U.S. health care systems are tasked with alleviating the burden of mental health, but are frequently underprepared and lack workforce and resource capacity to deliver services to all in need. Digital mental health interventions (DMHIs) can increase access to evidence-based mental health care. However, DMHIs commonly do not fit into the day-to-day activities of the people who engage with them, resulting in a research-to-practice gap for DMHI implementation. For health care settings, differences between digital and traditional mental health services make alignment and integration challenging. Specialized attention is needed to improve the implementation of DMHIs in health care settings so that these services yield high uptake, engagement, and sustainment. The purpose of this article is to enhance efforts to integrate DMHIs in health care settings by proposing implementation strategies, selected and operationalized based on the discrete strategies established in the Expert Recommendations for Implementing Change project, that align to DMHI-specific barriers in these settings. Guidance is offered in how these strategies can be applied to DMHI implementation across four phases commonly distinguished in implementation science using the Exploration, Preparation, Implementation, Sustainment Framework. Next steps to advance research in this area and improve the research-to-practice gap for implementing DMHIs are recommended. Applying implementation strategies to DMHI implementation will enable psychologists to systematically evaluate this process, which can yield an enhanced understanding of the factors that facilitate implementation success and improve the translation of DMHIs from controlled trials to real-world settings. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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医疗保健环境中数字心理健康干预的实施策略。

美国卫生保健系统的任务是减轻心理健康的负担，但往往准备不足，缺乏劳动力和资源能力来为所有有需要的人提供服务。数字心理健康干预 (DMHI) 可以增加获得循证心理健康护理的机会。然而，DMHI 通常不适合与其打交道的人们的日常活动，从而导致 DMHI 实施的研究与实践之间存在差距。对于医疗保健环境，数字和传统心理健康服务之间的差异使对齐和整合具有挑战性。需要特别注意改善医疗保健环境中 DMHI 的实施，以便这些服务获得高接受度、参与度和持续性。本文的目的是通过提出实施策略来加强将 DMHI 整合到医疗保健环境中的努力，这些策略是根据实施变革项目的专家建议中建立的离散策略来选择和实施的，这些策略与这些环境中的 DMHI 特定障碍保持一致。提供了有关如何将这些策略应用于 DMHI 实施的指南，这些阶段通常使用探索、准备、实施、维持框架在实施科学中通常区分的四个阶段进行。建议采取下一步措施推进该领域的研究并改善实施 DMHI 的研究与实践之间的差距。将实施策略应用于 DMHI 实施将使心理学家能够系统地评估这一过程，这可以加深对促进实施成功的因素的理解，并改善 DMHI 从受控试验到现实环境的转化。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。