Farmers are a vulnerable population for developing depression or other mental health disorders due to a variety of risk factors in their work context. Beyond face-to-face resources, preventive internet- and tele-based interventions could extend available treatment options to overcome barriers to care. The German Social Insurance Company for Agriculture, Forestry and Horticulture (SVLFG) implements several guided internet- and mobile-based interventions and personalised tele-based coaching for this specific target group provided by external companies within a nation-wide prevention project for their insured members. The current study aims to evaluate the implementation process and to identify determinants of successful implementation on various individual and organisational levels. The current study includes two groups of participants: 1) insured persons with an observable need for prevention services, and 2) staff-participants who are involved in the implementation process. The Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework and the Consolidated Framework for Implementation Research (CFIR) will be used to track and evaluate the implementation process. A mixed-method approach will provide insights on individual and organizational level (e.g. degree of normalization, readiness for change) and helps to identify determinants of successful implementation. In-depth insights on experiences of the participants (e.g. acceptance, satisfaction, barriers and facilitating factors of intervention use) will be yielded through qualitative interviews. Focus groups with field workers provide insights into barriers and facilitators perceived during their consultations. Furthermore, intervention as well as implementation costs will be evaluated. According to the stepwise, national rollout, data collection will occur at baseline and continuously across 24 months. The results will show to what extent the implementation of the internet- and tele-based services as a preventive offer will be accepted by the participants and involved employees and which critical implementation aspects will occur within the process. If the implementation of the internet- and tele-based services succeeds, these services may be feasible in the long-term. German Clinical Trial Registration: DRKS00017078 . Registered on 18.04.2019.

中文翻译：

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实施基于互联网和电视的干预措施，以预防农民，林业者和园丁的精神健康疾病（ImplementIT）：一项针对全国项目的多级评估研究协议。

由于工作环境中的各种风险因素，农民是易患抑郁症或其他精神疾病的脆弱人群。除了面对面的资源以外，基于互联网和电话的预防性干预措施还可以扩展可用的治疗选择，以克服护理障碍。德国农业，林业和园艺社会保险公司（SVLFG）为外部目标公司在其全国范围内的预防项目中为其参保成员提供了针对该特定目标群体的几种基于互联网和移动的指导性干预以及基于个性化的远程指导。 。当前的研究旨在评估实施过程，并确定在各个个人和组织层面上成功实施的决定因素。当前的研究包括两组参与者：1）有明显需要预防服务的被保险人，以及2）参与实施过程的参保人员。覆盖率，有效性，采用率，实施和维护（RE-AIM）框架以及合并的实施研究框架（CFIR）将用于跟踪和评估实施过程。混合方法将提供有关个人和组织级别的见解（例如规范化程度，变革准备程度），并有助于确定成功实施的决定因素。通过定性访谈，可以得出关于参与者经验的深入见解（例如接受程度，满意度，障碍和干预措施的促进因素）。与现场工作人员组成的焦点小组可提供有关在咨询过程中发现的障碍和促进者的见解。此外，将评估干预以及实施成本。根据全国性逐步推广，数据收集将在基线进行，并在24个月内持续进行。结果将表明参与者在互联网上和基于电话的服务作为预防性提议的实施将在多大程度上被参与者和相关员工所接受，并且在过程中哪些关键的实施方面会发生。如果基于Internet和远程的服务的成功实施，则这些服务从长远来看可能是可行的。德国临床试验注册：DRKS00017078。于18.04.2019注册。根据全国性逐步推广，数据收集将在基线进行，并在24个月内持续进行。结果将表明参与者在互联网上和基于电话的服务作为预防性提议的实施将在多大程度上被参与者和相关员工所接受，并且在过程中哪些关键的实施方面会发生。如果基于Internet和远程的服务的成功实施，则这些服务从长远来看可能是可行的。德国临床试验注册：DRKS00017078。于18.04.2019注册。根据全国性逐步推广，数据收集将在基线进行，并在24个月内持续进行。结果将表明参与者在互联网上和基于电话的服务作为预防性提议的实施将在多大程度上被参与者和相关员工所接受，并且在过程中哪些关键的实施方面会发生。如果基于Internet和远程的服务的成功实施，则这些服务从长远来看可能是可行的。德国临床试验注册：DRKS00017078。于18.04.2019注册。结果将表明参与者在互联网上和基于电话的服务作为预防性提议的实施将在多大程度上被参与者和相关员工所接受，并且在过程中哪些关键的实施方面会发生。如果基于Internet和远程的服务的成功实施，则这些服务从长远来看可能是可行的。德国临床试验注册：DRKS00017078。于18.04.2019注册。结果将表明参与者在互联网上和基于电话的服务作为预防性提议的实施将在多大程度上被参与者和相关员工所接受，并且在过程中哪些关键的实施方面会发生。如果成功实现基于Internet和远程的服务，则这些服务从长远来看可能是可行的。德国临床试验注册：DRKS00017078。于18.04.2019注册。