Accepted for/Published in: JMIR Formative Research
Date Submitted: May 11, 2023
Date Accepted: Nov 22, 2023
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Clinician Perspectives on Population-Level Portal-Based Anxiety and Depression Screening in HIV Care: A Qualitative Study Using the Consolidated Framework for Implementation Research
ABSTRACT
Background:
Depression and anxiety are common among people living with HIV (PLWH) and contribute to adverse health outcomes. Conducting population-level depression and anxiety screening via the patient portal is a promising intervention and has not been studied in HIV care settings.
Objective:
To explore facilitators and barriers to implementing population-level portal-based depression and anxiety screening for PLWH.
Methods:
Semi-structured hour-long qualitative interviews were conducted with staff at an HIV clinic using the Consolidated Framework of Implementation Research.
Results:
Ten clinicians participated in interviews. Facilitators included (1) respect for patient privacy, (2) interest in evidence-based practices and lessons learned from prior implementation, (3) normalizing mental health screening, and (4) compatibility with clinic culture, workflows, and systems. Barriers included (1) limited availability of mental health services,(2) impersonal approach to sensitive topics, and (3) limited capacity to address mental health during HIV visits.
Conclusions:
Strategies are needed for facilitating the implementation of population-level portal-based mental health screening for PLWH
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