scholarly journals Perceived Facilitators and Barriers to Implementation of a Decision Support Tool for Adolescent Depression and Suicidality Screening: A Qualitative Study (Preprint)

10.2196/26035 ◽  
2020 ◽  
Author(s):  
Ana Radovic ◽  
Nathan Anderson ◽  
Megan Hamm ◽  
Brandie George-Milford ◽  
Carrie Fascetti ◽  
...  
Keyword(s):  
Decision Support ◽  
Qualitative Study ◽  
Adolescent Depression ◽  
Decision Support Tool ◽  
Support Tool ◽  
Barriers To Implementation ◽  
Facilitators And Barriers

Perceived Facilitators and Barriers to Implementation of a Decision Support Tool for Adolescent Depression and Suicidality Screening: A Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Ana Radovic ◽  
Nathan Anderson ◽  
Megan Hamm ◽  
Brandie George-Milford ◽  
Carrie Fascetti ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Qualitative Study ◽  
Focus Groups ◽  
Decision Support Tool ◽  
Depression Screening ◽  
Self Disclosure ◽  
Support Tool ◽  
Adolescent Parent ◽  
Barriers To Implementation

BACKGROUND Screening Wizard (SW) is a technology-based decision support tool aimed at guiding primary care providers (PCPs) to respond to depression and suicidality screens in adolescents. Separate screens assess adolescents’ and parents’ reports on mental health symptoms, treatment preferences, and potential treatment barriers. A detailed summary is provided to PCPs, also identifying adolescent-parent discrepancies. The goal of SW is to enhance decision making to increase utilization of evidence-based treatments. OBJECTIVE We describe a multi-stakeholder qualitative study with adolescents, parents, and providers to understand potential barriers to implementation of SW. METHODS We interviewed 11 parents and 11 adolescents, and conducted 2 focus groups with 17 healthcare providers (PCPs, nurses, therapists, staff) across 2 pediatric practices. Participants described previous experiences with screening for depression and were shown a mock-up of SW and asked for feedback. Interviews and focus groups were transcribed verbatim, and codebooks inductively developed based on content. Transcripts were double-coded, and disagreements adjudicated to full agreement. Completed coding was used to produce thematic analyses of interviews and focus groups. RESULTS We identified five main themes across the interviews and focus groups: (1) parents, adolescents, and pediatric PCPs agree that depression screening should occur in pediatric primary care; (2) there is concern that accurate self-disclosure does not always occur during depression screening; (3) Screening Wizard is viewed as a tool that could facilitate depression screening, and which might encourage more honesty in screening responses; (4) parents, adolescents and providers do not want Screening Wizard to replace mental health discussions with providers; and (5) providers want to maintain autonomy in treatment decisions. CONCLUSIONS We identified that providers, parents, and adolescents all have concerns with current screening practices, mainly regarding inaccurate self-disclosure. They recognized value in SW as a computerized tool that may elicit more honest responses and identify adolescent-parent discrepancies. Surprisingly, providers did not want the SW report to include treatment recommendations, and all groups did not want the SW report to replace conversations with the PCP about depression. While SW was originally developed as a treatment decision algorithm, this qualitative study has led us to remove this component, and instead focus on aspects identified as most useful by all groups. We hope that this initial qualitative work will improve future implementation of SW.

scholarly journals Clinician Pre-Implementation Perspectives of a Decision-Support Tool for Prediction of Cardiac Arrhythmia based on Machine Learning: Near-Live Feasibility and Qualitative Study (Preprint)

10.2196/26964 ◽  
2021 ◽  
Author(s):  
Stina Matthiesen ◽  
Søren Zöga Diederichsen ◽  
Mikkel Klitzing Hartmann Hansen ◽  
Christina Villumsen ◽  
Mats Christian Højbjerg Lassen ◽  
...  
Keyword(s):  
Machine Learning ◽  
Decision Support ◽  
Qualitative Study ◽  
Cardiac Arrhythmia ◽  
Decision Support Tool ◽  
Support Tool

scholarly journals Engaging with stakeholders to inform the development of a decision-support tool for the NHS health check programme: qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Lirije Hyseni ◽  
Maria Guzman-Castillo ◽  
Chris Kypridemos ◽  
Brendan Collins ◽  
Ellen Schwaller ◽  
...  
Keyword(s):  
Decision Support ◽  
Qualitative Study ◽  
Decision Support Tool ◽  
Health Check ◽  
Support Tool ◽  
Nhs Health Check
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