Evaluation of Electronic Mental Health Implementation in NorthernTerritory Services Using the Integrated �Promoting Action onResearch Implementation in Health Services� Framework:Qualitative Study

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dc.contributor.authorRaphiphatthana, Buaphrao
dc.contributor.authorSweet, Michelle
dc.contributor.authorPuszka, Stefanie
dc.contributor.authorWhitty, Megan
dc.contributor.authorDingwall, Kylie
dc.contributor.authorNagel, Tricia
dc.date.accessioned2020-10-12T00:36:00Z
dc.date.available2020-10-12T00:36:00Z
dc.date.issued2020
dc.date.updated2021-12-02T05:05:02Z
dc.description.abstractBACKGROUND Electronic mental health is a promising strategy to bridge the treatment gap in mental health care. Training workshops have been delivered to service providers working with Aboriginal and Torres Strait Islander people at a primary health care level to raise awareness and knowledge of electronic mental health approaches. OBJECTIVE This study aimed to understand service providers' perspectives and experiences of electronic mental health adoption. More specifically, it aimed to use the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework to further identify and understand how different factors facilitate or impede electronic mental health uptake within primary health care settings providing services to Aboriginal and Torres Strait Islander people. METHODS Qualitative interviews were conducted with 57 service providers working with Aboriginal and Torres Strait Islander people, who had undergone electronic mental health training workshops. RESULTS Several factors related to innovation (electronic mental health approach), recipients (service providers as an individual and as a team), and context (local, organizational, and external contexts) were found to influence electronic mental health uptake. Particularly, organizational readiness, in terms of information technology resources and infrastructure, policies, workforce and culture, and processes to mandate electronic mental health use, were found to be significant impediments to electronic mental health utilization. These findings led to the development of a three-phase implementation strategy that aims to enhance electronic mental health adoption by addressing organizational readiness before and post electronic mental health training. CONCLUSIONS The i-PARIHS provides a useful determinant framework that deepens our understanding of how different factors impede or facilitate electronic mental health adoption in this setting. This insight was used to develop a practical and comprehensive implementation strategy to enhance the utilization of electronic mental health approaches within primary health care settings, involving three phases: pretraining consultations, training workshops, and post-training follow-up support.
dc.format.mimetypeapplication/pdfen_AU
dc.identifier.issn2368-7959en_AU
dc.identifier.urihttp://hdl.handle.net/1885/212431
dc.language.isoen_AUen_AU
dc.provenance© Buaphrao Raphiphatthana, Michelle Sweet, Stefanie Puszka, Megan Whitty, Kylie Dingwall, Tricia Nagel. Originally published in JMIR Mental Health (http://mental.jmir.org), 26.05.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Mental Health, is properly cited. The complete bibliographic information, a link to the original publication on http://mental.jmir.org/, as well as this copyright and license information must be included.en_AU
dc.publisherJMIR Publications Inc
dc.rights© Buaphrao Raphiphatthana, Michelle Sweet, Stefanie Puszka, Megan Whitty, Kylie Dingwall, Tricia Nagel
dc.rights.licenseCreative Commons Attribution Licenseen_AU
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_AU
dc.sourceJMIR Mental Health
dc.source.uri10.2196/14835
dc.subjecteHealth
dc.subjectimplementation science
dc.subjecthealth care delivery
dc.titleEvaluation of Electronic Mental Health Implementation in NorthernTerritory Services Using the Integrated �Promoting Action onResearch Implementation in Health Services� Framework:Qualitative Study
dc.typeJournal article
dcterms.accessRightsOpen Accessen_AU
local.bibliographicCitation.issue5en_AU
local.bibliographicCitation.lastpage17en_AU
local.bibliographicCitation.startpage1en_AU
local.contributor.affiliationRaphiphatthana, Buaphrao , Charles Darwin Universityen_AU
local.contributor.affiliationSweet, Michelle, Charles Darwin Universityen_AU
local.contributor.affiliationPuszka, Stefanie, Charles Darwin Universityen_AU
local.contributor.affiliationWhitty, Megan, College of Arts and Social Sciences, ANUen_AU
local.contributor.affiliationDingwall , Kylie, Charles Darwin Universityen_AU
local.contributor.affiliationNagel, Tricia, Charles Darwin Universityen_AU
local.contributor.authoremailu1048786@anu.edu.auen_AU
local.contributor.authoruidWhitty, Megan, u1048786en_AU
local.description.notesImported from ARIESen_AU
local.identifier.absfor111799 - Public Health and Health Services not elsewhere classifieden_AU
local.identifier.ariespublicationu4141711xPUB34en_AU
local.identifier.citationvolume7en_AU
local.identifier.doi10.2196/14835en_AU
local.identifier.uidSubmittedByu4141711en_AU
local.publisher.urlhttp://mental.jmir.org/en_AU
local.type.statusPublished Versionen_AU

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