scholarly journals Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations

2020 ◽  
Author(s):  
Buaphrao Raphiphatthana ◽  
Michelle Sweet ◽  
Stefanie Puszka ◽  
Kylie Dingwall ◽  
Tricia Nagel
Keyword(s):  
Mental Health ◽  
Case Studies ◽  
Primary Healthcare ◽  
Quantitative Methods ◽  
Qualitative Data ◽  
Implementation Process ◽  
Health Utilisation ◽  
Implementation Program ◽  
Three Phase ◽  
Technology Resources

Abstract Background: A three-phase implementation program was carried out to support Indigenous primary healthcare organisations in Australia to integrate e-mental health approaches into the day-to-day practice. The present study aimed to evaluate the process and the effectiveness of the program. Methods : A concurrent triangulation design was employed to collect and compare quantitative and qualitative data from organisations that participated in the implementation program (case studies) to those that participated in training only (non-case studies). Quantitative methods, i.e., t-tests and descriptive statistics, were used to measure outcomes relating to the frequency of e-mental health usage and levels of organisational readiness. Qualitative data were analysed separately, using theoretical thematic analysis, to gain an in depth understanding of the implementation process. The findings were integrated and interpreted within the implementation science literature.Results : The case studies evidenced greater use of e-mental health approaches than the non-case studies. They also demonstrated increased organisational readiness over the course of the implementation program. The program helped organisations to work and improve on essential aspects within the organisation so that they better supported e-mental health adoption. The key areas addressed were Information Technology resources and infrastructure, leadership and support, policy and protocols around e-mental health utilisation and its integration into practice.Conclusions : By addressing and improving essential aspects relating to e-mental health implementation, the program helped organisations to increase organisational readiness and enhanced uptake of e-mental health approaches.

scholarly journals Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations

2019 ◽  
Author(s):  
Buaphrao Raphiphatthana ◽  
Michelle Sweet ◽  
Stefanie Puszka ◽  
Kylie Dingwall ◽  
Tricia Nagel
Keyword(s):  
Mental Health ◽  
Case Studies ◽  
Primary Healthcare ◽  
Quantitative Methods ◽  
Qualitative Data ◽  
Implementation Process ◽  
Science Literature ◽  
Health Utilisation ◽  
Implementation Program ◽  
Three Phase

Abstract Background : A three-phase implementation program was carried out to enhance e-mental health uptake within Indigenous primary healthcare organisations in Australia. The present study aimed to evaluate the process and the effectiveness of the program. Methods : A concurrent triangulation design was employed to collect and compare quantitative and qualitative data from organisations that participated in the implementation program (case studies) to those that participated in training only (non-case studies). Quantitative methods, i.e., t-tests and descriptive statistics, were used to measure outcomes relating to the frequency of e-mental health usage and levels of organisational readiness. Qualitative data were analysed separately, using theoretical thematic analysis, to gain an in depth understanding of the implementation process. The findings were integrated and interpreted within the implementation science literature. Results : The case studies evidenced greater use of e-mental health approaches than the non-case studies. They also demonstrated increased organisational readiness over the course of the implementation program. The program helped organisations to work and improve on essential aspects within the organisation so that they better supported e-mental health adoption. The key areas addressed were Information Technology resources and infrastructure, leadership and support, policy and protocols around e-mental health utilisation and its integration into practice. Conclusions : By addressing and improving essential aspects relating to e-mental health implementation, the program helped organisations to increase organisational readiness and enhanced uptake of e-mental health approaches.

scholarly journals Evaluation of a three-phase implementation program in enhancing e-mental health adoption within Indigenous primary healthcare organisations

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Buaphrao Raphiphatthana ◽  
Michelle Sweet ◽  
Stefanie Puszka ◽  
Kylie Dingwall ◽  
Tricia Nagel
Keyword(s):  
Mental Health ◽  
Primary Healthcare ◽  
Implementation Program ◽  
Three Phase

scholarly journals Contextualizing and pilot testing the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) to primary healthcare workers in Kilifi, Kenya

