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. 2023 Sep 19:34:100671.
doi: 10.1016/j.invent.2023.100671. eCollection 2023 Dec.

How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention

Janika Thielecke  1   2 , Claudia Buntrock  1   3 , Johanna Freund  1   2 , Lina Braun  4 , David D Ebert  2 , Matthias Berking  1 , Harald Baumeister  4 , Ingrid Titzler  1
Affiliations

How to promote usage of telehealth interventions for farmers' mental health? A qualitative study on supporting and hindering aspects for acceptance and satisfaction with a personalized telephone coaching for depression prevention

Janika Thielecke et al. Internet Interv. .

Abstract

Low-threshold and remotely delivered preventive interventions, like telephone coaching, are warranted for farmers who experience multiple risk factors for depression, live in underserved areas, and show low help-seeking behavior. Factors facilitating uptake and actual use of effective remote interventions are important to reduce depression disease burden. This study aimed at identifying factors that potentially can influence acceptance of and satisfaction with a telephone coaching in this occupational group.Semi-structured interviews were based on the 'Unified Theory of Acceptance and Use of Technology', the 'Evaluation', and 'Discrepancy' models for satisfaction. Interviews were conducted with 20 of 66 invited participants of a 6-months telephone coaching during an effectiveness or implementation study. Audio-recorded interviews were transcribed and analyzed (deductive-inductive qualitative content analysis). Independent coding by two persons resulted in good agreement (Κ = 0.80). Participants validated results via questionnaire.Overall, 32 supporting (SF) and 14 hindering factors (HF) for acceptance and satisfaction were identified and organized into five dimensions: Coaching result (SF = 9, HF = 3), coach (SF = 9, HF = 1), organization (SF = 5, HF = 2), the telephone as communication medium (SF = 4, HF = 5) and participant characteristics (SF = 5, HF = 3). Most named SFs were 'Flexible appointment arrangement' (n = 19/95 %) and 'low effort' (n = 17/85 %), while most reported HFs were 'lack of visual cues' (n = 12/60 %) and 'social/professional involvement restricts change process' (n = 10/50 %).The perceived changes initiated by coaching, a low effort through telephone conduct, and the indicated personalization were identified as important influencing factors on acceptance and satisfaction based on interviewees' statements. Both may be further enhanced by offering choice and advice for delivery formats (e.g., video-calls) and training of coaches in farm-related issues.

Study registration: German Clinical Trial Registrations: DRKS00017078 and DRKS00015655.

Keywords: Acceptance; Depression; Farmers; Interviews; Satisfaction; Telephone coaching.

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Conflict of interest statement

IT reports to have received fees for lectures/workshops in the e-mental-health context from training institutes and congresses for psychotherapists. She was the scientific project leader for the research project ImpleMentAll (11/2017 -03/2021, funded by the European Commission) at the Institute for health training online (GET.ON) which aimed to investigate the effectiveness of tailored implementation strategies compared to implementation as usual. DDE has served as a consultant to/on the scientific advisory boards of Sanofi, Novartis, Minddistrict, Lantern, Schoen Kliniken, Ideamed and German health insurance companies (BARMER, Techniker Krankenkasse) and a number of federal chambers for psychotherapy. DDE and MB are current or former stakeholders of the GET.ON Institute for health training online, which aims to implement scientific findings related to digital health interventions into routine care. MB is scientific advisor of mentalis GmbH, a provider for digital aftercare. HB reports to have received consultancy fees, fees for lectures or workshops from chambers of psychotherapists and training institutes for psychotherapists and license fees for an Internet-intervention. JF, CB, JT, LB report no conflicts of interest.

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