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Table 1 Structured Interview Guide

From: Implementation of a women’s reproductive behavioral health telemedicine program: a qualitative study of barriers and facilitators in obstetric and pediatric clinics

Interview Questions

Background

Please describe your job at [site] and your role in the telemedicine program.

Tell us about the types of patients you serve in your clinic and the activities and initiatives that are of highest priority for quality improvement in your practice.

Tell us about the practices your clinic had in place for identifying, screening and providing mental health [and substance abuse] services for women before the telemedicine program.

Inner Context

Thinking broadly about the culture of your clinic (or the general ways your clinic functions and its norms), were there any concerns you had about taking on and implementing the telemedicine program? Please describe.

Describe the individuals in your clinic who have been supportive of the program and how the program is run in your practice.

What was the general level of openness and commitment to implementing the program at your clinic? Why?

Please describe the resources your practice had in place or needed to support the telemedicine program.

Outer Context

Several professional organizations recommend screening for depression in pregnancy and postpartum as standard of care. Please describe any challenges in completing the recommended screenings for depression.

Please describe any challenges your team faced or still faces in meeting mental health (and substance abuse) needs in your patients.

Bridging

Describe the relationships you have developed with staff from the telemedicine program and any challenges you have observed in accessing resources to support the telemedicine program.

Tell us about the set-up process for launching the telemedicine program at your clinic. How did that go?

Innovation

When starting this collaboration with the academic telemedicine program, please describe how well you felt the program fit with your clinic’s mission, work processes and practices. Why?

General Program Feedback

Once the program started, please describe how things went with the screening, referrals and scheduling processes.

Please comment on any challenges you have experienced in delivering the program efficiently to meet patients’ needs.

Tell us about how patients have received the program and any suggestions you have to improve their experience.

In closing, please share any suggestions you have to improve the successful delivery of the program.

  1. Note: A parallel version was used with the telemedicine team to gather their perspectives on delivering telemedicine services to community clinics