Stakeholders' views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Stefanie Kuso - , University of Applied Sciences Wiener Neustadt (Author)
  • Martina Nitsch - , University of Applied Sciences Wiener Neustadt (Author)
  • Michael Zeiler - , Medical University of Vienna (Author)
  • Monika Simek - , Medical University of Vienna (Author)
  • Tanja Adamcik - , University of Applied Sciences Wiener Neustadt (Author)
  • Michelle Dey - , University of Zurich (Author)
  • Thomas Berger - , University of Bern (Author)
  • Tobias Krieger - , University of Bern (Author)
  • Kiona K. Weisel - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Anna-Carlotta Zarski - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • David D. Ebert - , Friedrich-Alexander University Erlangen-Nürnberg (Author)
  • Michael P. Schaub - , University of Zurich (Author)
  • Christian T. Moser - , University of Bern (Author)
  • Christina Botella - , Jaume I University (Author)
  • Rosa Banos - , University of Valencia (Author)
  • Rocio Herrero - , University of Valencia (Author)
  • Ernestina Etchemendy - , University of Valencia (Author)
  • Barbara Nacke - , Chair of Clinical Psychology and E-Mental-Health (Author)
  • Ina Beintner - , Chair of Clinical Psychology and E-Mental-Health (Author)
  • Bianka Vollert - , Chair of Clinical Psychology and E-Mental-Health (Author)
  • Juliane Schmidt-Hantke - , Chair of Clinical Psychology and E-Mental-Health (Author)
  • Kristian Hütter - , Chair of Clinical Psychology and E-Mental-Health (Author)
  • Corinna Jacobi - , Chair of Clinical Psychology and E-Mental-Health (Author)
  • Karin Waldherr - , University of Applied Sciences Wiener Neustadt (Author)

Abstract

Background: Online preventive interventions can help to reduce the incidence of mental disorders. Whereas knowledge on stakeholders' attitudes and factors relevant for successfully integrating online treatment into existing healthcare systems is available, knowledge is scarce for online prevention. Methods: Stakeholders from Germany, Switzerland, Austria and Spain were surveyed. Potential facilitators/delivery staff (e.g. psychologists, psychotherapists) completed an online questionnaire (n = 183), policy makers (i.e. from the governing sector or health insurance providers) participated in semi-structured interviews (n = 16) and target groups/potential users of mental illness prevention (n = 49) participated in ten focus groups. Thematic analysis was used to identify their experiences with and attitudes and needs regarding online programmes to prevent mental disorders. Additionally, it was examined which groups they consider underserved and which factors they consider as fostering and hindering for reach, adoption, implementation and maintenance (cf. RE-AIM model) when integrating online prevention into existing healthcare systems. Results: Main advantages of online mental illness prevention are perceived in low structural and psychological barriers. Lack of personal contact, security, privacy and trust concerns were discussed as disadvantages. Relevant needs are high usability and target group appropriateness, evidence for effectiveness and the use of motivational tools. Conclusions: Positive attitudes among stakeholders are the key for successful integration of online mental illness prevention into existing healthcare systems. Potential facilitators/delivery staff must receive training and support to implement these programmes; the programmes must be attractive and continuously evaluated, updated and promoted to ensure ongoing reach; and existing infrastructure and contextual factors must be considered.

Details

Original languageEnglish
Pages (from-to)i55-i63
JournalEuropean journal of public health
Volume31
Publication statusPublished - Jul 2021
Peer-reviewedYes

External IDs

Scopus 85111041132

Keywords

Sustainable Development Goals

Keywords

  • INTERNET, PROMOTION, ACCEPTANCE, PROGRAMS, IMPACT