E-mental health implementation in inpatient care: Exploring its potential and future challenges
BackgroundThere is a great evidence base today for the effectiveness of e-mental health, or the use of technology in mental healthcare. However, large-scale implementation in mental healthcare organisations is lacking, especially in inpatient specialized mental healthcare settings.AimThe current stu...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-12-01
|
| Series: | Frontiers in Digital Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fdgth.2022.1027864/full |
| _version_ | 1811177516567625728 |
|---|---|
| author | Eva Van Assche Bert Bonroy Marc Mertens Lore Van den Broeck Kimberly Desie Felix Bolinski Khadicha Amarti Annet Kleiboer Heleen Riper Heleen Riper Heleen Riper Tom Van Daele |
| author_facet | Eva Van Assche Bert Bonroy Marc Mertens Lore Van den Broeck Kimberly Desie Felix Bolinski Khadicha Amarti Annet Kleiboer Heleen Riper Heleen Riper Heleen Riper Tom Van Daele |
| author_sort | Eva Van Assche |
| collection | DOAJ |
| description | BackgroundThere is a great evidence base today for the effectiveness of e-mental health, or the use of technology in mental healthcare. However, large-scale implementation in mental healthcare organisations is lacking, especially in inpatient specialized mental healthcare settings.AimThe current study aimed to gain insights into the factors that promote or hinder the implementation of e-mental health applications on organisational, professional and patient levels in Belgium.MethodsFour Belgian psychiatric hospitals and psychiatric departments of general hospitals invited their professionals and patients to use Moodbuster, which is a modular web-based platform with a connected smartphone application for monitoring. The platform was used in addition to treatment as usual for three to four months. The professionals and patients completed pre- and post-implementation questionnaires on their reasons to participate or to decline participation and experiences with the Moodbuster platform.ResultsMain reasons for the organisations to participate in the implementation study were a general interest in e-mental health and seeing it is a helpful add-on to regular treatment. The actual use of Moodbuster by professionals and patients proved to be challenging with only 10 professionals and 24 patients participating. Implementation was hindered by technical difficulties and inpatient care specific factors such as lack of structural facilities to use e-mental health and patient-specific factors. Professionals saw value in using e-mental health applications for bridging the transition from inpatient to outpatient care. Twenty-two professionals and 31 patients completed the questionnaire on reasons not to participate. For the patients, lack of motivation because of too severe depressive symptoms was the most important reason not to participate. For professionals, it was lack of time and high workload.ConclusionsThe current implementation study reveals several important barriers to overcome in order to successfully implement e-mental health in inpatient psychiatric care. |
| first_indexed | 2024-04-11T06:02:55Z |
| format | Article |
| id | doaj.art-46a77bf36f0b4e38b59610a3c95479a8 |
| institution | Directory Open Access Journal |
| issn | 2673-253X |
| language | English |
| last_indexed | 2024-04-11T06:02:55Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Digital Health |
| spelling | doaj.art-46a77bf36f0b4e38b59610a3c95479a82022-12-22T04:41:35ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2022-12-01410.3389/fdgth.2022.10278641027864E-mental health implementation in inpatient care: Exploring its potential and future challengesEva Van Assche0Bert Bonroy1Marc Mertens2Lore Van den Broeck3Kimberly Desie4Felix Bolinski5Khadicha Amarti6Annet Kleiboer7Heleen Riper8Heleen Riper9Heleen Riper10Tom Van Daele11Thomas More University of Applied Sciences, Antwerp, BelgiumThomas More University of Applied Sciences, Geel, BelgiumThomas More University of Applied Sciences, Geel, BelgiumPulso Europe, Leuven, BelgiumPulso Europe, Leuven, BelgiumDepartment of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Clinical, Neuro, and Developmental Psychology, Amsterdam Public Health Institute, Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDepartment of Psychiatry, Amsterdam University Medical Centre (VUmc), Amsterdam, NetherlandsFaculty of Medicine, University of Turku, Turku, FinlandThomas More University of Applied Sciences, Antwerp, BelgiumBackgroundThere is a great evidence base today for the effectiveness of e-mental health, or the use of technology in mental healthcare. However, large-scale implementation in mental healthcare organisations is lacking, especially in inpatient specialized mental healthcare settings.AimThe current study aimed to gain insights into the factors that promote or hinder the implementation of e-mental health applications on organisational, professional and patient levels in Belgium.MethodsFour Belgian psychiatric hospitals and psychiatric departments of general hospitals invited their professionals and patients to use Moodbuster, which is a modular web-based platform with a connected smartphone application for monitoring. The platform was used in addition to treatment as usual for three to four months. The professionals and patients completed pre- and post-implementation questionnaires on their reasons to participate or to decline participation and experiences with the Moodbuster platform.ResultsMain reasons for the organisations to participate in the implementation study were a general interest in e-mental health and seeing it is a helpful add-on to regular treatment. The actual use of Moodbuster by professionals and patients proved to be challenging with only 10 professionals and 24 patients participating. Implementation was hindered by technical difficulties and inpatient care specific factors such as lack of structural facilities to use e-mental health and patient-specific factors. Professionals saw value in using e-mental health applications for bridging the transition from inpatient to outpatient care. Twenty-two professionals and 31 patients completed the questionnaire on reasons not to participate. For the patients, lack of motivation because of too severe depressive symptoms was the most important reason not to participate. For professionals, it was lack of time and high workload.ConclusionsThe current implementation study reveals several important barriers to overcome in order to successfully implement e-mental health in inpatient psychiatric care.https://www.frontiersin.org/articles/10.3389/fdgth.2022.1027864/fulle-mental healthpsychiatric inpatient careimplementationpromoting and hindering factorsdepression |
| spellingShingle | Eva Van Assche Bert Bonroy Marc Mertens Lore Van den Broeck Kimberly Desie Felix Bolinski Khadicha Amarti Annet Kleiboer Heleen Riper Heleen Riper Heleen Riper Tom Van Daele E-mental health implementation in inpatient care: Exploring its potential and future challenges Frontiers in Digital Health e-mental health psychiatric inpatient care implementation promoting and hindering factors depression |
| title | E-mental health implementation in inpatient care: Exploring its potential and future challenges |
| title_full | E-mental health implementation in inpatient care: Exploring its potential and future challenges |
| title_fullStr | E-mental health implementation in inpatient care: Exploring its potential and future challenges |
| title_full_unstemmed | E-mental health implementation in inpatient care: Exploring its potential and future challenges |
| title_short | E-mental health implementation in inpatient care: Exploring its potential and future challenges |
| title_sort | e mental health implementation in inpatient care exploring its potential and future challenges |
| topic | e-mental health psychiatric inpatient care implementation promoting and hindering factors depression |
| url | https://www.frontiersin.org/articles/10.3389/fdgth.2022.1027864/full |
| work_keys_str_mv | AT evavanassche ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT bertbonroy ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT marcmertens ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT lorevandenbroeck ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT kimberlydesie ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT felixbolinski ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT khadichaamarti ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT annetkleiboer ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT heleenriper ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT heleenriper ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT heleenriper ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges AT tomvandaele ementalhealthimplementationininpatientcareexploringitspotentialandfuturechallenges |