title: The Contextualized Technology Adaptation Process (CTAP): Optimizing Health Information Technology to Improve Mental Health Systems.
abstract: Health information technologies have become a central fixture in the mental healthcare landscape, but few frameworks exist to guide their adaptation to novel settings. This paper introduces the contextualized technology adaptation process (CTAP) and presents data collected during Phase 1 of its application to measurement feedback system development in school mental health. The CTAP is built on models of human-centered design and implementation science and incorporates repeated mixed methods assessments to guide the design of technologies to ensure high compatibility with a destination setting. CTAP phases include: (1) Contextual evaluation, (2) Evaluation of the unadapted technology, (3) Trialing and evaluation of the adapted technology, (4) Refinement and larger-scale implementation, and (5) Sustainment through ongoing evaluation and system revision. Qualitative findings from school-based practitioner focus groups are presented, which provided information for CTAP Phase 1, contextual evaluation, surrounding education sector clinicians' workflows, types of technologies currently available, and influences on technology use. Discussion focuses on how findings will inform subsequent CTAP phases, as well as their implications for future technology adaptation across content domains and service sectors.
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA. lyona@uw.edu.
authors: Aaron R
authors: AR
authors: Lyon
authors: Public Health - Seattle and King County, Seattle, USA.
authors: Jessica Knaster
authors: JK
authors: Wasse
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.
authors: Kristy
authors: K
authors: Ludwig
authors: Department of Human Centered Design and Engineering, University of Washington, Seattle, USA.
authors: Mark
authors: M
authors: Zachry
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.
authors: Eric J
authors: EJ
authors: Bruns
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.
authors: Jürgen
authors: J
authors: Unützer
authors: Department of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.
authors: Elizabeth
authors: E
authors: McCauley
mesh_terms: D001291:Attitude of Health Personnel; D000072117:Counselors; D003695:Delivery of Health Care; D005260:Female; D017144:Focus Groups; D006282:Health Personnel; D006801:Humans; D008297:Male; D008490:Medical Informatics; D008605:Mental Health Services; D017063:Outcome Assessment, Health Care; D011584:Psychology; D036301:Qualitative Research; D058996:Quality Improvement; D012572:School Health Services; D000068217:Social Workers
keywords: Adaptation; Assessment; Health information technology; Implementation; School mental health