Therapist perceptions of the implementation of a new screening procedure using the ItFits-toolkit in an iCBT routine care clinic: A mixed-methods study using the consolidated framework for implementation research.

Autor:	Tarp K; Research Unit for Digital Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Nielsen SL; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Holmberg TT; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Dalsgaard CH; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Borkner S; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Skaarnes H; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Jensen EK; Research Unit for Digital Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark., Piera-Jiménez J; Catalan Health Service, Barcelona, Spain.; Digitalization for the Sustainability of the Healthcare System DS3-IDIBELL, L'Hospitalet de Llobregat, Barcelona, Spain.; Faculty of Informatics, Multimedia and Telecommunications, Universitat Oberta de Catalunya, Barcelona, Spain., Vis C; Clinical, Neuro- & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, Netherlands.; Amsterdam Public Health Research Institute, Amsterdam, Netherlands.; Section for Research-Based Innovation, Division of Psychiatry, Haukeland University Hospital, Bergen, Norway., Mathiasen K; Research Unit for Digital Psychiatry, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.; Centre for Digital Psychiatry, Mental Health Services in the Region of Southern Denmark, Odense, Denmark.
Jazyk:	angličtina
Zdroj:	Frontiers in psychiatry [Front Psychiatry] 2023 Apr 06; Vol. 14, pp. 1104301. Date of Electronic Publication: 2023 Apr 06 (Print Publication: 2023).
DOI:	10.3389/fpsyt.2023.1104301
Abstrakt:	Introduction: This study investigates the implementation of a new, more automated screening procedure using the ItFits-toolkit in the online clinic, Internet Psychiatry (iPsych) (www.internetpsykiatrien.dk), delivering guided iCBT for mild to moderate anxiety and depressive disorders. The study focuses on how the therapists experienced the process. Methods: Qualitative data were collected from semi-structured individual interviews with seven therapists from iPsych. The interviews were conducted using an interview guide with questions based on the Consolidated Framework for Implementation Research (CFIR). Quantitative data on the perceived level of normalization were collected from iPsych therapists, administrative staff, and off-site professionals in contact with the target demographic at 10-time points throughout the implementation. Results: The therapists experienced an improvement in the intake procedure. They reported having more relevant information about the patients to be used during the assessment and the treatment; they liked the new design better; there was a better alignment of expectations between patients and therapists; the patient group was generally a better fit for treatment after implementation; and more of the assessed patients were included in the program. The quantitative data support the interview data and describe a process of normalization that increases over time. Discussion: The ItFits-toolkit appears to have been an effective mediator of the implementation process. The therapists were aided in the process of change, resulting in an enhanced ability to target the patients who can benefit from the treatment program, less expenditure of time on the wrong population, and more satisfied therapists. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Tarp, Nielsen, Holmberg, Dalsgaard, Borkner, Skaarnes, Jensen, Piera-Jiménez, Vis and Mathiasen.)
Databáze:	MEDLINE
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