The Practice-Based Implementation (PBI) Network: Technology (Tech) into Care pilot

Abstract

Technology can support the use of evidence-based behavioral health treatments, as well as serve as a link to care to improve patient engagement and adherence to treatment. While research suggests that mobile applications (apps) specifically have the potential to enhance the delivery of behavioral health treatment, little guidance exists on how clinicians can effectively and safely integrate mobile apps into their clinical practice. The purpose of this paper is to describe the Department of Defense Practice-Based Implementation (PBI) Network’s approach to implementation and present the results of the Technology (Tech) into Care pilot. The PBI Network conducted this pilot to address providers’ knowledge gaps regarding the integration of mobile apps into behavioral health care within the Military Health System (MHS) and examine the feasibility of widespread dissemination of the practice change in the MHS. A mixed-method design guided by the Promoting Action on Research Implementation in Health Services framework was used to evaluate the approach and identify facilitators and barriers to practice change. Positive preliminary support for the feasibility of the Tech into Care approach was demonstrated in improvements in providers’ knowledge, comfort, and perceived level of preparation to integrate mobile apps into care. Organizational challenges including time constraints and staff turnover negatively impacted implementation success. The PBI Network Tech into Care implementation approach is a feasible method to address knowledge gaps related to the integration of mobile apps into clinical practice within the MHS. Contextual factors, such as competing time demands, often impede providers’ ability to effectively integrate mobile apps into care.

Leveraging Implementation Science to Understand Factors Influencing Sustained Use of Mental Health Apps: a Narrative Review

“…The joint VA/Department of Defense (DoD) Practice-Based Implementation (PBI) Network Tech into Care pilot study is an example of an interorganizational effort to promote use of their collection of self-developed, publicly accessible MH apps (Creason et al 2019;Pratt et al 2019). This project utilized the i-PARIHS framework to develop an implementation and facilitation plan.…”