Evaluating the feasibility of using the Multiphase Optimization Strategy framework to assess implementation strategies for digital mental health applications activations: a proof of concept study.

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Tác giả: Ayla Aydin, Ilja Cornelisz, Anne Etzelmueller, Wouter van Ballegooijen

Ngôn ngữ: eng

Ký hiệu phân loại: 004.2 Systems analysis and design, computer architecture, performance evaluation

Thông tin xuất bản: Switzerland : Frontiers in digital health , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 728068

BACKGROUND: Despite the effectiveness and potential of digital mental health interventions (DMHIs) in routine care, their uptake remains low. In Germany, digital mental health applications (DiGA), certified as low-risk medical devices, can be prescribed by healthcare professionals (HCPs) to support the treatment of mental health conditions. The objective of this proof-of-concept study was to evaluate the feasibility of using the Multiphase Optimization Strategy (MOST) framework when assessing implementation strategies. METHODS: We tested the feasibility of the MOST by employing a 2 RESULTS: The results primarily demonstrated the feasibility of applying the MOST to a non-randomized setting. Furthermore, analyses indicated significant differences between the groups of HCPs receiving specific implementation strategies [ DISCUSSION AND LIMITATIONS: These findings support the feasibility of using the MOST to evaluate implementation strategies in digital mental health care. It also gives an exploratory example on how to conduct factorial designs with information on implementation strategies. However, limitations such as non-random assignment, underpowered analysis, and varying approaches to HCPs affect the robustness and generalizability of the results. Despite these limitations, the results demonstrate that the MOST is a viable method for assessing implementation strategies, highlighting the importance of planning and optimizing strategies before their implementation. By addressing these limitations, healthcare providers and policymakers can enhance the adoption of digital health innovations, ultimately improving access to mental health care for a broader population.
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