Factors influencing the adoption of telemedicine for treatment of military veterans with post-traumatic stress disorder

Kruse, Clemens Scott; Atkins, James M.; Baker, Tiffany D; Gonzales, E.N.; Paul, Jennifer; Brooks, Matthew

doi:10.2340/16501977-2302

Cited by 32 publications

(36 citation statements)

References 31 publications

(113 reference statements)

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“…We identified 76 distinct barriers (33 individual, 25 environmental, and 18 technical) and a total of 268 facilitators (131 individual, 101 environmental, and 36 technical) in the literature (see Multimedia Appendix 1). The most frequent barrier in the literature was limited exposure/knowledge of eHealth (ie, poor digital health literacy) with 16 references [17,19-22,32,33,36,38,40,41,43,47,48,51,55], followed by 15 references of lack of necessary devices [19,20,22,24,32,37, 38,40,41,43,44,48,51,53,55], and problems with financing eHealth solutions [17-19,21,24,27,28, 33,38,39,42,47]. For a complete list of the top 10 barriers, see Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Ease of use was the most stated success factor found in the literature with seven references [20,30,33,43,44,47,53], followed by improves communication [23,28,35,44,55]. For a list of the top six facilitators, see Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…However, these reviews were either focused on a specific eHealth application, disease, or patient subgroup. Kruse et al [20], for example, reviewed articles limited to military veterans with posttraumatic stress disorder to find out about factors that would influence telemedicine adoption. Mileski et al [24] focused their review on telemedicine for the self-management of hypertension.…”

Section: Discussionmentioning

confidence: 99%

“…Several reviews and projects have identified barriers and facilitators for eHealth service adoption in certain environments and disease contexts, such as mental health [17-19], veterans health care [20-22], and hypertension [23-25]. However, to the best of our knowledge, no overview, meta-analysis, or comprehensive list of barriers and facilitators affecting the adoption of eHealth services has been conducted and published.…”

Section: Introductionmentioning

confidence: 99%

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Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis

Schreiweis¹,

Pobiruchin²,

Strotbaum³

et al. 2019

J Med Internet Res

269

204

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BackgroundThe field of eHealth has a history of more than 20 years. During that time, many different eHealth services were developed. However, factors influencing the adoption of such services were seldom the main focus of analyses. For this reason, organizations adopting and implementing eHealth services seem not to be fully aware of the barriers and facilitators influencing the integration of eHealth services into routine care.ObjectiveThe objective of this work is to provide (1) a comprehensive list of relevant barriers to be considered and (2) a list of facilitators or success factors to help in planning and implementing successful eHealth services.MethodsFor this study, a twofold approach was applied. First, we gathered experts’ current opinions on facilitators and barriers in implementing eHealth services via expert discussions at two health informatics conferences held in Europe. Second, we conducted a systematic literature analysis concerning the barriers and facilitators for the implementation of eHealth services. Finally, we merged the results of the expert discussions with those of the systematic literature analysis.ResultsBoth expert discussions (23 and 10 experts, respectively) identified 15 barriers and 31 facilitators, whereas 76 barriers and 268 facilitators were found in 38 of the initial 56 articles published from 12 different countries. For the analyzed publications, the count of distinct barriers reported ranged from 0 to 40 (mean 10.24, SD 8.87, median 8). Likewise, between 0 and 48 facilitators were mentioned in the literature (mean 9.18, SD 9.33, median 6). The combination of both sources resulted in 77 barriers and 292 facilitators for the adoption and implementation of eHealth services.ConclusionsThis work contributes a comprehensive list of barriers and facilitators for the implementation and adoption of eHealth services. Addressing barriers early, and leveraging facilitators during the implementation, can help create eHealth services that better meet the needs of users and provide higher benefits for patients and caregivers.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis

Schreiweis¹,

Pobiruchin²,

Strotbaum³

et al. 2019

J Med Internet Res

269

204

View full text Add to dashboard Cite

show abstract

“…Between semesters, I enter into partnership with those graduate students whose work is of high quality and also research viable topics for the following term. With this protocol, I have helped 77/151 (51%) graduate students publish 27 systematic reviews [1-27] (two in press) in nine high-quality journals worldwide over the last 5 years: Journal of Medical Internet Research [2,4,8-11,14,15,17,18,26], Journal of Medical Systems [19,20,23,24], Journal of Telemedicine and Telecare [3,22], Technology and Healthcare, [5,6], BMJ Open [16,21], JRSM Open [12], Applied Clinical Informatics [25], Journal of Rehabilitation Medicine [27], and American Journal of Tropical Medicine and Hygiene [1].…”

Section: Introductionmentioning

confidence: 99%

Writing a Systematic Review for Publication in a Health-Related Degree Program

Kruse¹

2019

JMIR Res Protoc

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BackgroundThe protocol in this manuscript was designed to help graduate students publish. It is the result of a challenge from our provost in 2013. I developed this protocol over the last 6 years and have exercised the protocol for the last 5 years. The current version of the protocol has remained mostly static for the last 2 years—only small changes have been made to the process.ObjectiveThe objective of this protocol is to enable students to learn a valuable skill of conducting a systematic review and to write the review in a way that can be published. I have designed the protocol to fit into the schedule of a traditional semester, but also used it in compressed semesters.MethodsAn image map was created in HTML 5.0 and imported into a learning management system. It augments traditional instruction by providing references to published articles, examples, and previously recorded instructional videos. Students use the image map outside the classroom after traditional instruction. The image map helps students create manuscripts that follow established practice and are reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and whose authorship follows guidelines by the International Committee of Medical Journal Editors.ResultsSince its inception, this protocol has helped 77 students publish 27 systematic reviews in nine journals worldwide. Some manuscripts take multiple years to progress through multiple review processes at multiple journals submitted in sequence. Two other professors in the School of Health Administration have used this protocol in their classes.ConclusionsSo far, this method has helped 51% of graduate students who used it in my graduate courses publish articles (with more manuscripts under consideration whose numbers have remained uncounted in this sum). I wish success to others who might use this protocol.

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Impact of moral injury and posttraumatic stress disorder on health care utilization and suicidality in rural and urban veterans

Parry

Hicken

Chen

et al. 2022

Journal of Traumatic Stress

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This study explored the impact of moral injury (MI) and posttraumatic stress disorder (PTSD) on health care utilization, mental health complexity, and suicidality in rural and urban veterans. Analyses combined data from the Salt Lake City PTSD Clinic Intake Database and the Department of Veterans Affairs Corporate Data Warehouse. Participants (N = 1,545; M age = 45.9 years) were predominately male (88.3%) and White (87.8%). Adjusted analyses indicated associations between a 1-unit increase in Moral Injury Events Scale (MIES) score and increased mental health complexity, RR = 1.

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Factors influencing the adoption of telemedicine for treatment of military veterans with post-traumatic stress disorder

Cited by 32 publications

References 31 publications

Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis

Barriers and Facilitators to the Implementation of eHealth Services: Systematic Literature Analysis

Writing a Systematic Review for Publication in a Health-Related Degree Program

Impact of moral injury and posttraumatic stress disorder on health care utilization and suicidality in rural and urban veterans

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