Journal article
Mental health provider perspectives on a mobile health application to support remote measurement-based care: Challenges and impacts
Psychological services, Vol.22(2), pp.243-255
05/2025
DOI: 10.1037/ser0000884
PMCID: PMC12282548
PMID: 39172403
Abstract
Measurement-based care (MBC) comprises collecting patient-reported outcomes data using validated assessments and using that information to support treatment. The Veterans Health Administration (VHA) has developed technology platforms to support MBC, including the Mental Health Checkup (MHC) mobile health application (app). Our objective was to examine VHA mental health provider perspectives on the MHC app. We completed a mixed-methods, sequential explanatory evaluation of MHC. We surveyed 284 VHA mental health providers who used MHC, then conducted semistructured telephone interviews with a purposefully selected subset of survey respondents ( n = 20). Approximately half of survey respondents agreed that MHC allowed them to collect assessment data from veterans more frequently than before (51%) and that they more frequently discussed assessment results with veterans because of MHC (50%) and used those results to inform goal-setting discussions (50%) and treatment decision making (51%). Bivariate analyses indicated a positive relationship between frequency of MHC use and the aforementioned impacts on care. Interview data conveyed both advantages (e.g., increased treatment efficiency, improved treatment decision making) and challenges (e.g., limited assessment availability, difficulties engaging veterans in completing assessments through the app) to using MHC. This evaluation demonstrated how MHC supported providers working to implement MBC. The app enhanced their ability to reach and engage veterans and incorporate assessment data into clinical encounters. Still, many did not perceive that MHC was impactful on mental health care delivery; given that providers who used MHC more frequently reported more positive impressions of MHC, this may be related to how frequently they used the app. (PsycInfo Database Record (c) 2024 APA, all rights reserved) (Source: journal abstract)
Details
- Title: Subtitle
- Mental health provider perspectives on a mobile health application to support remote measurement-based care: Challenges and impacts
- Creators
- Bella Etingen - The University of Texas Southwestern Medical CenterMark S ZocchiRobin T HigashiJennifer A Palmer - Boston UniversityEric RichardsonFelicia R BixlerJamie PatrianakosNicholas McMahonBridget M SmithIbuola KaleJohn C FortneyCarolyn Turvey - Iowa City VA Health Care SystemJessica M Lipschitz - Harvard UniversityJennifer A Evans - United States Department of Veterans AffairsKathleen L Frisbee - Veterans Health AdministrationTimothy P Hogan
- Resource Type
- Journal article
- Publication Details
- Psychological services, Vol.22(2), pp.243-255
- DOI
- 10.1037/ser0000884
- PMID
- 39172403
- PMCID
- PMC12282548
- NLM abbreviation
- Psychol Serv
- ISSN
- 1541-1559
- eISSN
- 1939-148X
- Publisher
- Educational Publishing Foundation
- Grant note
- Quality Enhancement Research Initiative Program: PEC 15-470
icts of interest to declare, financial or otherwise. This work was supported by the U.S. Department of Veterans Affairs, Office of Connected Care, and Office of Research and Development, Health Services Research and Development Service, Quality Enhancement Research Initiative Program (Grant PEC 15-470) awarded to Timothy P. Hogan. The views expressed in this article are those of the authors and do not necessarily reflect the position and/or policy of the Department of Veterans Affairs or the United States Government.
- Language
- English
- Electronic publication date
- 08/22/2024
- Date published
- 05/2025
- Academic Unit
- Psychiatry; Epidemiology
- Record Identifier
- 9984699050302771
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