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Zimmer D, Staab EM, Ridgway JP, Schmitt J, Franco M, Hunter SJ, Motley D, Laiteerapong N
Population-Level Portal-Based Anxiety and Depression Screening Perspectives in HIV Care Clinicians: Qualitative Study Using the Consolidated Framework for Implementation Research
Population-Level Portal-Based Anxiety and Depression Screening Perspectives in HIV Care Clinicians: A Qualitative Study Using the Consolidated Framework for Implementation Research
Daniela Zimmer;
Erin M. Staab;
Jessica P. Ridgway;
Jessica Schmitt;
Melissa Franco;
Scott J. Hunter;
Darnell Motley;
Neda Laiteerapong
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
Citation
Please cite as:
Zimmer D, Staab EM, Ridgway JP, Schmitt J, Franco M, Hunter SJ, Motley D, Laiteerapong N
Population-Level Portal-Based Anxiety and Depression Screening Perspectives in HIV Care Clinicians: Qualitative Study Using the Consolidated Framework for Implementation Research