Yap Sidney, Allen Rashell R, Aquin Carley R, Bright Katherine S, Brown Matthew R G, Burback Lisa, Winkler Olga, Jones Chelsea, Hayward Jake, Wells Kristopher, Vermetten Eric, Greenshaw Andrew J, Bremault-Phillips Suzette
Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB T6G 2H5, Canada.
Heroes in Mind, Advocacy, and Research Consortium, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB T6G 2G4, Canada.
Healthcare (Basel). 2024 Oct 3;12(19):1971. doi: 10.3390/healthcare12191971.
Following the initial outbreak of the COVID-19 pandemic, mental health clinicians rapidly shifted service delivery from in-person to digital. This pivot was instrumental in maintaining continuity of care and meeting increased mental health service demands. Many mental health services have continued to be offered via digital delivery. The long-term implications of delivering services via digital media remain unclear and need to be addressed.
This study aimed to identify current micro (i.e., clinician-patient interactions), meso (i.e., clinician-clinic manager interactions), and macro (i.e., government-policy maker interactions) level issues surrounding the use of digital mental health interventions (DMHI). Such integrated assessments are important for optimizing services to improve treatment outcomes and client satisfaction.
Participants were recruited between January 2022 and April 2023. Quantitative data were collected using a survey informed by the Hexagon Tool. Qualitative data were collected from online semi-structured interviews and focus groups and analyzed using rapid thematic analysis.
Survey data were collected from 11 client and 11 clinician participants. Twenty-six community partner participants were interviewed for this study. Client and clinician participants expressed satisfaction with the implementation of DMHI. Community partner participants generally agreed, reporting that such services will play an integral role in mental healthcare moving forward. Community partners shared that certain issues, such as uncertainty surrounding policies and regulations related to digital delivery, must be addressed in the future.
Participants in this study supported the use of DMHI despite difficulties implementing these programs, asserting that such services are not a temporary fix but a pivotal cornerstone in the future of mental healthcare service delivery.
在新冠疫情首次爆发后，心理健康临床医生迅速将服务提供方式从面对面转为数字化。这一转变对于维持护理连续性和满足不断增长的心理健康服务需求起到了重要作用。许多心理健康服务继续通过数字化方式提供。通过数字媒体提供服务的长期影响尚不清楚，需要加以解决。
本研究旨在确定围绕数字心理健康干预措施（DMHI）使用的当前微观（即临床医生与患者的互动）、中观（即临床医生与诊所经理的互动）和宏观（即政府与政策制定者的互动）层面的问题。这种综合评估对于优化服务以改善治疗效果和客户满意度非常重要。
在2022年1月至2023年4月期间招募参与者。使用由六边形工具启发的调查问卷收集定量数据。通过在线半结构化访谈和焦点小组收集定性数据，并使用快速主题分析进行分析。
从11名客户和11名临床医生参与者收集了调查数据。本研究对26名社区合作伙伴参与者进行了访谈。客户和临床医生参与者对DMHI的实施表示满意。社区合作伙伴参与者普遍表示认同，称此类服务在未来的心理保健中将发挥不可或缺的作用。社区合作伙伴指出，未来必须解决某些问题，例如与数字服务相关的政策法规的不确定性。
尽管实施这些项目存在困难，但本研究的参与者支持使用DMHI，称此类服务并非权宜之计，而是未来心理健康服务提供的关键基石。
