Implementation of e‐mental health for depression and anxiety: A critical scoping review

Ellis, Louise A.; Augustsson, Hanna; Grødahl, Anne Ingebrigtsen; Pomare, Chiara; Churruca, Kate; Long, Janet C.; Ludlow, Kristiana; Zurynski, Yvonne; Braithwaite, Jeffrey

doi:10.1002/jcop.22309

Cited by 28 publications

(19 citation statements)

References 75 publications

(75 reference statements)

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“…For all domain indicators, reporting was exceptionally higher for aspects of internal validity (e.g., inclusion criteria, sample size) than external validity (e.g., representativeness of participants, description of settings and staff, intervention fidelity). This is consistent with previous reviews of health interventions across a variety of populations [30,[40][41][42][43]. Of note, the level of reporting on Adoption was poor with indicators at the staff and setting level amongst the lowest reported.…”

Section: Discussionsupporting

confidence: 89%

“…Assessment of intervention maintenance and sustainability has been identified as a neglected area in clinical research [30,[40][41][42][43]48] with results of this review in agreement. Across all studies, the same common barriers to program continuation were reported: lack of clinician knowledge and skills in the management of CRF, shortage of clinician human resources, lack of program and staff funding, and lack of clinician time.…”

Section: Discussionsupporting

confidence: 75%

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Bridging the research to practice gap: a systematic scoping review of implementation of interventions for cancer-related fatigue management

et al. 2021

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Background Cancer-related fatigue (CRF) is one of the most common and distressing symptoms in people with cancer. Although efficacy of interventions for CRF have been extensively investigated, less has been done to ensure successful translation into routine clinical practice. The aim of this systematic scoping review was to synthesise knowledge surrounding the implementation of CRF interventions, summarise the processes and outcomes of implementation strategies used, and identify opportunities for further research. Methods PubMed, Cochrane CENTRAL, EMBASE and CINAHL databases were searched (up to December 2020). The Cochrane Effective Practice and Organisation of Care (EPOC) Group taxonomy and the RE-AIM Framework were used to guide the evaluation of implementation strategies and outcomes, respectively. Results Six studies were included. Three used an implementation framework (PARIHS, KTA, Cullens & Adams’ Implementation Guide) to guide implementation. Overall, the implementation strategies used across all studies were reported to have directly resulted in immediate changes at the clinician level (e.g., increased clinician behaviours, self-efficacy, attitudes, knowledge of CRF management). No clear relationship was found between the use of implementation models and the number or type of implementation strategies used. For outcomes, Effectiveness and Implementation were the most highly reported RE-AIM measures followed by Reach then Maintenance. Adoption was the least reported. Conclusions Despite the high prevalence of CRF and evidence-based interventions for managing CRF, there is limited evidence informing the sustainable implementation of these interventions. This systematic scoping review emphasises the lack of quality CRF implementation studies presently available in the literature leading to a disconnect between effective CRF interventions, routine clinical care, and cancer survivors at present. This review highlights the need for robust study designs guided by established frameworks to methodically design and evaluate the implementation of CRF management interventions in the future.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 75%

Bridging the research to practice gap: a systematic scoping review of implementation of interventions for cancer-related fatigue management

et al. 2021

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“…representativeness of participants, description of settings and staff, intervention delity). This is consistent with previous reviews of health interventions across a variety of populations [30,32,[50][51][52]. Of note was the level of reporting on Adoption, with indicators at the staff and setting level amongst the lowest reported.…”

Section: Discussionsupporting

confidence: 89%

“…Assessment of intervention maintenance and sustainability has been identi ed as a neglected area in clinical research [30,32,[50][51][52]57], with results of this review indicating no different. Our review found evidence of only two settings continuing their CRF intervention program (either in part or whole) beyond the study duration.…”

Section: Discussionmentioning

confidence: 90%

Bridging the Research to Practice Gap: A Systematic Scoping Review of Implementation of Interventions for Cancer-Related Fatigue Management

