Healthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Clinical Education, Development and Research (CEDAR), Psychology, University of Exeter, Exeter, United Kingdom.
JMIR Hum Factors. 2023 Nov 17;10:e51461. doi: 10.2196/51461.
e-Mental health interventions can improve access to mental health support for caregivers of people living with chronic kidney disease (CKD). However, implementation challenges often prevent effective interventions from being put into practice. To develop an e-mental health intervention for caregivers of people living with CKD that is optimized for future implementation, it is important to engage professionals that may endorse or deliver the intervention (ie, potential implementers) during intervention development.
This study aims to explore the perspectives of potential implementers working in kidney care, in mental health care, or at nonprofit organizations regarding the design and implementation of an e-mental health intervention for caregivers of people living with CKD.
Potential implementers (N=18) were recruited via National Health Service Trusts, email, and social media advertisements to participate in semistructured video interviews. Interview questions were informed by the Consolidated Framework for Implementation Research (CFIR). Data were analyzed using a deductive analysis approach using the CFIR, with inductive coding applied to relevant data not captured by the framework.
A total of 29 generic categories, related to 17 CFIR constructs, were identified. The perceived fit between the intervention and implementation context (ie, existing service delivery models and work routines) and existing social networks among potential implementers were perceived as important factors in enhancing implementation potential. However, a need for capacity building among potential implementers to create systems to support the identification and referral of caregivers to an e-mental health intervention was identified. Equity concerns were raised regarding the intervention, highlighting the importance of incorporating an equity lens during intervention design to enhance accessibility and adoption.
Potential implementers provided valuable insights into key design and implementation factors to help inform the development of an e-mental health intervention for caregivers of people living with CKD. Incorporating their feedback can help ensure the intervention is acceptable and inform the selection of future implementation strategies to enhance the implementation potential of the intervention. Potential implementers should continue to be engaged throughout intervention development.
电子心理健康干预措施可以改善慢性肾脏病（CKD）患者护理人员获得心理健康支持的机会。然而，实施挑战常常使有效的干预措施无法付诸实践。为了开发针对 CKD 患者护理人员的电子心理健康干预措施，使其在未来的实施中得到优化，在干预措施的开发过程中，让可能支持或提供干预措施的专业人员（即潜在的实施者）参与进来非常重要。
本研究旨在探讨在肾脏护理、心理健康护理或非营利组织工作的潜在实施者对设计和实施针对 CKD 患者护理人员的电子心理健康干预措施的看法。
通过国家卫生服务信托、电子邮件和社交媒体广告招募潜在实施者（N=18）参与半结构化视频访谈。访谈问题是根据综合实施研究框架（CFIR）制定的。使用 CFIR 的演绎分析方法对数据进行分析，并对框架未涵盖的相关数据进行归纳编码。
共确定了 29 个通用类别，涉及 17 个 CFIR 结构，认为干预措施与实施背景（即现有服务提供模式和工作常规）之间的契合度以及潜在实施者之间现有的社交网络，被认为是增强实施潜力的重要因素。然而，需要对潜在实施者进行能力建设，以建立支持识别和转介护理人员接受电子心理健康干预的系统。干预措施引发了公平性问题，突出了在干预设计中纳入公平视角的重要性，以提高可及性和接受度。
潜在实施者提供了有关关键设计和实施因素的宝贵见解，有助于为针对 CKD 患者护理人员的电子心理健康干预措施的开发提供信息。纳入他们的反馈可以帮助确保干预措施是可接受的，并为选择未来的实施策略提供信息，以增强干预措施的实施潜力。在干预措施的开发过程中，应继续让潜在实施者参与进来。
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