Stakeholders’ views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe
Author(s) -
Stefanie Kuso,
Martiitsch,
Michael D. Zeiler,
Monika Simek,
Tanja Adamcik,
Michelle Dey,
Thomas Berger,
Tobias Krieger,
Kiona K. Weisel,
AnnaCarlotta Zarski,
David Daniel Ebert,
Michael P Schaub,
Christian Moser,
Cristina Botella,
Rosa Baños,
Rocío Herrero,
Ernestina Etchemendy,
Barbara Nacke,
Ina Beintner,
Bianka Vollert,
Juliane Schmidt-Hantke,
K Hutter,
Corinna Jacobi,
Karin Waldherr
Publication year - 2021
Publication title -
european journal of public health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 91
eISSN - 1464-360X
pISSN - 1101-1262
DOI - 10.1093/eurpub/ckab043
Subject(s) - thematic analysis , psychological intervention , mental health , usability , focus group , mental illness , health care , psychology , computer assisted web interviewing , nursing , medical education , medicine , qualitative research , business , psychiatry , computer science , social science , human–computer interaction , marketing , sociology , economics , economic growth
Background Online preventive interventions can help to reduce the incidence of mental disorders. Whereas knowledge on stakeholders’ attitudes and factors relevant for successfully integrating online treatment into existing healthcare systems is available, knowledge is scarce for online prevention. Methods Stakeholders from Germany, Switzerland, Austria and Spain were surveyed. Potential facilitators/delivery staff (e.g. psychologists, psychotherapists) completed an online questionnaire ( n = 183), policy makers (i.e. from the governing sector or health insurance providers) participated in semi-structured interviews ( n = 16) and target groups/potential users of mental illness prevention ( n = 49) participated in ten focus groups. Thematic analysis was used to identify their experiences with and attitudes and needs regarding online programmes to prevent mental disorders. Additionally, it was examined which groups they consider underserved and which factors they consider as fostering and hindering for reach, adoption, implementation and maintenance (cf. RE-AIM model) when integrating online prevention into existing healthcare systems. Results Main advantages of online mental illness prevention are perceived in low structural and psychological barriers. Lack of personal contact, security, privacy and trust concerns were discussed as disadvantages. Relevant needs are high usability and target group appropriateness, evidence for effectiveness and the use of motivational tools. Conclusions Positive attitudes among stakeholders are the key for successful integration of online mental illness prevention into existing healthcare systems. Potential facilitators/delivery staff must receive training and support to implement these programmes; the programmes must be attractive and continuously evaluated, updated and promoted to ensure ongoing reach; and existing infrastructure and contextual factors must be considered.
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