Evidence map›Paper›PMID 24641560›Full record

ArticleAnnual review of public health2014

Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation.

Gregory A Aarons, Mark G Ehrhart, Lauren R Farahnak, Marisa Sklar

Registry-linked trialAbstract read
In one paragraph

Article in Annual review of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04356274 (Participatory System Dynamics vs Audit and Feedback), which is not on this map. Cited by 257 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
257citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT04356274 naenrolling by invitationnot on this mapstarted 2019, after this paper: background citation

Participatory System Dynamics vs Audit and Feedback: A Cluster Randomized Trial of Mechanisms of Implementation Change to Expand Reach of Evidence-based Addiction and Mental Health Care

TypeinterventionalSponsorPalo Alto Veterans Institute for ResearchRan2019 to 2027Enrolled720ConditionsPTSD, Depression, Alcohol Use Disorder, Opioid Use DisorderArmsParticipatory System Dynamics (PSD), Audit and Feedback (AF)
3 · Its place in the literature

Who cites it

257 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  17. Clinical Issues - August 2026.AORN journal · 2026
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197 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

4 authors.

Gregory A AaronsDepartment of Psychiatry, University of California, San Diego, La Jolla, California 92093-0812; email: gaarons@ucsd.edu.
Mark G Ehrhart
Lauren R Farahnak
Marisa Sklar

Funding

Research Methods CoreP30MH074678 · NIMH · RADY CHILDREN'S HOSPITAL - SAN DIEGO · PI LANDSVERK, JOHN · 2008 to 2012
$7.9M
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
IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Interagency Collaborative Teams to Scale-up Evidence Based PracticeR01MH092950 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY, HURLBURT, MICHAEL SCOTT · 2011 to 2015
$3.2M
Leadership Development for Evidence Based Practice ImplementationR21MH082731 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY · 2009 to 2010
$467k
Development and Validation of Implementation Climate MeasuresR21MH098124 · NIMH · SAN DIEGO STATE UNIVERSITY · PI EHRHART, MARK GREGORY · 2013 to 2014
$429k
NIMH NIH HHS P30 MH074678NIMH NIH HHS P30MH074678NIMH NIH HHS R01 MH072961NIMH NIH HHS R01MH072961NIMH NIH HHS R01 MH092950NIMH NIH HHS R21 MH082731NIMH NIH HHS R21MH082731NIMH NIH HHS R21 MH098124NIMH NIH HHS R21MH098124NIMH NIH HHS R25 MH080916NIMH NIH HHS R25MH080916
6 · The paper itself

Abstract

There has been a growing impetus to bridge the gap between basic science discovery, development of evidence-based practices (EBPs), and the availability and delivery of EBPs in order to improve the public health impact of such practices. To capitalize on factors that support implementation and sustainment of EBPs, it is important to consider that health care is delivered within the outer context of public health systems and the inner context of health care organizations and work groups. Leaders play a key role in determining the nature of system and organizational contexts. This article addresses the role of leadership and actions that leaders can take at and across levels in developing a strategic climate for EBP implementation within the outer (i.e., system) and inner (i.e., organization, work group) contexts of health care. Within the framework of Edgar Schein's "climate embedding mechanisms," we describe strategies that leaders at the system, organization, and work group levels can consider and apply to develop strategic climates that support the implementation and sustainment of EBP in health care and allied health care settings.

Indexed as

LeadershipOrganizational CultureEvidence-Based PracticeHealth Services ResearchHumansMotivationPersonnel ManagementPublic HealthResource AllocationTranslational Research, Biomedical

Identifiers

PMID24641560
PMCPMC4348088

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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.