Agbejule

Hart

Ekberg

et al. 2020

Preprint

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Background. Cancer-related fatigue (CRF) is one of the most common and distressing symptoms in people with cancer. Whilst efficacy of interventions for CRF have been extensively investigated, less has been done to ensure successful translation into routine clinical practice. The aim of this systematic scoping review was to synthesise knowledge surrounding the implementation of CRF interventions, summarise the processes and outcomes of implementation strategies used, and identify opportunities for further research.Methods. PubMed, Cochrane CENTRAL, EMBASE and CINAHL databases were searched through to December 2020. The Cochrane Effective Practice and Organisation of Care (EPOC) Group taxonomy and the RE-AIM Framework were used to guide the evaluation of implementation strategies and outcomes, respectively. Results. Six studies were included. Three used implementation frameworks (PARIHS, KTA, Cullens & Adams’ Implementation Guide) to guide implementation. Overall, the implementation strategies used across all studies were reported to have directly resulted in immediate changes at the clinician level (e.g., increased clinician behaviours, self-efficacy, attitudes, knowledge of CRF management). No clear relationship was found between the use of implementation models and the number or type of implementation strategies used. For outcomes, Effectiveness and Implementation were the most highly reported RE-AIM measures followed by Reach then Maintenance. Adoption was the least reported.Conclusions. Despite the high prevalence of CRF and evidence-based interventions for managing CRF, there is limited evidence informing the sustainable implementation of these interventions. There was an absence of external indicator reporting (e.g., start-up and ongoing intervention costs) in included studies, limiting the transability of study findings. Further, factors such as lack of clinician time, insufficient program funding, and unsustainable maintenance costs, were highlighted as key implementation barriers of CRF programs. This scoping systematic review emphasises the lack of quality CRF implementation studies presently available in the literature leading to a disconnect between effective CRF interventions, routine clinical care, and cancer survivors at present. Further, this review also highlights the need for robust study designs guided by established frameworks to methodically design and evaluate the implementation of CRF management interventions in the future.

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“…This ChildSafe app trial study is designed to evaluate the effectiveness of the parenting intervention in terms of the usability, feasibility, and acceptability (satisfaction on the innovation, eg, content or credibility) of parents and caregivers and their intention to reduce unintentional injuries among children at home [ 27 ].…”

Section: Discussionmentioning

confidence: 99%

Perceptions and Acceptability of a Smartphone App Intervention (ChildSafe) in Malaysia: Qualitative Exploratory Study

Yong¹,

Perialathan²,

Ahmad³

et al. 2021

JMIR Pediatr Parent

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Background Home is a vulnerable place for accidental child injuries. Unintentional injuries are a leading cause of death, hospitalization, and disabilities. These injuries are considered preventable and if not tackled, they will continue to be a persisting problem. Smartphones have become increasingly important in our everyday life and is an important tool not only for communication but also for other purposes—they have apps that can be used for various purposes. Therefore, an app-based intervention (ChildSafe) was developed to assess and reduce child injury at home. Objective This study aimed to evaluate the acceptance of the ChildSafe smartphone app intervention by parents/guardians. Methods This study was conducted using a qualitative exploratory approach on selected participants of the ChildSafe intervention app study. A total of 27 semistructured in-depth interviews were carried out among parents or guardians who have at least one child between the age of 0 and 59 months in the area of Sungai Buloh, Selangor, between November 2017 and March 2018. Interview questions were developed from the consolidated framework for implementation research (CFIR). Interviews were recorded, transcribed verbatim, and data were thematically analyzed guided by CFIR. Results The study revealed users’ perception on usability, feasibility, and acceptability toward the ChildSafe app. Three CFIR domains were identified: intervention characteristics, inner setting, and characteristics of individuals. A total of 5 constructs were revealed under intervention characteristics: evidence strength and quality, relative advantage, adaptability, trialability, and design quality and packaging; 2 under inner setting: implementation climate and readiness for implementation; and 4 under characteristics of individuals: knowledge and beliefs about the intervention, self-efficacy, individual stage of change, and other personal attributes. In general, participants felt the app is extremely useful and effective, easy to use, and purposeful in achieving home safety assessment via reminders. The app replaces the need for participants to search for information on home safety and dangers, as the app itself was designed as a tool to assess for this specific purpose. Even at the nascent stage and despite its limitations, the app has prompted users to consider and make changes around their own home. However, future versions of the app should be expanded to make it more attractive to users as it lacks interactive feedback and additional features. Conclusions Parents/guardians are accepting the use of the ChildSafe app to prevent child injury at home. However, further expansion and improvements are needed to increase the acceptability of this app by parents/guardians.

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Implementation of e‐mental health for depression and anxiety: A critical scoping review

Cited by 28 publications

References 75 publications

Bridging the research to practice gap: a systematic scoping review of implementation of interventions for cancer-related fatigue management

Bridging the research to practice gap: a systematic scoping review of implementation of interventions for cancer-related fatigue management

Bridging the Research to Practice Gap: A Systematic Scoping Review of Implementation of Interventions for Cancer-Related Fatigue Management

Perceptions and Acceptability of a Smartphone App Intervention (ChildSafe) in Malaysia: Qualitative Exploratory Study

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