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  • Implementation considerations in a Complex Adaptive System

    Resource Type:
    Report
    Creator:
    Peters, Paul A. and Petrie, Samuel
    Description:
    This report was prepared for the Centre for Rural Medicine in Storuman, Sweden, as part of the Free Range international student exchange program. See also Carleton's Spatial Determinants of Health Lab:  https://carleton.ca/determinants
    Abstract:
    This report is provides guidance for research teams who are currently planning or are in the midst of implementing an e-health intervention in rural communities. It describes the important factors which need to be considered when scaling - up a pilot project from one context to another, and demonstrates what a successful project needs to maximize the probability that it will achieve the desired level of spread within the healthcare system. This report can be used as a reference for people who wish to implement a novel intervention into a new environment. Ideally it will be used in the early stages of intervention design to help researchers understand how a complex adaptive system functions and why navigating one is important for the outcome of their intervention. To begin, the report covers some basic terminology used when discussing complex adaptive systems and highlights the importance of working with these ideas moving forward. Next, in-depth discussions about sense-making, leverage points, self-organization, and agent-based modelling provide evidence of the complexity of implementation. Finally, the principle of antifragility is discussed, as well as a tangible example of an intervention which has been designed with antifragility in mind. Finally, the conclusion summarizes the key findings of the report, offers future directions, and identifies some of the limitations.
    Date Created:
    2018-09-22

  • Best Practices for Rural eMental Health

    Resource Type:
    Report
    Creator:
    Petrie, Samuel, LeBlanc, Michele, Peters, Paul A., Aboukarr, Sereen, Paskaran, Saambavi, and Carson, Dean B.
    Description:
    Visit the Spatial Determinants of Health Lab website at  https://carleton.ca/determinants
    Abstract:
    A review of recent literature related to eHealth technologies in Canada and Australia was conducted to better understand specific barriers and enablers for the uptake, acceptability, and success of eMental health programs. It has been shown that the more “rural” or “remote” a community, the access to mental health services decreases. By mitigating barriers and promoting enablers, successful eMental health integration can increase access to mental health services for rural residents. eMental health aims to bridge the gap between rural and urban mental health services by introducing electronic methods such as teleconferencing or videoconferencing for psychological services, virtual referral to psychiatrists, and sharing of electronic records. Successful integration of the technology remains a challenging task, with key actors, enablers, and barriers all influencing its success.
    Date Created:
    2019-07-12