Accepted for/Published in: JMIR Formative Research
Date Submitted: Apr 16, 2023
Date Accepted: Sep 8, 2023
Assumptions, perceptions, and experiences of behavioral health providers using telemedicine: A qualitative study
ABSTRACT
Background:
The urgent and reactive implementation of telemedicine during the pandemic does not represent a strategic, proactive approach to optimizing this technology. Implementation research is needed to inform best practices. Input from administrators, providers, and patients is needed to develop evidenced based implementation strategies.
Objective:
The objective of our study was to understand the assumptions, perspectives, and experiences of behavioral health clinicians and providers experienced with telemedicine implementation to create evidenced based recommendations for the development of an optimized, sustainable approach to telemedicine implementation and integration.
Methods:
This qualitative study applies the domains of the Consolidated Framework for Implementation Research (CFIR) to analyze telemedicine implementation in the behavioral health setting from the perspective of behavioral health clinicians and providers. Twelve behavioral health providers were recruited for a 60-minute interview, structured from the CFIR interview guide. Atlas Ti, version 23, software is used for deductive coding and sentiment analysis.
Results:
Characteristics of telemedicine implementation, inner and outer settings and stakeholders, characteristics of the participants, and process domains all generated experiences across various types of institutional setting informing the barriers and facilitators to telemedicine implementation from the perspective of those carrying out this intervention.
Conclusions:
Nine evidenced based recommendations are provided to inform and optimize telemedicine implementation and integration into the behavioral health setting.
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.