Examining Implementation of a Patient Activation and Self-management Intervention Within the Context of an Effectiveness Trial

  • Andrea Ault-Brutus
  • Catherine Lee
  • Sara Singer
  • Michele Allen
  • Margarita Alegría
Original Article

DOI: 10.1007/s10488-013-0527-z

Cite this article as:
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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Abstract

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.

Keywords

Implementation research Hybrid effectiveness-implementation research Community mental health settings 

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Andrea Ault-Brutus
    • 1
  • Catherine Lee
    • 2
  • Sara Singer
    • 3
  • Michele Allen
    • 4
  • Margarita Alegría
    • 1
    • 5
  1. 1.Center for Multicultural Mental Health ResearchCambridge Health AllianceSomervilleUSA
  2. 2.Department of Psychiatry & Human BehaviorBrown Medical SchoolProvidenceUSA
  3. 3.Department of Health Policy and ManagementHarvard School of Public HealthBostonUSA
  4. 4.Family Medicine and Community HealthUniversity of MinnesotaMinneapolisUSA
  5. 5.Department of PsychiatryHarvard Medical SchoolBostonUSA

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