Implementing a transdiagnostic sleep and circadian intervention in a community mental health setting: A qualitative process evaluation with community stakeholders

Nicole B Gumport; Stephanie H Yu; Allison G Harvey

doi:10.1016/j.psychres.2020.113443

Implementing a transdiagnostic sleep and circadian intervention in a community mental health setting: A qualitative process evaluation with community stakeholders

Psychiatry Res. 2020 Nov:293:113443. doi: 10.1016/j.psychres.2020.113443. Epub 2020 Aug 31.

Authors

Nicole B Gumport¹, Stephanie H Yu², Allison G Harvey³

Affiliations

¹ Department of Psychology, University of California, 2121 Berkeley Way #1650, Berkeley, CA, United States.
² Department of Psychology, University of California, 2121 Berkeley Way #1650, Berkeley, CA, United States; Department of Psychology, University of California, Los Angeles, CA, United States.
³ Department of Psychology, University of California, 2121 Berkeley Way #1650, Berkeley, CA, United States. Electronic address: aharvey@berkeley.edu.

PMID: 32890862
DOI: 10.1016/j.psychres.2020.113443

Abstract

The implementation of evidence-based psychological treatments (EBPTs) may be particularly challenging to accomplish in community mental health settings for individuals with severe mental illness (SMI). Transdiagnostic treatments, or treatments that target a mechanism that underpins multiple mental health problems, may be particularly well-suited to community mental health settings. This study examines community stakeholder perspectives (N = 22) of the Transdiagnostic Sleep and Circadian Intervention (TranS-C) implemented in a community mental health setting in the context of a randomized controlled trial of TranS-C for SMI. The present study aimed to identify barriers and facilitators to the implementation of TranS-C for SMI in a community mental health setting using (1) a deductive theory-based process based on the Framework for Dissemination in Health Services Intervention Research and (2) an inductive thematic analysis process. All deductive themes were identified as both barriers and facilitators to the implementation of EBPTs and TranS-C in this community mental health setting. Seven additional themes were identified through the inductive thematic analysis. A discussion of how the findings are related to prior research, other EBPT implementation, and future TranS-C implementation are included.

Trial registration: ClinicalTrials.gov NCT02469233.

Keywords: Barriers; Facilitators; Framework for Dissemination in Health Services Intervention Research; Sleep.

Publication types

Randomized Controlled Trial
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Adult
Circadian Rhythm / physiology*
Community Mental Health Services / methods
Community Mental Health Services / standards*
Female
Health Personnel / psychology
Health Personnel / standards*
Humans
Male
Mental Disorders / diagnosis*
Mental Disorders / psychology
Mental Disorders / therapy
Middle Aged
Process Assessment, Health Care / methods
Process Assessment, Health Care / standards
Qualitative Research*
Sleep / physiology*
Stakeholder Participation* / psychology

Associated data

ClinicalTrials.gov/NCT02469233

Abstract

Publication types

MeSH terms

Associated data

Grants and funding