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

Adm Policy Ment Health. 2019 May;46(3):311-320. doi: 10.1007/s10488-018-0913-7.

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; Dissemination; Health information technology; Implementation; Internet; Internet-based therapy; Veterans.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Attitude*
  • Behavior Therapy / methods*
  • Behavior Therapy / standards
  • Delivery of Health Care, Integrated / methods*
  • Humans
  • Information Dissemination
  • Internet*
  • Interviews as Topic
  • Leadership
  • Mobile Applications*
  • Point-of-Care Systems
  • Policy
  • Self Care / methods*
  • United States
  • United States Department of Veterans Affairs