The World Health Organization report that an estimated 793,000 people died by suicide in 2016 globally. The use of digital technology has been found to be beneficial in the delivery of Web-based suicide prevention interventions. Research on the integration of digital technology within mental health services has indicated that despite the proliferation of technology, engagement by patients and professionals in adopting such technology can be poor. The current study aims to explore the experiences of 15 mental health professionals involved in integrating mobile health technology into their practice. A secondary aim was to identify the drivers and barriers to the adoption of such technology by mental health professionals, and to consider what theoretical models could best account for the data. Semi-structured interviews, conducted from July to October 2019, were used to explore the experiences of mental health professionals engaged in the adoption of mobile health technology within mental health services. Mental Health professionals and clinician managers working in HSE Child and Adolescent Mental Health, Adult Mental Health, and Primary Care Psychology services were recruited for the study. Qualitative interview data was transcribed and analysed using NVivo. Thematic Analysis was used to identify themes. Four major themes were identified: Accessibility, ‘Transitional Object’, Integration, and Trust. Within these 4 major themes, a total of 9 subthemes were identified: Service Accessibility, Immediate Access, Client Engagement, Adjunct-to-therapy, Therapeutic Relationship, Infrastructural Support, Enhancing Treatment, Trust in the Technology, Trust in the Organisation. Overall, Diffusion of Innovation Theory provides a useful theoretical framework which is consistent with and can adequately account for many of the Major and Subthemes identified in the data. In addition, ‘Transitional Objects’, a key concept within Object Relations Theory, could offer a means of better understanding how patients and professionals engage with digital technology within mental health services particularly.

中文翻译：

---

探索精神卫生专业人员在爱尔兰精神卫生服务中采用移动卫生技术的经验

世界卫生组织报告称，2016 年全球估计有 793,000 人死于自杀。已发现数字技术的使用有助于提供基于网络的自杀预防干预措施。对精神卫生服务中数字技术整合的研究表明，尽管技术在扩散，但患者和专业人员在采用此类技术方面的参与度可能很低。目前的研究旨在探索 15 位心理健康专业人士将移动健康技术融入其实践的经验。第二个目标是确定心理健康专业人员采用此类技术的驱动因素和障碍，并考虑哪些理论模型可以最好地解释这些数据。半结构化面试，于 2019 年 7 月至 2019 年 10 月进行，用于探索精神卫生专业人员在精神卫生服务中采用移动卫生技术的经验。该研究招募了在 HSE 儿童和青少年心理健康、成人心理健康和初级保健心理学服务部门工作的心理健康专业人员和临床医生经理。使用 NVivo 转录和分析定性访谈数据。主题分析用于确定主题。确定了四个主要主题：可访问性、“过渡对象”、集成和信任。在这 4 个主要主题中，共确定了 9 个子主题：服务可及性、即时访问、客户参与、辅助治疗、治疗关系、基础设施支持、增强治疗、对技术的信任、对组织的信任。总体而言，创新扩散理论提供了一个有用的理论框架，该框架与数据中确定的许多主要和次主题一致并且可以充分解释。此外，“过渡对象”是对象关系理论中的一个关键概念，可以提供一种更好地了解患者和专业人员如何特别是在心理健康服务中使用数字技术的方法。