Examining Implementation of a Patient Activation and Self-management Intervention Within the Context of an Effectiveness Trial
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- Ault-Brutus, A., Lee, C., Singer, S. et al. Adm Policy Ment Health (2014) 41: 777. doi:10.1007/s10488-013-0527-z
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This qualitative study examines factors important for delivering a patient activation/self-management intervention in 13 mental health clinics within the context of an effectiveness trial to inform understanding of real-world implementation. Eighteen key personnel were interviewed about the following factors relative to the intervention and its delivery: alignment with organization values/patient needs; buy-in/support from leaders and providers; roles played by leaders and key personnel; and availability of organizational resources. Where supportive, these factors facilitated the delivery of the intervention; elsewhere, they presented as impediments. Findings from this study could help anticipate challenges to implementation that could be examined in a full-scale implementation study.