Are inner context factors related to implementation outcomes in cognitive-behavioral therapy for youth anxiety?

Adm Policy Ment Health

Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA,

Published: November 2014

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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4014529PMC
http://dx.doi.org/10.1007/s10488-013-0529-xDOI Listing

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