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退伍军人健康管理局跨学科工作人员在实施心理健康应用程序过程中的促进因素和障碍

Facilitators and barriers to implementing mental health apps among interdisciplinary staff in the Veterans Health Administration.

作者信息

Hampole Shilpa R, Becket-Davenport Colleen M, McCaslin-Rodrigo Shannon E, Bosch Jeane O, Jamison Andrea L, Mackintosh Margaret-Anne, Avery Timothy J, Juhasz Katherine M, Tang Catherine G, McGee-Vincent Pearl

机构信息

National Center for PTSD, Dissemination and Training Division, VA Palo Alto Health Care System.

出版信息

Psychol Serv. 2025 Jan 20. doi: 10.1037/ser0000934.

Abstract

The U.S. Department of Veterans Affairs (VA) developed evidence-informed mental health mobile applications (MH apps) to supplement treatment and serve as self-care resources for veterans. However, lack of awareness and understanding of how to integrate MH apps into care pose barriers to uptake. The VA Mobile Mental Health Apps Project was conducted from 2019 to 2021 to train and support VA health care staff in integrating VA MH apps into practice using implementation facilitation. Interdisciplinary staff ( = 1,110) from 19 VA sites, led by local site champions, and supported by project Facilitators, participated. The training phase successfully equipped staff with key knowledge and skills for MH app integration (McGee-Vincent et al., 2023), but training is not sufficient for practice change (Schueller & Torous, 2020). The current article summarizes results from a mixed methods evaluation of the preimplementation planning and active implementation phases of the project. Survey data from 3-month posttraining ( = 362) and qualitative interview data ( = 27) assessed within the Consolidated Framework for Implementation Research (Damschroder et al., 2022b) were analyzed to highlight facilitators and barriers to implementation. Results showed positive perceptions, meaningful adoption, and expanded reach of MH apps for veterans by staff across VA. Given that the project was well-received and perceived to be sustainable, the adaptability of the innovation and implementation model, and the relatively limited number of perceived barriers, this project may serve as a model for other practice changes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

美国退伍军人事务部(VA)开发了基于证据的心理健康移动应用程序(MH应用程序),以补充治疗并作为退伍军人的自我护理资源。然而,对如何将MH应用程序整合到护理中的认识和理解不足构成了采用的障碍。VA移动心理健康应用程序项目于2019年至2021年开展,旨在通过实施促进培训和支持VA医护人员将VA MH应用程序整合到实践中。来自19个VA站点的跨学科工作人员(=1110名)在当地站点负责人的带领下,并在项目促进者的支持下参与其中。培训阶段成功地使工作人员具备了整合MH应用程序的关键知识和技能(McGee-Vincent等人,2023年),但培训对于实践变革来说是不够的(Schueller & Torous,2020年)。本文总结了对该项目实施前规划和积极实施阶段的混合方法评估结果。分析了在实施研究综合框架(Damschroder等人,2022b)内评估的培训后3个月的调查数据(=362)和定性访谈数据(=27),以突出实施的促进因素和障碍。结果显示,VA的工作人员对退伍军人的MH应用程序有积极的看法、有意义的采用并扩大了覆盖范围。鉴于该项目受到好评且被认为具有可持续性、创新和实施模式的适应性以及相对较少的感知障碍,该项目可作为其他实践变革的典范。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)

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