Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model

Feijt, Milou A.; Kort, Y.; Bongers, I.M.B.; IJsselsteijn, Wijnand A.

doi:10.2196/jmir.9485

Cited by 124 publications

(172 citation statements)

References 49 publications

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“…This may indicate that with experience, perceptions on these important clinical factors of bCBT will change and that when promoting uptake, therapists' needs can shift. This is consistent with Feijt et al [41] who showed that there are different barriers and facilitators depending on the level of therapist experience with online services, and that potentially, the experience level has unique requirements to be addressed when it comes to the uptake of Internet-based interventions.…”

Section: Level Of Experiencesupporting

confidence: 89%

Why Uptake of Blended Internet-Based Interventions for Depression Is Challenging: A Qualitative Study on Therapists’ Perspectives

Mol

Genugten

Dozeman

et al. 2019

JCM

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1) Background: Blended cognitive behavioral therapy (bCBT; online and face-to-face sessions) seems a promising alternative alongside regular face-to-face CBT depression treatment in specialized mental health care organizations. Therapists are key in the uptake of bCBT. This study focuses on therapists' perspectives on usability, satisfaction, and factors that promote or hinder the use of bCBT in routine practice; (2) Methods: Three focus groups (n = 8, n = 7, n = 6) and semi-structured in-depth interviews (n = 15) were held throughout the Netherlands. Beforehand, the participating therapists (n = 36) completed online questionnaires on usability and satisfaction. Interviews were analyzed by thematic analysis; (3) Results: Therapists found the usability sufficient and were generally satisfied with providing bCBT. The thematic analysis showed three main themes on promoting and hindering factors: (1) therapists' needs regarding bCBT uptake, (2) therapists' role in motivating patients for bCBT, and (3) therapists' experiences with bCBT; (4) Conclusions: Overall, therapists were positive; bCBT can be offered by all CBT-trained therapists and future higher uptake is expected. Especially the pre-set structure of bCBT was found beneficial for both therapists and patients. Nevertheless, therapists did not experience promised time-savings-rather, the opposite. Besides, there are still teething problems and therapeutic shortcomings that need improvement in order to motivate therapists to use bCBT.

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Section: Level Of Experiencesupporting

confidence: 89%

Why Uptake of Blended Internet-Based Interventions for Depression Is Challenging: A Qualitative Study on Therapists’ Perspectives

Mol

Genugten

Dozeman

et al. 2019

JCM

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“…TECHNOLOGY AND THERAPEUTIC CARE The application of technology in face-to-face mental health care continues to be contentious (Feijt, de Kort, Bongers, & IJsselsteljn, 2018;Perle, Langsam, & Nierenberg, 2011;Richards, Simpson, Bastiampillai, Pietrabissa, & Castelnuovo, 2016). Present-day face-to-face therapy, operating in a similar format to Sigmund Freud's foundational practice, is based at its core upon direct communication and interaction between the therapist and client in a private setting.…”

Section: Introductionmentioning

confidence: 99%

Utilizing Digital Tools to Support Face-to-Face Care: Examining Uptake Within the Practices of Australian Psychologists

Kerr¹,

Houten²

2020

Human Technology

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Societal adoption of mobile phones and other digital devices, and the resulting widespread digital literacy, allows for new possibilities in approaching and supporting faceto-face therapy. In this study, we examined the application of digital communication tools and media within therapeutic care by 33 psychologists across Australia. Uses of digital technologies were analyzed with a focus on both the approaches applied within face-to-face therapy sessions and those occurring as an adjunct to these sessions. In contrast to online counseling, established upon a foundation of digital technologies, the study results indicate that the use of technology in face-to-face therapy is still emerging but growing in scope and implementation. Areas of key and unique uptake by practitioners are identified, along with possibilities for future application. In outlining contemporary practices, a typology for the utilization of digital tools is presented, offering a practical framework for therapists to extend face-to-face care via information and communication technologies.

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“…The use of technology to deliver mental health interventions proliferated in recent years, with eMental Health interventions providing accessibility to needed mental health interventions [1,2]for more people [3] and at greater frequency [4]. Use of eMental Health interventions are especially promising for vulnerable and marginalized populations like migrants.…”

Section: Introductionmentioning

confidence: 99%

Cultural Adaptation of a Scalable World Health Organization E-Mental Health Program for Overseas Filipino Workers (Preprint)

Garabiles¹,

Shehadeh²,

Hall³

2018

Preprint

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Word length: 5590; 5192 excluding abstract/5000 2 Background: eMental Health interventions can address the mental health needs of different populations. Cultural adaptation of these interventions is crucial to establish better fit with the cultural group and to achieve better treatment outcomes.Objective: The aim of this study is to describe the cultural adaptation of the World Health Organization's eMental Health program, Step-by-Step, for overseas Filipino workers (OFWs).We used a framework which posits that cultural adaptation should enhance: (a) relevance, in that the cultural group can relate with the content; (b) acceptability, where the cultural group will not find any element offensive; (c) comprehensibility, in that the program is understandable, and; (d) completeness, wherein the adapted version covers the same concepts and constructs as the original program. We aimed to have English and Filipino, and male and female versions. Methods: Three experienced Filipino psychologists provided their perspectives on the programand how it might be adapted for OFWs. We then adapted the program and obtained further feedback and suggestions from 28 OFWs working in diverse industries through focus group discussions (FGDs). We conducted seven FGDs with all-male participants and nine FGDs with all-female participants. In each FGD, cognitive interviewing was used to probe for relevance, acceptability, comprehensibility, and completeness of illustrations and text. Participant feedback guided a further round of iterative program adaptations, which were again shown to participants to seek additional feedback for validation and improvement. Results:We made a number of key adaptations to the Step-by-Step program. To enhance relevance, we adapted the program narrative to match OFW experiences, incorporated Filipino values, and illustrated familiar problems and activities. To increase acceptability, our main characters were changed to wise elders rather than health professionals (reducing mental health and help-seeking stigma), potentially political or unacceptable content was removed, and the 3 program was made suitable for OFWs working in a variety of sectors. To increase comprehension, we used English and Filipino languages, simplified the text to ease interpretation of abstract terms or ideas, and ensured that text and illustrations matched. We also used Taglish (i.e., merged English and Filipino) when participants deemed pure Filipino translations sounded odd or were difficult to understand. Lastly, we retained the core elements and concepts included in the original Step-by-Step program to maintain completeness. Conclusions:This study showed the utility of using the four-point framework that focuses on acceptance, relevance, comprehensibility, and completeness in cultural adaptation. In the end, we achieved a culturally-appropriate adapted version of the Step-by-Step program for OFWs. We discuss lessons we learned in the process to guide future cultural adaptation projects of eMental Health interventions.

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Perceived Drivers and Barriers to the Adoption of eMental Health by Psychologists: The Construction of the Levels of Adoption of eMental Health Model

Cited by 124 publications

References 49 publications

Why Uptake of Blended Internet-Based Interventions for Depression Is Challenging: A Qualitative Study on Therapists’ Perspectives

Why Uptake of Blended Internet-Based Interventions for Depression Is Challenging: A Qualitative Study on Therapists’ Perspectives

Utilizing Digital Tools to Support Face-to-Face Care: Examining Uptake Within the Practices of Australian Psychologists

Cultural Adaptation of a Scalable World Health Organization E-Mental Health Program for Overseas Filipino Workers (Preprint)

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