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

Adm Policy Ment Health. 2014 Nov;41(6):788-99. doi: 10.1007/s10488-013-0529-x.

Abstract

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Anxiety / therapy*
  • Cognitive Behavioral Therapy / education
  • Cognitive Behavioral Therapy / methods*
  • Cognitive Behavioral Therapy / organization & administration
  • Evidence-Based Practice / education
  • Evidence-Based Practice / methods
  • Evidence-Based Practice / organization & administration
  • Female
  • Humans
  • Male
  • Organizational Innovation
  • Program Development