Evidence map›Paper›PMID 19762654›Full record

ArticleAmerican journal of public health2009

Implementing evidence-based practice in community mental health agencies: a multiple stakeholder analysis.

Gregory A Aarons, Rebecca S Wells, Karen Zagursky, Danielle L Fettes, Lawrence A Palinkas

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of public health, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02254733 (Enhancing Assertive Community Treatment With Cognitive Behavioral Therapy and Social Skills Training for Schizophrenia.), which is not on this map. Cited by 125 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 4 pooled it
21.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02254733 nacompletednot on this mapstarted 2012, after this paper: background citation

Enhancing Assertive Community Treatment With Cognitive Behavioral Therapy and Social Skills Training for Schizophrenia.

TypeinterventionalSponsorVeterans Medical Research FoundationRan2012 to 2016Enrolled178ConditionsSchizophreniaArmsCognitive Behavioral Social Skills Training (CBSST), Assertive Community Treatment (ACT)
3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 4 syntheses or guidelines pooled it, 311 citations in OpenAlex.

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  14. Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation.Journal of the American Academy of Child and Adolescent Psychiatry · 2012
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65 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Gregory A AaronsUniversity of California, San Diego, Department of Psychiatry, 9500 Gilman Dr (0812), La Jolla, CA 92093-0812, USA. gaarons@ucsd.edu
Rebecca S Wells
Karen Zagursky
Danielle L Fettes
Lawrence A Palinkas
Southern California University for Professional Studies · US

Funding

Mixed-Methods Study of EBP Sustainment in a Statewide Service SystemR01MH072961 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY · 2005 to 2016
$5.8M
Concept Mapping of Readiness for Evidence-Based PracticeR03MH070703 · NIMH · CHILDREN'S HOSPITAL RESEARCH CENTER · PI AARONS, GREGORY · 2004 to 2005
$154k
NIMH NIH HHS R01 MH072961NIMH NIH HHS R03 MH070703
6 · The paper itself

Abstract

objectivesWe sought to identify factors believed to facilitate or hinder evidence-based practice (EBP) implementation in public mental health service systems as a step in developing theory to be tested in future studies.

methodsFocusing across levels of an entire large public sector mental health service system for youths, we engaged participants from 6 stakeholder groups: county officials, agency directors, program managers, clinical staff, administrative staff, and consumers.

resultsParticipants generated 105 unique statements identifying implementation barriers and facilitators. Participants rated each statement on importance and changeability (i.e., the degree to which each barrier or facilitator is considered changeable). Data analyses distilled statements into 14 factors or dimensions. Descriptive analyses suggest that perceptions of importance and changeability varied across stakeholder groups.

conclusionsImplementation of EBP is a complex process. Cross-system-level approaches are needed to bring divergent and convergent perspectives to light. Examples include agency and program directors facilitating EBP implementation by supporting staff, actively sharing information with policymakers and administrators about EBP effectiveness and fit with clients' needs and preferences, and helping clinicians to present and deliver EBPs and address consumer concerns.

Indexed as

Community Mental Health ServicesEvidence-Based PracticeAdolescentCaliforniaCommunity-Institutional RelationsCommunity ParticipationFemaleHumansMaleOrganizational Case Studies

Identifiers

PMID19762654
PMCPMC2759812
OpenAlexW1965434963

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.