Evidence map›Paper›PMID 25677251›Full record

ArticleAdministration and policy in mental health2016

The Contextualized Technology Adaptation Process (CTAP): Optimizing Health Information Technology to Improve Mental Health Systems.

Aaron R Lyon, Jessica Knaster Wasse, Kristy Ludwig, Mark Zachry, Eric J Bruns, Jürgen Unützer, Elizabeth McCauley

Abstract read
In one paragraph

Article in Administration and policy in mental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

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  12. Designing the Future of Children's Mental Health Services.Administration and policy in mental health · 2020
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  20. A Digital Feedback System to Support Implementation of Measurement-Based Care by School-Based Mental Health Clinicians.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2019
    Article
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

7 authors.

Aaron R LyonDepartment of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA. lyona@uw.edu.
Jessica Knaster WassePublic Health - Seattle and King County, Seattle, USA.
Kristy LudwigDepartment of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.
Mark ZachryDepartment of Human Centered Design and Engineering, University of Washington, Seattle, USA.
Eric J BrunsDepartment of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.
Jürgen UnützerDepartment of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.
Elizabeth McCauleyDepartment of Psychiatry and Behavioral Sciences, University of Washington, 6200 NE 74th St., Suite 100, Seattle, WA, 98115, USA.

Funding

IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Implementation of a Measurement Feedback System in School Mental HealthK08MH095939 · NIMH · UNIVERSITY OF WASHINGTON · PI LYON, AARON ROBERT · 2012 to 2016
$787k
NIMH NIH HHS K08 MH095939NIMH NIH HHS MH095939NIMH NIH HHS R25 MH080916
6 · The paper itself

Abstract

Health information technologies have become a central fixture in the mental healthcare landscape, but few frameworks exist to guide their adaptation to novel settings. This paper introduces the contextualized technology adaptation process (CTAP) and presents data collected during Phase 1 of its application to measurement feedback system development in school mental health. The CTAP is built on models of human-centered design and implementation science and incorporates repeated mixed methods assessments to guide the design of technologies to ensure high compatibility with a destination setting. CTAP phases include: (1) Contextual evaluation, (2) Evaluation of the unadapted technology, (3) Trialing and evaluation of the adapted technology, (4) Refinement and larger-scale implementation, and (5) Sustainment through ongoing evaluation and system revision. Qualitative findings from school-based practitioner focus groups are presented, which provided information for CTAP Phase 1, contextual evaluation, surrounding education sector clinicians' workflows, types of technologies currently available, and influences on technology use. Discussion focuses on how findings will inform subsequent CTAP phases, as well as their implications for future technology adaptation across content domains and service sectors.

Indexed as

Health PersonnelMedical InformaticsMental Health ServicesOutcome Assessment, Health CareQuality ImprovementSchool Health ServicesAttitude of Health PersonnelCounselorsDelivery of Health CareFemaleFocus GroupsHumansMalePsychologyQualitative ResearchSocial WorkersAdaptationAssessmentHealth information technologyImplementationSchool mental health

Identifiers

PMID25677251
PMCPMC4536193

What OpenQuestion holds

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Registered trials

None linked

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.