Development of Virtual Mental Health Stepped Care Service for a Heart Failure Remote Management Program: Qualitative Descriptive Study

Amika Shah   ^{1, 2} , MScCH ;   Anam Shahil-Feroz   ³ , BScN, MScHPM, PhD ;   Kathleen A Sheehan   ^{4, 5} , MSc, MD, PhD ;   Shannon Wright   ^{4, 6} , RN-EC, NP-PHC, MSc, MACP, CPMHN-C ;   Robert P Nolan   ^{4, 7, 8} , CPsych, PhD ;   Gillian Strudwick   ^{1, 9} , RN, PhD ;   Sanjeev Sockalingam   ^{4, 5, 9} , MHPE, MD ;   Emily Seto   ^{1, 2} , PEng, PhD

¹ Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

² Centre for Digital Therapeutics, University Health Network, Toronto, ON, Canada

³ Arthur Labatt Family School of Nursing, Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada

⁴ University Health Network, Toronto, ON, Canada

⁵ Department of Psychiatry, University of Toronto, Toronto, ON, Canada

⁶ Lawrence Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada

⁷ Cardiac eHealth, Toronto General Hospital, University Health Network, Toronto, ON, Canada

⁸ Institute of Medical Science, University of Toronto, Toronto, ON, Canada

⁹ Centre for Addiction and Mental Health, Toronto, ON, Canada