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Beliefs and Attitudes About the Dissemination and Implementation of Internet-Based Self-Care Programs in a Large Integrated Healthcare System

  • Hermes, Eric D. A.1, 2
  • Burrone, Laura1
  • Heapy, Alicia2, 3
  • Martino, Steve1, 2
  • Perez, Elliottnell1
  • Rosenheck, Robert1, 2
  • Rowe, Michael4
  • Ruzek, Josef I.5, 6, 7
  • Greene, Carolyn8
  • 1 VA Connecticut Health Care System, 950 Campbell Ave., West Haven, CT, 06516, USA , West Haven (United States)
  • 2 Yale University School of Medicine, Department of Psychiatry, New Haven, CT, USA , New Haven (United States)
  • 3 VA Connecticut Health Care System, VA Pain Research, Informatics, Multi-Morbidities, and Education (PRIME) Center, West Haven, CT, USA , West Haven (United States)
  • 4 Yale University School of Medicine, Program for Recovery and Community Health, Department of Psychiatry, New Haven, CT, USA , New Haven (United States)
  • 5 VA National Center For PTSD Department of Veterans Affairs, VA Palo Alto Healthcare System, Dissemination and Training Division, Menlo Park, USA , Menlo Park (United States)
  • 6 Palo Alto University, Center for m2 Health, Palo Alto, USA , Palo Alto (United States)
  • 7 Stanford University, Department of Psychiatry and Behavioral Sciences, Stanford, USA , Stanford (United States)
  • 8 Department of Veterans Affairs, Central Office, Office of Mental Health and Suicide Prevention, Washington, DC, USA , Washington (United States)
Published Article
Administration and Policy in Mental Health and Mental Health Services Research
Springer US
Publication Date
Jan 02, 2019
DOI: 10.1007/s10488-018-0913-7
Springer Nature


Behavioral intervention technologies (BITs) are online programs or mobile applications that deliver behavioral health interventions for self-care. The dissemination and implementation of such programs in U.S. healthcare systems has not been widely undertaken. To better understand these phenomena, we explored perspectives on BIT deployment in the Veterans Health Administration. Interviews from 20 providers, administrators, and policy makers were analyzed using qualitative methods. Eight themes were identified including the use of traditional healthcare delivery models, strategies for technology dissemination and implementation, internet infrastructure, leadership, health system structure, regulations, and strategic priorities. This research suggests policy, funding, and strategy development initiatives to promote the implementation and dissemination of BITs.

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