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Table 1 Themes generated from qualitative analysis of nonspecialists’ delivering a mental health treatment for depressed older adults

From: Perspectives of Nonspecialists Delivering a Brief Depression Treatment in the United States: A Qualitative Investigation

Implementation Outcome

 

Theme

Acceptabilitya

Perception of an intervention or practice as agreeable or satisfactory, with reference to either an individual provider or patient respondent

Facilitators

Theme 1: Behavioral rehearsal and feedback during training

Theme 2: Flexibility of intervention delivery

Theme 3: Supervision

Barriers

Theme 4: Structured nature of the intervention

Theme 5: Lack of tools to support telehealth delivery

Theme 6: Management of emotional investment with patients

Theme 7: Desire for group supervision and emotional support

Feasibilitya

Facilitators

Theme 8: Training and materials to support intervention delivery

Whether an intervention or practice can be successfully used or carried out

Barriers

Theme 9: Supervision as an implementation support

Theme 10: Need for group supervision

Theme 11: Time-limited sessions

Theme 12: Desire for specialized training

Theme 13: Desire for more challenges during training

Appropriatenessa

Facilitators

Theme 14: Appropriate for coaches with and without a bachelor’s degree

Judgment of relevance or compatibility of an intervention or practice with respect to a referent organization, setting, situation, or patient population

Barriers

Theme 15: Intervention and delivery fit

Theme 16: Need for more intensive specialty mental health services

Theme 17: Mismatch between the brief structure of the intervention and perceived patient need

Emergent theme

Barrier

Theme 18: Stress and distress related to COVID-19 pandemic and anti-Black racism

  1. Note: aindicates term is defined based on Proctor et al., 2011 and Weiner et al., 2017