Fleddermann Kathryn, Molfenter Todd, Jacobson Nora, Horst Julie, Roosa Mathew R, Boss Deanne, Ross J Charles, Preuss Eric, Gustafson David H
Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Institute for Clinical and Translational Research and School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
Subst Abuse. 2021 Oct 26;15:11782218211053360. doi: 10.1177/11782218211053360. eCollection 2021.
Substance use disorders (SUDs) in the United States cause many preventable deaths each year. Finding effective ways to manage SUDs is vital to improving outcomes for individuals seeking treatment. This has increased interest in using e-health technologies in behavioral healthcare settings. This research is part of a larger study evaluating the efficacy of the NIATx coaching intervention for implementing RISE Iowa, an e-health patient recovery app, in SUD treatment organizations and seeks to examine clinician perspectives of the barriers and facilitators to its implementation.
Semi-structured qualitative interviews were conducted with 13 clinicians from 9 different intervention sites involved in the study.
Major barriers to implementing e-health technology include inability to access the technology, lack of time for both patients and clinicians, and a perceived lack of patient motivation to make changes. Facilitators to implementation include collaboration with other staff using e-health technology and integrating technology use into typical workflows.
Implementation of e-health technology in SUD treatment will require integrating the technology into clinical workflows and improving patient access to the technology.
美国的物质使用障碍（SUDs）每年导致许多可预防的死亡。找到管理物质使用障碍的有效方法对于改善寻求治疗的个体的治疗效果至关重要。这增加了在行为医疗环境中使用电子健康技术的兴趣。这项研究是一项更大规模研究的一部分，该研究评估了NIATx指导干预措施在物质使用障碍治疗机构中实施爱荷华州RISE（一款电子健康患者康复应用程序）的效果，并试图考察临床医生对其实施过程中的障碍和促进因素的看法。
对来自参与该研究的9个不同干预地点的13名临床医生进行了半结构化定性访谈。
实施电子健康技术的主要障碍包括无法使用该技术、患者和临床医生都缺乏时间，以及认为患者缺乏改变的动力。实施的促进因素包括与使用电子健康技术的其他工作人员合作，以及将技术使用整合到典型工作流程中。
在物质使用障碍治疗中实施电子健康技术将需要将该技术整合到临床工作流程中，并改善患者对该技术的获取。
