SynthesisJournal of the American Academy of Child and Adolescent Psychiatry2013
Dissemination and implementation of evidence-based practices for child and adolescent mental health: a systematic review.
Synthesis in Journal of the American Academy of Child and Adolescent Psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 123 papers, 9 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
123 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Systematic Review of Organizational Strategies to Promote the Sustainability and Scale-Up of Mental Health Interventions to Advance Youth Psychological Wellbeing.Prevention science : the official journal of the Society for Prevention Research · 2026Pooled it
- Barriers to and Facilitators of Implementation of Internet-Delivered Therapist-Guided Therapy in Child and Adolescent Mental Health Services: Systematic Review and Bayesian Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Strategies for Enhancing the Implementation of Universal Mental Health Prevention Programs in Schools: A Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2023Pooled it
- Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals.Reproductive health · 2021Pooled it
- Determinants of Implementing Evidence-Based Trauma-Focused Interventions for Children and Youth: A Systematic Review.Administration and policy in mental health · 2020Pooled it
- Systematic literature review and meta-analysis of the relationship between adherence, competence and outcome in psychotherapy for children and adolescents.European child & adolescent psychiatry · 2020Pooled it
- Quality improvement, implementation, and dissemination strategies to improve mental health care for children and adolescents: a systematic review.Implementation science : IS · 2017Pooled it
- Multilevel Mechanisms of Implementation Strategies in Mental Health: Integrating Theory, Research, and Practice.Administration and policy in mental health · 2016Pooled it
- Achieving change in primary care--causes of the evidence to practice gap: systematic reviews of reviews.Implementation science : IS · 2016Pooled it
- Understanding mechanisms of multi-level implementation strategies for autism interventions in a randomized trial across service systems.Implementation science : IS · 2025Trial
- Examining Teacher Concerns and Anxiety on the Implementation of a Universal Body Image Program.International journal of environmental research and public health · 2024Trial
- Predictors and Moderators of Treatment Outcomes for Anxious Children Randomized to Computer-Assisted Cognitive Behavioral Therapy or Standard Community Care.Journal of child and adolescent psychopharmacology · 2023Trial
- Examining Organizational Factors Supporting the Adoption and Use of Evidence-Based Interventions.Community mental health journal · 2021Trial
- Pilot Evaluation of a Tablet-Based Application to Improve Quality of Care in Child Mental Health Treatment.Behavior therapy · 2019Trial
- Assessing long-term sustainment of clinic participation in NIATx200: Results and a new methodological approach.Journal of substance abuse treatment · 2018Trial
- A Method for Tracking Implementation Strategies: An Exemplar Implementing Measurement-Based Care in Community Behavioral Health Clinics.Behavior therapy · 2018Trial
- The Effect of a Change Agent on Use of Evidence-Based Mental Health Practices.Administration and policy in mental health · 2016Trial
- Trial
- Increasing clinicians' EBT exploration and preparation behavior in youth mental health services by changing organizational culture with ARC.Behaviour research and therapy · 2016Trial
- Reporting and Specifying the Implementation Strategies Used in a National Programme of Primary Care Youth Mental Health.Early intervention in psychiatry · 2026Article
63 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
4 authors.
Funding
Abstract
objectiveAlthough there has been a dramatic increase in the number of evidence-based practices (EBPs) to improve child and adolescent mental health, the poor uptake of these EBPs has led to investigations of factors related to their successful dissemination and implementation. The purpose of this systematic review was to identify key findings from empirical studies examining the dissemination and implementation of EBPs for child and adolescent mental health.
methodOf 14,247 citations initially identified, 73 articles drawn from 44 studies met inclusion criteria. The articles were classified by implementation phase (exploration, preparation, implementation, and sustainment) and specific implementation factors examined. These factors were divided into outer (i.e., system level) and inner (i.e., organizational level) contexts.
resultsFew studies used true experimental designs; most were observational. Of the many inner context factors that were examined in these studies (e.g., provider characteristics, organizational resources, leadership), fidelity monitoring and supervision had the strongest empirical evidence. Albeit the focus of fewer studies, implementation interventions focused on improving organizational climate and culture were associated with better intervention sustainment as well as child and adolescent outcomes. Outer contextual factors such as training and use of specific technologies to support intervention use were also important in facilitating the implementation process.
conclusionsThe further development and testing of dissemination and implementation strategies is needed to more efficiently move EBPs into usual care.
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What OpenQuestion holds
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.