How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention
Low-threshold and remotely delivered preventive interventions, like telephone coaching, are warranted for farmers who experience multiple risk factors for depression, live in underserved areas, and show low help-seeking behavior. Factors facilitating uptake and actual use of effective remote interve...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Internet Interventions |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214782923000714 |
| _version_ | 1827596502806036480 |
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| author | Janika Thielecke Claudia Buntrock Johanna Freund Lina Braun David D. Ebert Matthias Berking Harald Baumeister Ingrid Titzler |
| author_facet | Janika Thielecke Claudia Buntrock Johanna Freund Lina Braun David D. Ebert Matthias Berking Harald Baumeister Ingrid Titzler |
| author_sort | Janika Thielecke |
| collection | DOAJ |
| description | Low-threshold and remotely delivered preventive interventions, like telephone coaching, are warranted for farmers who experience multiple risk factors for depression, live in underserved areas, and show low help-seeking behavior. Factors facilitating uptake and actual use of effective remote interventions are important to reduce depression disease burden. This study aimed at identifying factors that potentially can influence acceptance of and satisfaction with a telephone coaching in this occupational group.Semi-structured interviews were based on the ‘Unified Theory of Acceptance and Use of Technology’, the ‘Evaluation’, and ‘Discrepancy’ models for satisfaction. Interviews were conducted with 20 of 66 invited participants of a 6-months telephone coaching during an effectiveness or implementation study. Audio-recorded interviews were transcribed and analyzed (deductive-inductive qualitative content analysis). Independent coding by two persons resulted in good agreement (Κ = 0.80). Participants validated results via questionnaire.Overall, 32 supporting (SF) and 14 hindering factors (HF) for acceptance and satisfaction were identified and organized into five dimensions: Coaching result (SF = 9, HF = 3), coach (SF = 9, HF = 1), organization (SF = 5, HF = 2), the telephone as communication medium (SF = 4, HF = 5) and participant characteristics (SF = 5, HF = 3). Most named SFs were ‘Flexible appointment arrangement’ (n = 19/95 %) and ‘low effort’ (n = 17/85 %), while most reported HFs were ‘lack of visual cues’ (n = 12/60 %) and ‘social/professional involvement restricts change process’ (n = 10/50 %).The perceived changes initiated by coaching, a low effort through telephone conduct, and the indicated personalization were identified as important influencing factors on acceptance and satisfaction based on interviewees' statements. Both may be further enhanced by offering choice and advice for delivery formats (e.g., video-calls) and training of coaches in farm-related issues. Study registration: German Clinical Trial Registrations: DRKS00017078 and DRKS00015655. |
| first_indexed | 2024-03-09T03:11:28Z |
| format | Article |
| id | doaj.art-e9e095fdad264b909c07b69f73e3b30c |
| institution | Directory Open Access Journal |
| issn | 2214-7829 |
| language | English |
| last_indexed | 2024-03-09T03:11:28Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Internet Interventions |
| spelling | doaj.art-e9e095fdad264b909c07b69f73e3b30c2023-12-04T05:21:57ZengElsevierInternet Interventions2214-78292023-12-0134100671How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression preventionJanika Thielecke0Claudia Buntrock1Johanna Freund2Lina Braun3David D. Ebert4Matthias Berking5Harald Baumeister6Ingrid Titzler7Department of Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany; Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany; Corresponding author at: Friedrich-Alexander-University Erlangen-Nürnberg, Department of Clinical Psychology and Psychotherapy, Nägelsbachstr. 25a, D-91052 Erlangen, Germany.Department of Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany; Institute of Social Medicine and Health Systems Research, Otto von Guericke University Magdeburg, Magdeburg, GermanyDepartment of Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany; Department of Sport and Health Sciences, Technical University of Munich, Munich, GermanyDepartment of Clinical Psychology and Psychotherapy, Ulm University, Ulm, GermanyDepartment of Sport and Health Sciences, Technical University of Munich, Munich, GermanyDepartment of Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, GermanyDepartment of Clinical Psychology and Psychotherapy, Ulm University, Ulm, GermanyDepartment of Clinical Psychology and Psychotherapy, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, GermanyLow-threshold and remotely delivered preventive interventions, like telephone coaching, are warranted for farmers who experience multiple risk factors for depression, live in underserved areas, and show low help-seeking behavior. Factors facilitating uptake and actual use of effective remote interventions are important to reduce depression disease burden. This study aimed at identifying factors that potentially can influence acceptance of and satisfaction with a telephone coaching in this occupational group.Semi-structured interviews were based on the ‘Unified Theory of Acceptance and Use of Technology’, the ‘Evaluation’, and ‘Discrepancy’ models for satisfaction. Interviews were conducted with 20 of 66 invited participants of a 6-months telephone coaching during an effectiveness or implementation study. Audio-recorded interviews were transcribed and analyzed (deductive-inductive qualitative content analysis). Independent coding by two persons resulted in good agreement (Κ = 0.80). Participants validated results via questionnaire.Overall, 32 supporting (SF) and 14 hindering factors (HF) for acceptance and satisfaction were identified and organized into five dimensions: Coaching result (SF = 9, HF = 3), coach (SF = 9, HF = 1), organization (SF = 5, HF = 2), the telephone as communication medium (SF = 4, HF = 5) and participant characteristics (SF = 5, HF = 3). Most named SFs were ‘Flexible appointment arrangement’ (n = 19/95 %) and ‘low effort’ (n = 17/85 %), while most reported HFs were ‘lack of visual cues’ (n = 12/60 %) and ‘social/professional involvement restricts change process’ (n = 10/50 %).The perceived changes initiated by coaching, a low effort through telephone conduct, and the indicated personalization were identified as important influencing factors on acceptance and satisfaction based on interviewees' statements. Both may be further enhanced by offering choice and advice for delivery formats (e.g., video-calls) and training of coaches in farm-related issues. Study registration: German Clinical Trial Registrations: DRKS00017078 and DRKS00015655.http://www.sciencedirect.com/science/article/pii/S2214782923000714InterviewsAcceptanceSatisfactionTelephone coachingDepressionFarmers |
| spellingShingle | Janika Thielecke Claudia Buntrock Johanna Freund Lina Braun David D. Ebert Matthias Berking Harald Baumeister Ingrid Titzler How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention Internet Interventions Interviews Acceptance Satisfaction Telephone coaching Depression Farmers |
| title | How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention |
| title_full | How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention |
| title_fullStr | How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention |
| title_full_unstemmed | How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention |
| title_short | How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention |
| title_sort | how to promote usage of telehealth interventions for farmers mental health a qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention |
| topic | Interviews Acceptance Satisfaction Telephone coaching Depression Farmers |
| url | http://www.sciencedirect.com/science/article/pii/S2214782923000714 |
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