Beliefs and Attitudes About the Dissemination and Implementation of Internet-Based Self-Care Programs in a Large Integrated Healthcare System
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.
KeywordsCognitive behavioral therapy Internet-based therapy Health information technology Internet Veterans Implementation Dissemination
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.
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.
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 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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