2020 ◽  
Vol 7 ◽  
Author(s):  
Mary A. Bitta ◽  
Symon M. Kariuki ◽  
Anisa Omar ◽  
Leonard Nasoro ◽  
Monica Njeri ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Healthcare ◽  
Implementation Process ◽  
Research Programme ◽  
Rank Test ◽  
Situational Analysis ◽  
Successful Implementation ◽  
Pilot Testing ◽  
Health Gap ◽  
Action Programme

Abstract Background Little data exists about the methodology of contextualizing version two of the Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) in resource-poor settings. This paper describes the contextualisation and pilot testing of the guide in Kilifi, Kenya. Methods Contextualisation was conducted as a collaboration between the KEMRI-Wellcome Trust Research Programme (KWTRP) and Kilifi County Government's Department of Health (KCGH) between 2016 and 2018. It adapted a mixed-method design and involved a situational analysis, stakeholder engagement, local adaptation and pilot testing of the adapted guide. Qualitative data were analysed using content analysis to identify key facilitators and barriers to the implementation process. Pre- and post-training scores of the adapted guide were compared using the Wilcoxon signed-rank test. Results Human resource for mental health in Kilifi is strained with limited infrastructure and outdated legislation. Barriers to implementation included few specialists for referral, unreliable drug supply, difficulty in translating the guide to Kiswahili language, lack of clarity of the roles of KWTRP and KCGH in the implementation process and the unwillingness of the biomedical practitioners to collaborate with traditional health practitioners to enhance referrals to hospital. In the adaptation process, stakeholders recommended the exclusion of child and adolescent mental and behavioural problems, as well as dementia modules from the final version of the guide. Pilot testing of the adapted guide showed a significant improvement in the post-training scores: 66.3% (95% CI 62.4–70.8) v. 76.6% (95% CI 71.6–79.2) (p < 0.001). Conclusion The adapted mhGAP-IG version two can be used across coastal Kenya to train primary healthcare providers. However, successful implementation in Kilifi will require a review of new evidence on the burden of disease, improvements in the mental health system and sustained dialogue among stakeholders.

Student Practice Contexts: Changing Face, Changing Place

2005 ◽  
Vol 68 (8) ◽  
pp. 375-378 ◽  
Author(s):  
Anna Wood
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
National Health Service ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Local Authority ◽  
Three Phase ◽  
Mental Health Settings ◽  
Student Practice ◽  
Further Development

A survey was undertaken to identify emerging areas for practice placements as the first part of a three-phase project. Quantitative data pertaining to the number of non-traditional and role-emerging placements taking place were obtained. Qualitative data were gathered to identify the impetus for creating these types of placement, the ways that they were assessed and reviewed and their potential for further development. The questionnaire was circulated to 27 practice placement tutors, 24 of whom responded. The data were anonymised. Twenty-one of the practice placement tutors stated that their higher education institutions offered placements outside the National Health Service or local authority services. Mental health settings were the largest provider of both non-traditional placements (29%) and role-emerging placements (37%). The survey generated detailed responses on the strengths and challenges of these placements and the majority of the participants were in favour of further development in this area.

The Relationship Between Highly Visual Social Media and Young People’s Mental Health: A Scoping Review (Preprint)

2020 ◽  
Author(s):  
Alanna McCrory
Keyword(s):  
Mental Health ◽  
Social Media ◽  
Young People ◽  
Scoping Review ◽  
Quantitative Methods ◽  
Grey Literature ◽  
Significant Proportion ◽  
Mental Wellbeing ◽  
Published Evidence ◽  
The Impact

UNSTRUCTURED Users of highly visual social media (HVSM), such as Snapchat and Instagram, share their messages through images, rather than relying on words. A significant proportion of people that use these platforms are adolescents. Previous research reveals mixed evidence regarding the impact of online social technologies on this age group’s mental wellbeing, but it is uncertain whether the psychological effects of visual content alone differ from text-driven social media. This scoping review maps existing literature that has published evidence about highly visual social media, specifically its psychological impact on young people. Nine electronic databases and grey literature from 2010 until March 2019 were reviewed for articles describing any aspect of visual social media, young people and their mental health. The screening process retrieved 239 articles. With the application of eligibility criteria, this figure was reduced to 25 articles for analysis. Results indicate a paucity of data that exclusively examines HVSM. The predominance of literature relies on quantitative methods to achieve its objectives. Many findings are inconsistent and lack the richness that qualitative data may provide to explore the reasons for theses mixed findings.

