The Contextualized Technology Adaptation Process (CTAP): Optimizing Health Information Technology to Improve Mental Health Systems
Open accessAbstract
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.
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Current research on eMental healthcare technologies lacks implementation frameworks.
“Current research on eMental healthcare technologies lack implementation frameworks [27]”
From eMental Healthcare Technologies for Anxiety and Depression in Childhood and Adolescence: Systematic Review of Studies Reporting Implementation Outcomes (2018) · cites this paper as [27]
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Self-citation
- Authors
- Lyon, A. R., Wasse, J. K., Ludwig, K., Zachry, M., Bruns, E. J., Unützer, J., & McCauley, E.
- Affiliations
- University of Washington (US)
- Public Health – Seattle & King County (US)
- Corresponding author
- Lyon, Aaron R.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2015-02-13
- Volume
- 43
- Issue
- 3
- Pages
- 394-409
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- PMC
- PMC4536193
- OpenAlex
- W2050503527
- Cited by
- 63
- References
- 89
- Citations by year
- 2025: 3 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 7 · 2020: 10 · 2019: 5 · 2018: 10 · 2017: 4 · 2016: 7 · 2015: 5
- FWCI
- 15.81
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH095939, K08MH095939, R25MH080916)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- technology adaptation, health information technology, mental health system, school mental health, human-centered design, implementation science, contextual evaluation, clinician workflow, technology adoption
- MeSH terms
- Social Workers, Counselors, Attitude of Health Personnel, Delivery of Health Care, Female, Health Personnel, Humans, Male, Medical Informatics, Mental Health Services, Psychology, School Health Services, Outcome Assessment, Health Care, Focus Groups, Qualitative Research, Quality Improvement
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