Are Inner Context Factors Related to Implementation Outcomes in Cognitive-Behavioral Therapy for Youth Anxiety?
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Among the challenges facing the mental health field are the dissemination and implementation of evidence-based practices. The present study investigated the relationships between inner context variables (i.e., adopter characteristics and individual perceptions of intra-organizational factors) and two implementation outcomes—independently rated therapist fidelity on a performance-based role-play (i.e., adherence and skill) and self-reported penetration of cognitive behavioral therapy for youth anxiety following training. A significant relationship was found between inner context variables and fidelity. Specifically, adopter characteristics were associated with adherence and skill; individual perceptions of intra-organizational factors were associated with adherence. Inner context variables were not associated with penetration. Future directions are discussed.
- Are Inner Context Factors Related to Implementation Outcomes in Cognitive-Behavioral Therapy for Youth Anxiety?
Administration and Policy in Mental Health and Mental Health Services Research
Volume 41, Issue 6 , pp 788-799
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Evidence-based practice
- Inner context
- Implementation outcomes
- Author Affiliations
- 1. Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA
- 2. Center for Effective Child Therapy, Judge Baker Children’s Center, Boston, MA, USA
- 3. School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, USA
- 4. Bryn Mawr College, Bryn Mawr, PA, USA
- 5. Center for Health Equity Research and Promotion, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA
- 6. Department of Psychology, Temple University, Philadelphia, PA, USA