Table 4.
Veteran-reported challenges when using the Mental Health Checkup (MHC) app by duration of use (n=268).
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Total, n (%) | Duration of MHC use | P value | ||||
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Less than 3 months, n (%) | 3 months or longer, n (%) |
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| Unable to access assessments (n=264) | .63 | ||||||
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Somewhat/serious challenge | 69 (26.1) | 27 (27.8) | 42 (25.1) |
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Not a challenge | 195 (73.9) | 70 (72.2) | 125 (74.9) |
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| All needed assessments not in MHC (n=248) | .46 | ||||||
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Somewhat/serious challenge | 51 (20.6) | 21 (23.1) | 30 (19.1) |
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Not a challenge | 197 (79.4) | 70 (76.9) | 127 (80.9) |
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| Unable to correct erroneous responses (n=256) | .25 | ||||||
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Somewhat/serious challenge | 72 (28.1) | 31 (32.3) | 41 (25.6) |
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Not a challenge | 184 (71.9) | 65 (67.7) | 119 (74.4) |
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| Unable to save answers (n=257) | .25 | ||||||
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Somewhat/serious challenge | 52 (20.2) | 23 (24) | 29 (18) |
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Not a challenge | 205 (79.8) | 73 (76) | 132 (82) |
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| Difficulty understanding graphs of assessment scores (n=245) | .11 | ||||||
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Somewhat/serious challenge | 102 (41.6) | 43 (48.3) | 59 (37.8) |
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Not a challenge | 143 (58.4) | 46 (51.7) | 97 (62.2) |
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| Inability of providers to see entered answers (n=246) | .35 | ||||||
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Somewhat/serious challenge | 39 (15.9) | 17 (18.7) | 22 (14.2) |
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Not a challenge | 207 (84.1) | 74 (81.3) | 133 (85.8) |
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| Providers and veterans do not talk about assessment scores (n=260) | .97 | ||||||
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Somewhat/serious challenge | 70 (26.9) | 26 (26.8) | 44 (27) |
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Not a challenge | 190 (73.1) | 71 (73.2) | 119 (73) |
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| Providers do not use assessment scores to inform my care (n=247) | .60 | ||||||
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Somewhat/serious challenge | 63 (25.5) | 26 (27.4) | 37 (24.3) |
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Not a challenge | 184 (74.5) | 69 (72.6) | 115 (75.7) |
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| Inability to answer questions as well as when at the VHAa (n=264) | .007 | ||||||
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Somewhat/serious challenge | 62 (23.5) | 32 (32.7) | 30 (18.1) |
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Not a challenge | 202 (76.5) | 66 (67.3) | 136 (81.9) |
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| Lacking a private place to complete assessments (n=263) | .97 | ||||||
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Somewhat/serious challenge | 19 (7.2) | 7 (7.1) | 12 (7.3) |
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Not a challenge | 244 (92.8) | 91 (92.9) | 153 (92.7) |
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| Insufficient training about MHC (n=259) | .64 | ||||||
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Somewhat/serious challenge | 73 (28.2) | 29 (29.9) | 44 (27.2) |
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Not a challenge | 186 (71.8) | 68 (70.1) | 118 (72.8) |
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| Providers did not explain how they wanted MHC used (n=258) | .18 | ||||||
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Somewhat/serious challenge | 65 (25.2) | 29 (29.9) | 36 (22.4) |
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Not a challenge | 193 (74.8) | 68 (70.1) | 125 (77.6) |
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| Not enough help available for troubleshooting with MHC (n=254) | .56 | ||||||
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Somewhat/serious challenge | 64 (25.2) | 22 (23.2) | 42 (26.4) |
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Not a challenge | 190 (74.8) | 73 (76.8) | 117 (73.6) |
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| Limited veteran access to a mobile/computing device (n=263) | .50 | ||||||
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Somewhat/serious challenge | 23 (8.7) | 7 (7.2) | 16 (9.6) |
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Not a challenge | 240 (91.3) | 90 (92.8) | 150 (90.4) |
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| Limited veteran access to the Internet or sufficient Wi-Fi capacity (n=264) | .39 | ||||||
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Somewhat/serious challenge | 33 (12.5) | 10 (10.2) | 23 (13.9) |
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Not a challenge | 231 (87.5) | 88 (89.8) | 143 (86.1) |
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| Concerns about privacy and security of responses entered into MHC (n=263) | .49 | ||||||
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Somewhat/serious challenge | 66 (25.1) | 22 (22.7) | 44 (26.5) |
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Not a challenge | 197 (74.9) | 75 (77.3) | 122 (73.5) |
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aVHA: Veterans Health Administration.