Implementing Internet-Based Self-Care Programs in Primary Care: Qualitative Analysis of Determinants of Practice for Patients and Providers.

JMIR Mental Health
Eric D A HermesMichael Rowe

Abstract

Access to evidence-based interventions for common mental health conditions is limited due to geographic distance, scheduling, stigma, and provider availability. Internet-based self-care programs may mitigate these barriers. However, little is known about internet-based self-care program implementation in US health care systems. The objective of this study was to identify determinants of practice for internet-based self-care program use in primary care by eliciting provider and administrator perspectives on internet-based self-care program implementation. The objective was explored through qualitative analysis of semistructured interviews with primary care providers and administrators from the Veterans Health Administration. Participants were identified using a reputation-based snowball design. Interviews focused on identifying determinants of practice for the use of internet-based self-care programs at the point of care in Veterans Health Administration primary care. Qualitative analysis of transcripts was performed using thematic coding. A total of 20 physicians, psychologists, social workers, and nurses participated in interviews. Among this group, internet-based self-care program use was relatively low, but support for the p...Continue Reading

References

Jan 31, 2006·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Alan West, William B Weeks
Mar 1, 2008·Psychiatric Services : a Journal of the American Psychiatric Association·Daniel Z Lieberman, Suena W Huang
Feb 24, 2009·Behaviour Research and Therapy·Gerhard Andersson
Apr 15, 2009·Behavioural and Cognitive Psychotherapy·Melanie MacLeodChris Williams
Sep 30, 2009·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Azy BarakJudith G Proudfoot
May 7, 2010·Current Drug Abuse Reviews·Michael A CucciareKeith Humphreys
Nov 9, 2010·American Journal of Surgery·Sarah PopekRobert S Krouse
Dec 21, 2010·Journal of Medical Internet Research·Lisanne WarmerdamPim Cuijpers
Jan 5, 2011·Administration and Policy in Mental Health·Gregory A AaronsSarah McCue Horwitz
Dec 29, 2011·Medical Care Research and Review : MCRR·Byron J PowellJennifer L York
Jan 21, 2012·Journal of Medical Internet Research·Kevin O HwangChristopher N Sciamanna
May 28, 2013·Military Medicine·Thomas K HoustonSusannah Fox
Nov 16, 2013·Psychiatric Services : a Journal of the American Psychiatric Association·E Jane CostelloKathleen Ries Merikangas
Feb 26, 2014·Behavioral Sleep Medicine·Julie BeaulacKate Walsh
Apr 29, 2015·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Eric D A HermesRobert Rosenheck
Apr 30, 2015·The Cochrane Database of Systematic Reviews·Richard BakerCornelia Jäger
Jul 2, 2015·Psychiatric Services : a Journal of the American Psychiatric Association·Nickolai TitovOlav B Nielssen
Sep 10, 2016·Journal of Medical Internet Research·Filip DrozdCato Alexander Bjørkli
Oct 27, 2016·JAMA : the Journal of the American Medical Association·Paul C Tang, Mark D Smith
Dec 29, 2016·Health Informatics Journal·Eric DA HermesMichael Rowe
Feb 15, 2017·Journal of Medical Internet Research·Michelle M AlvaradoMark A Lawley
Sep 7, 2017·Journal of Medical Internet Research·Lieneke Fm AriensHarmieke van Os-Medendorp

❮ Previous
Next ❯

Software Mentioned

ti
MyHealtheVet
ATLAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.