Accepted for/Published in: JMIR Human Factors
Date Submitted: Aug 2, 2023
Date Accepted: Sep 23, 2023
Date Submitted to PubMed: Oct 4, 2023
Potential implementers’ perspectives on the development and implementation of an e-mental health intervention for caregivers of adults with chronic kidney disease: a qualitative study
ABSTRACT
Background:
E-mental health interventions can improve access to mental health support for caregivers of people living with chronic kidney disease. However, implementation challenges often prevent effective interventions being put into practice. To develop an e-mental health intervention for caregivers of people living with chronic kidney disease that is optimized for future implementation, it is important to engage professionals that may endorse or deliver the intervention (i.e. potential implementers) during intervention development.
Objective:
This study aimed to explore the perspectives of potential implementers working in kidney care, mental healthcare, or at non-profit organisations regarding the design and implementation of an e-mental health intervention for caregivers of people living with chronic kidney disease.
Methods:
Potential implementers (n = 18) were recruited via NHS Trusts, email, and social media adverts to participate in semi-structured video-call interviews. Interview questions were informed by the Consolidated Framework for Implementation Research (CFIR). Data were analysed using a deductive analysis approach using the CFIR with inductive coding applied to relevant data not captured by the framework.
Results:
A total of 29 generic categories related to 17 CFIR constructs were identified. Perceived fit between the intervention and implementation context (i.e. existing service delivery models and work routines), and existing social networks among potential implementers were perceived as important factors to enhance implementation potential. However, a need for capacity building among potential implementers to create systems to support the identification and referral of caregivers to an e-mental health intervention was identified. Equity concerns were raised related to the intervention, highlighting the importance of incorporating an equity lens during intervention design to enhance accessibility and adoption.
Conclusions:
Potential implementers provided valuable insights into key design and implementation factors to help inform the development of an e-mental health intervention for caregivers of people living with chronic kidney disease. Incorporating their feedback can help ensure the intervention is acceptable and inform the selection of future implementation strategies to enhance the implementation potential of the intervention. Potential implementers should continue to be engaged throughout intervention development.
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