Research Database: Article Details

Citation:  Ramsey, A., Lord, S., Torrey, J., Marsch, L., & Lardiere, M. (2016). Paving the Way to Successful Implementation: Identifying Key Barriers to Use of Technology-Based Therapeutic Tools for Behavioral Health Care. Journal of Behavioral Health Services & Research, 43 (1), 54-70.
Title:  Paving the Way to Successful Implementation: Identifying Key Barriers to Use of Technology-Based Therapeutic Tools for Behavioral Health Care
Authors:  Ramsey, A., Lord, S., Torrey, J., Marsch, L., & Lardiere, M.
Year:  2016
Journal/Publication:  Journal of Behavioral Health Services & Research
Publisher:  Springer
DOI:  https://doi.org/10.1007/s11414-014-9436-5
Research summary:  https://projecte3.com/overcoming-barriers-remote-care/
Full text:  https://link.springer.com/article/10.1007/s11414-014-9436-5   
Peer-reviewed?  Yes
NIDILRR-funded?  Yes

Structured abstract:

Background:  This study aimed to identify barriers to use of technology for behavioral health care from the perspective of care decision makers at community behavioral health organizations. As part of a larger survey of technology readiness, 260 care decision makers completed an open-ended question about perceived barriers to use of technology. Using the Consolidated Framework for Implementation Research (CFIR), qualitative analyses yielded barrier themes related to characteristics of technology (e.g., cost and privacy), potential end users (e.g., technology literacy and attitudes about technology), organization structure and climate (e.g., budget and infrastructure), and factors external to organizations (e.g., broadband accessibility and reimbursement policies). Number of reported barriers was higher among respondents representing agencies with lower annual budgets and smaller client bases relative to higher budget, larger clientele organizations. Individual barriers were differentially associated with budget, size of client base, and geographic location. Results are discussed in light of implementation science frameworks and proactive strategies to address perceived obstacles to adoption and use of technology-based behavioral health tools.

Disabilities served:  Alcohol and drug abuse
Anxiety disorder
Autism / ASD
Chronic mental illness
Cognitive decline / dementia
Cognitive / intellectual impairment
Developmental disabilities
Learning disabilities
Personality disorders
Post-traumatic stress disorder (PTSD)
Schizophrenia
Multiple disabilities
Populations served:  Rural and remote communities
Transition-age youth (14 - 24)
Culturally diverse populations (e.g., African Americans, Native Americans, and non-English speaking populations)
Persons with multiple disabilities (e.g., deaf-blindness, HIV/AIDS, substance abuse)
SSI and SSDI recipients
Sub-minimum wage employees
Interventions:  Accommodations
Assistive technology
Online training