Perceptions of tech-based mental health screening

Background An estimated one-third of patients experience post-traumatic stress disorder (PTSD) or depression in the year following a traumatic injury. The American College of Surgeons requires postinjury PTSD and depression screening in trauma centers, although implementation has been limited. Tech-...

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Main Authors: Sacha A McBain, Kylie Cleavenger, Chelsey Bull, Nalin Payakachat, Melody Greer
Format: Article
Language:English
Published: BMJ Publishing Group 2024-04-01
Series:Trauma Surgery & Acute Care Open
Online Access:https://tsaco.bmj.com/content/9/1/e001198.full
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author Sacha A McBain
Kylie Cleavenger
Chelsey Bull
Nalin Payakachat
Melody Greer
author_facet Sacha A McBain
Kylie Cleavenger
Chelsey Bull
Nalin Payakachat
Melody Greer
author_sort Sacha A McBain
collection DOAJ
description Background An estimated one-third of patients experience post-traumatic stress disorder (PTSD) or depression in the year following a traumatic injury. The American College of Surgeons requires postinjury PTSD and depression screening in trauma centers, although implementation has been limited. Tech-based solutions have been proposed to improve uptake of postinjury mental health screening. The goals of this pilot study were to assess the usability and acceptability of Blueprint, a tech-based mental health screening platform, and explore attitudes toward tech-based screening and intervention.Methods This pilot study included trauma patients (n=10) admitted to the trauma service. Participants completed the PTSD Checklist-5 and Patient Health Questionnaire-9 using Blueprint to test usability and acceptability of the platform. Participants completed the System Usability Scale (SUS) and a semi-structured interview to assess several domains including attitudes toward tech-based screening, potential barriers to implementation, and its usefulness in a postinjury context. Summative Template Analysis, a data abstraction procedure, was used to analyze qualitative data.Results Blueprint received an average SUS score of 93.25/100 suggesting participants found the interface to be an ‘excellent’ means to assess postinjury mental health concerns. Participants were supportive of universal screening and identified several benefits to engaging in tech-based routine monitoring of postinjury PTSD and depressive symptoms including convenience, personalization, and trauma-informed care. Regarding intervention, patients valued web-based psychoeducation on topics related to their overall care and local resources.Conclusions Tech-based mental health screening was highly usable and valuable to trauma patients at risk for postinjury PTSD and depression. Participants valued web-based psychoeducation and resources, but overall preferred Blueprint be used to facilitate access to in-person mental health services. Further evaluation of Blueprint as a means of assessment, intervention, and referral is needed.
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spelling doaj-art-330e8fbeb85648bda1a83e83d342ef3a2025-08-20T02:13:48ZengBMJ Publishing GroupTrauma Surgery & Acute Care Open2397-57762024-04-019110.1136/tsaco-2023-001198Perceptions of tech-based mental health screeningSacha A McBain0Kylie Cleavenger1Chelsey Bull2Nalin Payakachat3Melody Greer4Psychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USADepartment of Internal Medicine, Washington University in St Louis School of Medicine, St Louis, Missouri, USAPsychiatry, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USACollege of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USABiomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USABackground An estimated one-third of patients experience post-traumatic stress disorder (PTSD) or depression in the year following a traumatic injury. The American College of Surgeons requires postinjury PTSD and depression screening in trauma centers, although implementation has been limited. Tech-based solutions have been proposed to improve uptake of postinjury mental health screening. The goals of this pilot study were to assess the usability and acceptability of Blueprint, a tech-based mental health screening platform, and explore attitudes toward tech-based screening and intervention.Methods This pilot study included trauma patients (n=10) admitted to the trauma service. Participants completed the PTSD Checklist-5 and Patient Health Questionnaire-9 using Blueprint to test usability and acceptability of the platform. Participants completed the System Usability Scale (SUS) and a semi-structured interview to assess several domains including attitudes toward tech-based screening, potential barriers to implementation, and its usefulness in a postinjury context. Summative Template Analysis, a data abstraction procedure, was used to analyze qualitative data.Results Blueprint received an average SUS score of 93.25/100 suggesting participants found the interface to be an ‘excellent’ means to assess postinjury mental health concerns. Participants were supportive of universal screening and identified several benefits to engaging in tech-based routine monitoring of postinjury PTSD and depressive symptoms including convenience, personalization, and trauma-informed care. Regarding intervention, patients valued web-based psychoeducation on topics related to their overall care and local resources.Conclusions Tech-based mental health screening was highly usable and valuable to trauma patients at risk for postinjury PTSD and depression. Participants valued web-based psychoeducation and resources, but overall preferred Blueprint be used to facilitate access to in-person mental health services. Further evaluation of Blueprint as a means of assessment, intervention, and referral is needed.https://tsaco.bmj.com/content/9/1/e001198.full
spellingShingle Sacha A McBain
Kylie Cleavenger
Chelsey Bull
Nalin Payakachat
Melody Greer
Perceptions of tech-based mental health screening
Trauma Surgery & Acute Care Open
title Perceptions of tech-based mental health screening
title_full Perceptions of tech-based mental health screening
title_fullStr Perceptions of tech-based mental health screening
title_full_unstemmed Perceptions of tech-based mental health screening
title_short Perceptions of tech-based mental health screening
title_sort perceptions of tech based mental health screening
url https://tsaco.bmj.com/content/9/1/e001198.full
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