@Article{信息:doi 10.2196 / / jmir。9485,作者=“Feijt, Milou A and de Kort, Yvonne AW and Bongers, Inge MB and IJsselsteijn, Wijnand A”,标题=“心理健康采用的感知驱动因素和障碍:心理健康模型采用水平的构建”,期刊=“J Med Internet Res”,年=“2018”,月=“4”,日=“24”,卷=“20”,数=“4”,页=“e153”,关键词=“eHealth”;心理健康;临床心理学;创新扩散;背景:互联网为支持精神卫生保健提供了重要机会,各种以技术为媒介的精神和行为卫生服务已经开发出来。然而,尽管越来越多的证据表明这些服务的有效性,但它们在临床实践中的接受度和使用率仍然很低。到目前为止,目前的文献仍然缺乏从临床心理学家的角度对采用电子心理健康(心理健康)的经验驱动因素和障碍进行结构化的洞察。目的:本研究的目的是深入和全面地了解心理学家采用心理健康工具的驱动因素和障碍,并通过评估驱动因素和分析这些因素之间的关系来补充之前的工作,随后通过对所获得的发现进行结构化表示。方法:本研究采用定性描述方法,包括对在荷兰工作的临床心理学家进行深入的半结构化访谈(N=12)。 On the basis of the findings, a model was constructed that was then examined through a communicative validation. Results: In general, a key driver for psychologists to adopt eMental health is the belief and experience that it can be beneficial to them or their clients. Perceived advantages that are novel to literature include the acceleration of the treatment process, increased intimacy of the therapeutic relationship, and new treatment possibilities due to eMental health. More importantly, a relation was found between the extent to which psychologists have adopted eMental health and the particular drivers and barriers they experience. This differentiation is incorporated in the Levels of Adoption of eMental Health (LAMH) model that was developed during this study to provide a structured representation of the factors that influence the adoption of eMental health. Conclusions: The study identified both barriers and drivers, several of which are new to the literature and found a relationship between the nature and importance of the various drivers and barriers perceived by psychologists and the extent to which they have adopted eMental health. These findings were structured in a conceptual model to further enhance the current understanding. The LAMH model facilitates further research on the process of adopting eMental health, which will subsequently enable targeted recommendations with respect to technology, training, and clinical practice to ensure that mental health care professionals as well as their clients will benefit optimally from the current (and future) range of available eMental health options. ", issn="1438-8871", doi="10.2196/jmir.9485", url="//www.mybigtv.com/2018/4/e153/", url="https://doi.org/10.2196/jmir.9485", url="http://www.ncbi.nlm.nih.gov/pubmed/29691215" }
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