Coding in Qualitative Research

2018 ◽  
Author(s):  
Mohammad Yaghi
Keyword(s):  
Qualitative Research ◽  
Case Studies ◽  
Qualitative Data ◽  
Doctoral Dissertation ◽  
Sufficient Data ◽  
Trial And Error ◽  
Amount Of Information ◽  
Potential Problems

In this chapter, Yaghi offers detailed suggestions on how to code qualitative data after they have been gathered. Based on his doctoral dissertation, this chapter explains that the logic behind coding qualitative data is to turn a significant amount of information into categories that can be used to explain a phenomenon, reveal a concept, or render the data comparable across different case studies. It also elaborates through examples from author’s fieldwork in Tunisia, Egypt, and Jordan on four potential problems that may face researchers in coding qualitative data. These are the questions of preparation, categorization, consistency, and saturation. The chapter concludes by asking researchers to be flexible, and open to the process of trial and error in coding, to confront the data with questions before categorization, and to gather sufficient data on their topics before running their qualitative surveys.

scholarly journals Barriers to implementing motivational interviewing in addiction treatment: A nominal group technique process evaluation

2021 ◽  
Vol 2 ◽  
pp. 263348952110184
Author(s):  
Melissa R Hatch ◽  
Kristine Carandang ◽  
Joanna C Moullin ◽  
Mark G Ehrhart ◽  
Gregory A Aarons
Keyword(s):  
Motivational Interviewing ◽  
Process Evaluation ◽  
Nominal Group Technique ◽  
Implementation Strategies ◽  
Implementation Process ◽  
Nominal Group ◽  
Management Level ◽  
Implementation Program ◽  
Ebp Implementation ◽  
Staff Level

Background: The successful implementation of evidence-based practices (EBPs) in real-world settings requires an adaptive approach and ongoing process evaluation and tailoring. Although conducting a needs assessment during the preparation phase of implementation is beneficial, it is challenging to predict all barriers to EBP implementation that may arise over the course of implementation and sustainment. This article describes a process evaluation that identified emergent and persistent barriers that impacted the implementation of an EBP across multiple behavioral health organizations and clinics. Methods: This study was conducted during the first cohort of a cluster randomized controlled trial testing the effectiveness of the Leadership and Organizational Change for Implementation (LOCI) strategy to implement motivational interviewing (MI) in substance use disorder treatment agencies and clinics. We used a modified nominal group technique (NGT) in which clinic leaders identified barriers faced during the implementation process. Barriers were categorized, then ranked and rated according to leaders’ perceptions of each barrier’s influence on implementation. The barriers were then contextualized through individual qualitative interviews. Results: Fifteen barriers were identified, grouped into staff-level barriers, management-level barriers, and implementation program barriers. Time and resistance to MI were rated as the most influential staff-level barriers. Among management-level barriers, time was also rated highest, followed by turnover and external contractual constraints. The most influential implementation barrier was client apprehension of recording for fidelity assessment and feedback. Individual interviews supported these findings and provided suggested adaptations for future implementation efforts. Conclusion: EBP implementation is an ongoing process whereby implementation strategies must be proactively and strategically tailored to address emergent barriers. This research described a process evaluation that was used to identify 15 emergent and/or persistent barriers related to staff, management, and the implementation program. Using implementation strategies that can be tailored and/or adapted to such emergent barriers is critical to implementation effectiveness. Plain Language Summary Unforeseen barriers often arise during the course of implementation. Conducting evaluations during implementation allows for tailoring the implementation strategy. As part of a larger study using the Leadership and Organizational Change for Implementation (LOCI) strategy to implement motivational interviewing (MI), we collected data from the first cohort of LOCI clinic leaders to identify barriers to MI implementation that persisted despite advanced planning and to understand unanticipated barriers that arose during implementation. Leaders identified 15 barriers faced during the implementation process that fell into three categories: staff-level barriers, management-level barriers, and implementation program barriers. The leaders ranked time as the most influential barrier at both the staff and management levels. Staff apprehension, resistance to MI implementation, and staff turnover were also of significant concern to leaders. Future implementation efforts may benefit from conducting a similar process evaluation during the implementation phase.

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