{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T04:23:48Z","timestamp":1792038228763,"version":"4.4.0"},"reference-count":25,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T00:00:00Z","timestamp":1708473600000},"content-version":"unspecified","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1 TR003107"],"award-info":[{"award-number":["UL1 TR003107"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2023,12,22]]},"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>An estimated one-third of patients experience post-traumatic stress disorder (PTSD) or depression in the year following a traumatic injury. The American College of Surgeons requires postinjury PTSD and depression screening in trauma centers, although implementation has been limited. Tech-based solutions have been proposed to improve uptake of postinjury mental health screening. The goals of this pilot study were to assess the usability and acceptability of Blueprint, a tech-based mental health screening platform, and explore attitudes toward tech-based screening and intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This pilot study included trauma patients (n=10) admitted to the trauma service. Participants completed the PTSD Checklist-5 and Patient Health Questionnaire-9 using Blueprint to test usability and acceptability of the platform. Participants completed the System Usability Scale (SUS) and a semi-structured interview to assess several domains including attitudes toward tech-based screening, potential barriers to implementation, and its usefulness in a postinjury context. Summative Template Analysis, a data abstraction procedure, was used to analyze qualitative data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Blueprint received an average SUS score of 93.25\/100 suggesting participants found the interface to be an \u2018excellent\u2019 means to assess postinjury mental health concerns. Participants were supportive of universal screening and identified several benefits to engaging in tech-based routine monitoring of postinjury PTSD and depressive symptoms including convenience, personalization, and trauma-informed care. Regarding intervention, patients valued web-based psychoeducation on topics related to their overall care and local resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tech-based mental health screening was highly usable and valuable to trauma patients at risk for postinjury PTSD and depression. Participants valued web-based psychoeducation and resources, but overall preferred Blueprint be used to facilitate access to in-person mental health services. Further evaluation of Blueprint as a means of assessment, intervention, and referral is needed.<\/jats:p><\/jats:sec>","DOI":"10.1136\/tsaco-2023-001198","type":"journal-article","created":{"date-parts":[[2024,2,21]],"date-time":"2024-02-21T05:55:17Z","timestamp":1708494917000},"page":"e001198","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Perceptions of tech-based mental health screening"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0983-2087","authenticated-orcid":false,"given":"Sacha A","family":"McBain","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Cleavenger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsey","family":"Bull","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nalin","family":"Payakachat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melody","family":"Greer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"2024051312224831000_9.1.e001198.1","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1097\/TA.0b013e31824416aa","article-title":"Predictors of acute posttraumatic stress disorder symptoms following civilian trauma: highest incidence and severity of symptoms after assault","volume":"72","author":"Alarcon","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"key":"2024051312224831000_9.1.e001198.2","doi-asserted-by":"crossref","DOI":"10.1186\/s13049-018-0507-0","article-title":"Quality of life and level of post-traumatic stress disorder among trauma patients: a comparative study between a regional and a University hospital","volume":"26","author":"Danielsson","year":"2018","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"2024051312224831000_9.1.e001198.3","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.4.369"},{"key":"2024051312224831000_9.1.e001198.4","unstructured":"American College of Surgeons . Resources for optimal care of the injured patient. 2022. Available: https:\/\/www.facs.org\/media\/1qumyf4b\/2022_vrc_injured-patient-standardsmanual_final.pdf"},{"key":"2024051312224831000_9.1.e001198.5","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1097\/XCS.0000000000000064","article-title":"Nationwide survey of trauma center screening and intervention practices for posttraumatic stress disorder, firearm violence","volume":"234","author":"Bulger","year":"2022","journal-title":"J Am Coll Surg"},{"key":"2024051312224831000_9.1.e001198.6","doi-asserted-by":"crossref","DOI":"10.1136\/tsaco-2019-000345","article-title":"Barriers to and facilitators of a screening procedure for PTSD risk in a level I trauma center","volume":"4","author":"McBain","year":"2019","journal-title":"Trauma Surg Acute Care Open"},{"key":"2024051312224831000_9.1.e001198.