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      A systematic review of providers’ attitudes toward telemental health via videoconferencing

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          Abstract

          Telemental health conducted via videoconferencing (TMH-V) has the potential to improve access to care, and providers’ attitudes toward this innovation play a crucial role in its uptake. This systematic review examined providers’ attitudes toward TMH-V through the lens of the unified theory of acceptance and use of technology (UTAUT). Findings suggest that providers have positive overall attitudes toward TMH-V despite describing multiple drawbacks. Therefore, the relative advantages of TMH-V, such as its ability to increase access to care, may outweigh its disadvantages, including technological problems, increased hassle, and perceptions of impersonality. Providers’ attitudes may also be related to their degree of prior TMH-V experience, and acceptance may increase with use. Limitations and implications of findings for implementation efforts are discussed.

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          User Acceptance of Information Technology: Toward a Unified View

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            Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science

            Background Many interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services researchers recognize the need to evaluate not only summative outcomes but also formative outcomes to assess the extent to which implementation is effective in a specific setting, prolongs sustainability, and promotes dissemination into other settings. Many implementation theories have been published to help promote effective implementation. However, they overlap considerably in the constructs included in individual theories, and a comparison of theories reveals that each is missing important constructs included in other theories. In addition, terminology and definitions are not consistent across theories. We describe the Consolidated Framework For Implementation Research (CFIR) that offers an overarching typology to promote implementation theory development and verification about what works where and why across multiple contexts. Methods We used a snowball sampling approach to identify published theories that were evaluated to identify constructs based on strength of conceptual or empirical support for influence on implementation, consistency in definitions, alignment with our own findings, and potential for measurement. We combined constructs across published theories that had different labels but were redundant or overlapping in definition, and we parsed apart constructs that conflated underlying concepts. Results The CFIR is composed of five major domains: intervention characteristics, outer setting, inner setting, characteristics of the individuals involved, and the process of implementation. Eight constructs were identified related to the intervention (e.g., evidence strength and quality), four constructs were identified related to outer setting (e.g., patient needs and resources), 12 constructs were identified related to inner setting (e.g., culture, leadership engagement), five constructs were identified related to individual characteristics, and eight constructs were identified related to process (e.g., plan, evaluate, and reflect). We present explicit definitions for each construct. Conclusion The CFIR provides a pragmatic structure for approaching complex, interacting, multi-level, and transient states of constructs in the real world by embracing, consolidating, and unifying key constructs from published implementation theories. It can be used to guide formative evaluations and build the implementation knowledge base across multiple studies and settings.
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              Telehealth and patient satisfaction: a systematic review and narrative analysis

              Background The use of telehealth steadily increases as it has become a viable modality to patient care. Early adopters attempt to use telehealth to deliver high-quality care. Patient satisfaction is a key indicator of how well the telemedicine modality met patient expectations. Objective The objective of this systematic review and narrative analysis is to explore the association of telehealth and patient satisfaction in regards to effectiveness and efficiency. Methods Boolean expressions between keywords created a complex search string. Variations of this string were used in Cumulative Index of Nursing and Allied Health Literature and MEDLINE. Results 2193 articles were filtered and assessed for suitability (n=44). Factors relating to effectiveness and efficiency were identified using consensus. The factors listed most often were improved outcomes (20%), preferred modality (10%), ease of use (9%), low cost 8%), improved communication (8%) and decreased travel time (7%), which in total accounted for 61% of occurrences. Conclusion This review identified a variety of factors of association between telehealth and patient satisfaction. Knowledge of these factors could help implementers to match interventions as solutions to specific problems.
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                Author and article information

                Journal
                9438459
                32891
                Clin Psychol (New York)
                Clin Psychol (New York)
                Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association
                0969-5893
                1468-2850
                2 August 2022
                6 January 2020
                11 August 2022
                : 27
                : 2
                : 10.1111/cpsp.12311
                Affiliations
                [1 ]Center for Healthcare Organization & Implementation Research, VA Boston Healthcare System, Boston, Massachusetts
                [2 ]Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
                [3 ]HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, Texas
                [4 ]Baylor College of Medicine, Houston, Texas
                [5 ]South Central Mental Illness Research, Education and Clinical Center, Houston, Texas
                Author notes
                Correspondence: Samantha L. Connolly, VA Boston Healthcare System, 150 S. Huntington Avenue, Building 9, Room 208C, Boston, MA 02130, USA. samantha.connolly@ 123456va.gov
                Author information
                http://orcid.org/0000-0002-1007-5626
                Article
                VAPA1827688
                10.1111/cpsp.12311
                9367168
                35966216
                53dd3470-0466-4a9a-90f8-ea8eb5c6b15c

                This article is a U.S. Government work and is in the public domain in the USA.

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                attitudes,clinical video teleconferencing,implementation,providers,technology,telehealth,telemental health,telepsychiatry,videoconferencing

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