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Beliefs and Attitudes About the Dissemination and Implementation of Internet-Based Self-Care Programs in a Large Integrated Healthcare System

  • Eric D. A. HermesEmail author
  • Laura Burrone
  • Alicia Heapy
  • Steve Martino
  • Elliottnell Perez
  • Robert Rosenheck
  • Michael Rowe
  • Josef I. Ruzek
  • Carolyn Greene
Original Article

Abstract

Behavioral intervention technologies (BITs) are online programs or mobile applications that deliver behavioral health interventions for self-care. The dissemination and implementation of such programs in U.S. healthcare systems has not been widely undertaken. To better understand these phenomena, we explored perspectives on BIT deployment in the Veterans Health Administration. Interviews from 20 providers, administrators, and policy makers were analyzed using qualitative methods. Eight themes were identified including the use of traditional healthcare delivery models, strategies for technology dissemination and implementation, internet infrastructure, leadership, health system structure, regulations, and strategic priorities. This research suggests policy, funding, and strategy development initiatives to promote the implementation and dissemination of BITs.

Keywords

Cognitive behavioral therapy Internet-based therapy Health information technology Internet Veterans Implementation Dissemination 

Notes

Acknowledgements

The authors acknowledge and are grateful for the guidance of Mona Ritche, MSW, PhD in the use of the Atlas/ti. qualitative data analysis and management software. Interviews were transcribed by the VA HSR&D Centralized Transcription Services Program located at the VA Salt Lake City Healthcare System.

Funding

The research outlined here was supported by the Department of Veterans affairs, Veterans Health Affairs, HSR&D Career Development Award (Grant Number 119234740) to Eric Hermes, M.D. as well as the VA New England Mental Illness Research, Education, and Clinical Center and The VA Pain, Research, Informatics, Medical comorbidities, and Education (PRIME) Center. The funding sources had no role in the design, analysis or interpretation of data or in the preparation of the report or decision to publish.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the VA Connecticut Healthcare System and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Research Involving Animal and Human Participants

This article does not contain any studies with animals performed by any of the authors.

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Copyright information

© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply  2019

Authors and Affiliations

  • Eric D. A. Hermes
    • 1
    • 2
    Email author return OK on get
  • Laura Burrone
    • 1
  • Alicia Heapy
    • 2
    • 3
  • Steve Martino
    • 1
    • 2
  • Elliottnell Perez
    • 1
  • Robert Rosenheck
    • 1
    • 2
  • Michael Rowe
    • 4
  • Josef I. Ruzek
    • 5
    • 6
    • 7
  • Carolyn Greene
    • 8
  1. 1.VA Connecticut Health Care SystemWest HavenUSA
  2. 2.Department of PsychiatryYale University School of MedicineNew HavenUSA
  3. 3.VA Pain Research, Informatics, Multi-Morbidities, and Education (PRIME) CenterVA Connecticut Health Care SystemWest HavenUSA
  4. 4.Program for Recovery and Community Health, Department of PsychiatryYale University School of MedicineNew HavenUSA
  5. 5.Dissemination and Training DivisionVA National Center For PTSD Department of Veterans Affairs, VA Palo Alto Healthcare SystemMenlo ParkUSA
  6. 6.Center for m2 HealthPalo Alto UniversityPalo AltoUSA
  7. 7.Department of Psychiatry and Behavioral SciencesStanford UniversityStanfordUSA
  8. 8.Office of Mental Health and Suicide PreventionDepartment of Veterans Affairs, Central OfficeWashingtonUSA

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