scholarly journals Perceived benefits of digital interventions for behavioral health: A qualitative interview study (Preprint)

10.2196/34300 ◽  
2021 ◽  
Author(s):  
Gabriela Marcu ◽  
Steven J Ondersma ◽  
Allison N Spiller ◽  
Brianna M Broderick ◽  
Reema Kadri ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Qualitative Interview ◽  
Interview Study ◽  
Perceived Benefits ◽  
Digital Interventions ◽  
Qualitative Interview Study

Perceived benefits of digital interventions for behavioral health: A qualitative interview study (Preprint)

2021 ◽  
Author(s):  
Gabriela Marcu ◽  
Steven J Ondersma ◽  
Allison N Spiller ◽  
Brianna M Broderick ◽  
Reema Kadri ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Behavioral Interventions ◽  
Relative Effectiveness ◽  
Behavioral Research ◽  
Future Research ◽  
Full Potential ◽  
Perceived Benefits ◽  
Convenience Sample ◽  
Digital Interventions ◽  
Qualitative Interview Study

BACKGROUND Digital interventions have been gaining momentum in behavioral health. There are no standard approaches or tools for creating digital behavioral interventions, so many clinical researchers find their own way to realize them. There is likely variability in how researchers conceive of digital interventions. Even when grounding these interventions in similar behavioral theory and existing clinical approaches, there will not be a direct or obvious translation into a digital form of delivery. Moreover, the challenges of developing technology remain a significant barrier to use of digital interventions. Effective implementation of digital interventions in behavioral research, and improving the availability of tools and guidance for researchers, will require a thorough understanding of the motivations and needs of researchers seeking to create digital interventions. OBJECTIVE This investigation sought to understand the perceptions of behavioral researchers toward digital interventions, and inform use of these interventions, by documenting (a) reasons why researchers are increasingly focusing their efforts on digital interventions, and (b) their perspectives on the perceived benefits that digital approaches can provide for researchers and intervention recipients. METHODS We conducted semi-structured qualitative interviews with 18 researchers who had experience designing digital behavioral interventions or running studies with them. A convenience sample of interviewees was recruited from among users of the Computerized Intervention Authoring System (CIAS) platform, a web-based tool that facilitates the process of creating and deploying digital interventions in behavioral research. Interviews were conducted over teleconference between February and April 2020. Recordings from interviews were transcribed and thematically analyzed by multiple coders. RESULTS Interviews were completed with 18 individuals and lasted between 24-65 minutes (mean = 46.9 minutes; SD = 11.3 minutes). Interviewees were predominantly female (94.4%; 17/18) and represented different job roles ranging from researcher to project/study staff. Four major themes came out of the interviews concerning benefits of digital interventions for behavioral health: convenience and flexibility for interventionists and recipients; support for implementing evidence-based interventions with fidelity; scaling and improving access to interventions; “getting a foot in the door” despite stigma and disenfranchisement. CONCLUSIONS Interviewees described a number of important potential benefits of digital interventions, particularly with respect to scientific rigor, scalability, and overcoming barriers to reaching more people. There are complex considerations with regard to translating behavior change strategies into digital forms of delivery, and interventionists make individual, sometimes unexpected, choices with minimal evidence of their relative effectiveness. Future research should investigate how behavioral researchers can be supported in making these choices toward usability, ease of access, and approachability with digital interventions. Our study underscores the need for authoring platforms that can facilitate the process of creating and deploying digital interventions to reach their full potential for interventionists and recipients alike.

scholarly journals ‘I’m not Sherlock Holmes’: Suspicions, secrecy and silence of transplant professionals in the human organ trade

2019 ◽  
Vol 17 (6) ◽  
pp. 764-783
Author(s):  
Frederike Ambagtsheer ◽  
Linde Van Balen
Keyword(s):  
Qualitative Interview ◽  
Interview Study ◽  
Safe Distance ◽  
Sherlock Holmes ◽  
Human Organ ◽  
Qualitative Interview Study ◽  
Organ Trade ◽  
The Subject

This article presents the results of a qualitative interview study amongst 41 Dutch transplant professionals. The overarching aim was to acquire in-depth understanding of transplant professionals’ experiences with and attitudes towards patients who purchase kidneys. We found that transplant professionals occasionally treat patients who are suspected of kidney purchases abroad. However, they turn a blind eye to their patients’ suspected purchases. Secrecy and silence function as a tacit agreement between patients and their caregivers that keeps the subject of kidney purchase at a safe distance and allows transplant professionals to ignore its suspected occurrence. They thus participate in the building of walls of secrecy and silence in the organ trade.

scholarly journals Experiences of a National Early Warning Score (NEWS) intervention in care homes during the COVID-19 pandemic: a qualitative interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045469
Author(s):  
Rachel Stocker ◽  
Siân Russell ◽  
Jennifer Liddle ◽  
Robert O Barker ◽  
Adam Remmer ◽  
...  
Keyword(s):  
Early Warning ◽  
Healthcare Professionals ◽  
Care Home ◽  
Qualitative Interview ◽  
Interview Study ◽  
Care Homes ◽  
Early Warning Score ◽  
Service Utilisation ◽  
Qualitative Interview Study ◽  
National Early Warning Score

BackgroundThe COVID-19 pandemic has taken a heavy toll on the care home sector, with residents accounting for up to half of all deaths in Europe. The response to acute illness in care homes plays a particularly important role in the care of residents during a pandemic. Digital recording of a National Early Warning Score (NEWS), which involves the measurement of physical observations, started in care homes in one area of England in 2016. Implementation of a NEWS intervention (including equipment, training and support) was accelerated early in the pandemic, despite limited evidence for its use in the care home setting.ObjectivesTo understand how a NEWS intervention has been used in care homes in one area of North-East England during the COVID-19 pandemic, and how it has influenced resident care, from the perspective of stakeholders involved in care delivery and commissioning.MethodsA qualitative interview study with care home (n=10) and National Health Service (n=7) staff. Data were analysed using thematic analysis.ResultsUse of the NEWS intervention in care homes in this area accelerated during the COVID-19 pandemic. Stakeholders felt that NEWS, and its associated education and support package, improved the response of care homes and healthcare professionals to deterioration in residents’ health during the pandemic. Healthcare professionals valued the ability to remotely monitor resident observations, which facilitated triage and treatment decisions. Care home staff felt empowered by NEWS, providing a common clinical language to communicate concerns with external services, acting as an adjunct to staff intuition of resident deterioration.ConclusionsThe NEWS intervention formed an important part of the care home response to COVID-19 in the study area. Positive staff perceptions now need to be supplemented with data on the impact on resident health and well-being, workload, and service utilisation, during the pandemic and beyond.

scholarly journals Meta-analysis, complexity, and heterogeneity: a qualitative interview study of researchers’ methodological values and practices

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Theo Lorenc ◽  
Lambert Felix ◽  
Mark Petticrew ◽  
G J Melendez-Torres ◽  
James Thomas ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study
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