The use of digital solutions in alleviating the burden of IAPT's waiting times.

Pub Date : 2022-01-01 DOI:10.3233/JRS-227033

Keerthanaa Jayaraajan, Ahrabbey Sivananthan, Abeku Koomson, Aznavar Ahmad, Mohammed Haque, Mohammod Hussain

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引用次数: 4

Abstract

Background: Previous reports have shown that there are long waiting times to commence therapy in the community-based mental health programme, IAPT (Improving Access to Psychological Therapies).

Objective: This study aimed to explore both causes and potential solutions to alleviate the burden of these waits.

Methods: A Systematic Literature Review (SLR) and Semi-Structured Interviews (SSIs) were conducted to identify causes and effects of these waits. Consequently, meaningful recommendations were made and tested with the aim of improving IAPT's waiting times.

Results: SLR and SSIs revealed high 'Did Not Attend' (DNA) rates and a lack of support between initial appointments as being both a cause and effect of long waits. The identified issues were tackled with the development of an app design. Expert interviews and a mass survey fuelled the iterative process leading to a final prototype. Notable features included: therapist profile page, smart appointment reminders and patient timeline. Positive feedback was received from university students and ICS Digital, with scope to trial the app within Manchester CCG.

Conclusions: In the long run, the app aims to indirectly shorten waiting times by addressing treatment expectations and serving as an IAPT companion along the patient journey, thus reducing anxiety and consequently DNAs.

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使用数字解决方案减轻IAPT等待时间的负担。

背景:以前的报告表明，在社区精神卫生方案IAPT(改善获得心理治疗的机会)中，开始治疗的等待时间很长。目的:本研究旨在探讨这些等待的原因和可能的解决方案。方法:采用系统文献回顾(SLR)和半结构化访谈(ssi)来确定这些等待的原因和影响。因此，提出了有意义的建议并进行了测试，目的是改善IAPT的等待时间。结果:SLR和ssi显示了高的“未出席”(DNA)率和初次预约之间缺乏支持，这既是长时间等待的原因也是结果。通过应用程序设计的开发，解决了确定的问题。专家访谈和大规模调查推动了最终原型的迭代过程。值得注意的功能包括:治疗师简介页面，智能预约提醒和患者时间表。收到了来自大学生和ICS Digital的积极反馈，有可能在曼彻斯特CCG试用该应用程序。结论:从长远来看，该应用程序旨在通过满足治疗期望，并作为患者旅程中的IAPT伴侣，间接缩短等待时间，从而减少焦虑，从而减少dna。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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