BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland.

Tópicos

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Resumo

CKGROUND: NICE recommends computerised cognitive behavioural therapy (cCBT) for the treatment of several mental health problems such as anxiety and depression. cCBT may be one way that services can reduce waiting lists and improve capacity and efficiency. However, there is some doubt about the extent to which the National Health Service (NHS) in the UK is embracing this new health technology in practice. This study aimed to investigate Scottish health service infrastructure and policies that promote or impede the implementation of cCBT in the NHS.METHODS: A telephone survey of lead IT staff at all health board areas across Scotland to systematically enquire about the ability of local IT infrastructure and IT policies to support delivery of cCBT.RESULTS: Overall, most of the health boards possess the required software to use cCBT programmes. However, the majority of NHS health boards reported that they lack dedicated computers for patient use, hence access to cCBT at NHS sites is limited. Additionally, local policy in the majority of boards prevent staff from routinely contacting patients via email, skype or instant messenger, making the delivery of short, efficient support sessions difficult.CONCLUSIONS: Conclusions: Overall most of the infrastructure is in place but is not utilised in ways that allow effective delivery. For cCBT to be successfully delivered within a guided support model, as recommended by national guidelines, dedicated patient computers should be provided to allow access to online interventions. Additionally, policy should allow staff to support patients in convenient ways such as via email or live chat. These measures would increase the likelihood of achieving Scottish health service targets to reduce waiting time for psychological therapies to 18 weeks.

Resumo Limpo

ckground nice recommend computeris cognit behaviour therapi ccbt treatment sever mental health problem anxieti depress ccbt may one way servic can reduc wait list improv capac effici howev doubt extent nation health servic nhs uk embrac new health technolog practic studi aim investig scottish health servic infrastructur polici promot imped implement ccbt nhsmethod telephon survey lead staff health board area across scotland systemat enquir abil local infrastructur polici support deliveri ccbtresult overal health board possess requir softwar use ccbt programm howev major nhs health board report lack dedic comput patient use henc access ccbt nhs site limit addit local polici major board prevent staff routin contact patient via email skype instant messeng make deliveri short effici support session difficultconclus conclus overal infrastructur place utilis way allow effect deliveri ccbt success deliv within guid support model recommend nation guidelin dedic patient comput provid allow access onlin intervent addit polici allow staff support patient conveni way via email live chat measur increas likelihood achiev scottish health servic target reduc wait time psycholog therapi week

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