Technologies are transforming the way psychotherapists conduct therapy, introducing innovative tools designed to enhance clinical outcomes. However, real-world clinical settings are often influenced by multiple variables that can hinder the effective adoption of such tools. The Italian context is characterized by challenges linked to professional environments, public, private, and freelance, as well as the psychotherapists’ competencies, both digital and specialized, stemming from their training. This study aimed to develop a protocol to assess barriers and facilitators in the implementation of Routine Outcome Monitoring (ROM) through the digital platform Mindy in Italian psychotherapeutic practice. Implementation science provides a crucial theoretical framework for this purpose, represented by theConsolidated Framework for Implementation Research (CFIR). This framework, organized into domains and constructs relevant to implementing innovations, guided the protocol's design. To support protocol development, a pilot was conducted with a sample of psychotherapists to test its applicability and collect valuable feedback. The protocol was based on semi-structured interviews developed in alignment with constructs selected through a consensus process, which were then analyzed using deductive thematic analysis associated with the CFIR domains. The expected findings will provide theoretical implications regarding the implementation ofdigitally-enhanced ROMfor the first time in Italy and practical implications through the protocol's contribution to future research. This study represents a preliminary step toward large-scale implementation aimed at collecting validated empirical evidence on a broader sample of psychotherapists.
Le tecnologie stanno trasformando il modo in cui gli psicoterapeuti conducono la terapia, introducendo strumenti innovativi progettati per migliorare i risultati clinici. Tuttavia, i contesti reali delle realtà cliniche sono spesso influenzati da molteplici variabili che possono compromettere l’adozione efficace di tali strumenti. Il contesto italiano si distingue per la complessità legata ai diversi ambiti professionali, sia pubblici, sia privati, sia freelance, nonché alle competenze degli psicoterapeuti, sia digitali che specialistiche acquistate durante la formazione. Questo studio ha avuto come obiettivo lo sviluppo di un protocollo per valutare barriere e facilitatori nell’implementazione del Routine Outcome Monitoring (ROM) attraverso la piattaforma digitale Mindy nella pratica psicoterapeutica italiana. L’implementation science offre un quadro teorico cruciale per questo scopo, rappresentato dal Consolidated Framework for Implementation Research (CFIR). Questo framework, articolato in domini e costrutti rilevanti per l’implementazione di innovazioni, ha guidato la progettazione del protocollo. A supporto dello sviluppo del protocollo, è stato condotto un pilot su un campione di psicoterapeuti per testarne l’applicabilità e raccogliere feedback utili. Il protocollo si è basato su interviste semi-strutturate, sviluppate in associazione ai costrutti selezionati tramite un processo di consenso, e successivamente analizzate attraverso un’analisi tematica deduttiva associata ai domini del CFIR. I risultati attesi forniranno implicazioni teoriche sull’implementazione del digitally-enhanced ROM per la prima volta in Italia e implicazioni pratiche, contribuendo allo sviluppo di uno strumento utile alla ricerca futura. Questo studio rappresenta un passo preliminare verso un’implementazione su larga scala, finalizzata a raccogliere evidenze empiriche validate su un campione più ampio di psicoterapeuti.
Assessing barriers and facilitators in implementing digitally enhanced routine outcome monitoring in italian psychotherapeutic practice: a protocol development
MANDELLI, JACOPO
2023/2024
Abstract
Technologies are transforming the way psychotherapists conduct therapy, introducing innovative tools designed to enhance clinical outcomes. However, real-world clinical settings are often influenced by multiple variables that can hinder the effective adoption of such tools. The Italian context is characterized by challenges linked to professional environments, public, private, and freelance, as well as the psychotherapists’ competencies, both digital and specialized, stemming from their training. This study aimed to develop a protocol to assess barriers and facilitators in the implementation of Routine Outcome Monitoring (ROM) through the digital platform Mindy in Italian psychotherapeutic practice. Implementation science provides a crucial theoretical framework for this purpose, represented by theConsolidated Framework for Implementation Research (CFIR). This framework, organized into domains and constructs relevant to implementing innovations, guided the protocol's design. To support protocol development, a pilot was conducted with a sample of psychotherapists to test its applicability and collect valuable feedback. The protocol was based on semi-structured interviews developed in alignment with constructs selected through a consensus process, which were then analyzed using deductive thematic analysis associated with the CFIR domains. The expected findings will provide theoretical implications regarding the implementation ofdigitally-enhanced ROMfor the first time in Italy and practical implications through the protocol's contribution to future research. This study represents a preliminary step toward large-scale implementation aimed at collecting validated empirical evidence on a broader sample of psychotherapists.| File | Dimensione | Formato | |
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Descrizione: Assessing Barriers and Facilitators in Implementing Digitally Enhanced Routine Outcome Monitoring within Italian Psychotherapeutic Practice: a Protocol Development
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https://hdl.handle.net/10589/230254