查和半结构化访谈，在基线时以及之后12个月内每三个月从headspace健康专业人员、服务经理和管理人员，以及牵头机构和当地初级卫生网络（PHN）工作人员那里收集定量和定性数据。
在发表本文时，已有六个headspace中心被招募参与本研究，并已开始实施和影响评估。预计第一批结果将于2021年提交发表。本研究将关注在服务和员工层面实施数字健康解决方案的影响，并将评估服务和员工采用数字技术的准备情况；员工对解决方案的质量、可用性和可接受性；员工自我报告的临床能力；对headspace中心及其牵头机构和当地PHN的总体影响；以及社会投资回报。