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2006.10.008"},{"key":"2024051312224831000_9.1.e001198.8","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.genhosppsych.2014.02.004","article-title":"A feasibility pilot study on the use of text messages to track PTSD symptoms after a traumatic injury","volume":"36","author":"Price","year":"2014","journal-title":"Gen Hosp Psychiatry"},{"key":"2024051312224831000_9.1.e001198.9","doi-asserted-by":"crossref","DOI":"10.21037\/mhealth.2018.06.03","article-title":"mHealth solutions for early interventions after trauma: improvements and considerations for assessment and intervention throughout the acute post-trauma period","volume":"4","author":"Price","year":"2018","journal-title":"Mhealth"},{"key":"2024051312224831000_9.1.e001198.10","doi-asserted-by":"crossref","DOI":"10.1080\/20008198.2018.1500822","article-title":"Implementing assessments via mobile during the acute posttrauma period: feasibility, acceptability and strategies to improve response rates","volume":"9","author":"Price","year":"2018","journal-title":"Eur J Psychotraumatol"},{"key":"2024051312224831000_9.1.e001198.11","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1001\/jamapsychiatry.2018.3329","article-title":"Implementing measurement-based care in behavioral health: a review","volume":"76","author":"Lewis","year":"2019","journal-title":"JAMA Psychiatry"},{"key":"2024051312224831000_9.1.e001198.12","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1089\/tmj.2016.0153","article-title":"Rural and urban\/suburban families\u2019 use of a web-based mental health intervention","volume":"23","author":"Bunnell","year":"2017","journal-title":"Telemed J E Health"},{"key":"2024051312224831000_9.1.e001198.13","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1177\/000313481708301137","article-title":"Continuing trauma: the unmet needs of trauma patients in the postacute care setting","volume":"83","author":"Fakhry","year":"2017","journal-title":"Am Surg"},{"key":"2024051312224831000_9.1.e001198.14","doi-asserted-by":"crossref","unstructured":"Glaser BG , Strauss AL . The discovery of grounded theory: strategies for qualitative research. Routledge, 2017. doi:10.4324\/9780203793206","DOI":"10.4324\/9780203793206"},{"key":"2024051312224831000_9.1.e001198.15","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"2024051312224831000_9.1.e001198.16","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"2024051312224831000_9.1.e001198.17","unstructured":"Weathers FW , Litz BT , Keane TM , Palmieri PA , Marx BP , Schnurr PP . The PTSD checklist for DSM-5 (PCL-5). 2013. Available: www.ptsd.va.gov"},{"key":"2024051312224831000_9.1.e001198.18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"2024051312224831000_9.1.e001198.19","unstructured":"Lewis CH . Using the \u201cthinking aloud\u201d method in cognitive interface design IBM, 1982."},{"key":"2024051312224831000_9.1.e001198.20","unstructured":"Brooke J . \u201cSUS: A \u201cquick and dirty\u201d usability scale\u201d. 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Taylor & Francis, 1996: 189\u201394."},{"key":"2024051312224831000_9.1.e001198.21","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1177\/1541931213571043","article-title":"Validation of the system usability scale (SUS): SUS in the wild","volume":"57","author":"Peres","year":"2013","journal-title":"Proc Hum Factors Ergon Soc Annu Meet"},{"key":"2024051312224831000_9.1.e001198.22","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1080\/10447318.2015.1064654","article-title":"Measuring perceived usability: the SUS, UMUX-LITE, and Altusability","volume":"31","author":"Lewis","year":"2015","journal-title":"Int J Hum Comput Interact"},{"key":"2024051312224831000_9.1.e001198.23","doi-asserted-by":"crossref","DOI":"10.1186\/s13012-022-01245-0","article-title":"The updated consolidated framework for implementation research based on user feedback","volume":"17","author":"Damschroder","year":"2022","journal-title":"Implement Sci"},{"key":"2024051312224831000_9.1.e001198.24","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112516"},{"key":"2024051312224831000_9.1.e001198.25","doi-asserted-by":"crossref","DOI":"10.2196\/resprot.9633","article-title":"Identifying barriers and facilitators of 13 mHealth projects in North America and Africa: protocol for a 5-year implementation science study","volume":"7","author":"Tilahun","year":"2018","journal-title":"JMIR Res Protoc"}],"container-title":["Trauma Surgery &amp; Acute Care Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/tsaco-2023-001198","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T19:25:10Z","timestamp":1715628310000},"score":1,"resource":{"primary":{"URL":"https:\/\/tsaco.bmj.com\/lookup\/doi\/10.1136\/tsaco-2023-001198"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,2,20]]},"published-print":{"date-parts":[[2024,2]]}},"alternative-id":["10.1136\/tsaco-2023-001198"],"URL":"https:\/\/doi.org\/10.1136\/tsaco-2023-001198","relation":{},"ISSN":["2397-5776"],"issn-type":[{"value":"2397-5776","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2]]}}}