SynthesisAdministration and policy in mental health2016
Multilevel Mechanisms of Implementation Strategies in Mental Health: Integrating Theory, Research, and Practice.
Synthesis 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. It is linked to trial NCT04356274 (Participatory System Dynamics vs Audit and Feedback), which is not on this map. Cited by 97 papers, 5 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.
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
Who cites it
97 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Implementation strategies to increase tobacco treatment in mental health settings: a systematic review.BMC psychiatry · 2025Pooled it
- Implementation of Measurement-Based Care in Mental Health Service Settings for Youth: A Systematic Review.Clinical child and family psychology review · 2024Pooled it
- In Search of the Common Elements of Clinical Supervision: A Systematic Review.Administration and policy in mental health · 2022Pooled it
- A systematic review of empirical studies examining mechanisms of implementation in health.Implementation science : IS · 2020Pooled it
- Organizational contextual features that influence the implementation of evidence-based practices across healthcare settings: a systematic integrative review.Systematic reviews · 2018Pooled it
- Deimplementation of inappropriate feeding practices in early care and education: a Hybrid Type 3 cluster-randomized trial.Implementation science : IS · 2026Trial
- Effects of a leadership-focused implementation strategy on uptake of digital measurement-based care in mental health clinics: a cluster randomized trial.Translational behavioral medicine · 2026Trial
- Understanding mechanisms of multi-level implementation strategies for autism interventions in a randomized trial across service systems.Implementation science : IS · 2025Trial
- Project MIMIC (Maximizing Implementation of Motivational Incentives in Clinics): results of a 28-site cluster-randomized type 3 hybrid trial.Implementation science : IS · 2025Trial
- Mechanisms of change of a multifaceted implementation strategy on fidelity to a guideline for the prevention of mental health problems at the workplace: a mechanism analysis within a cluster-randomized controlled trial.Implementation science : IS · 2025Trial
- Randomized Trial of an Organizational Implementation Strategy to Improve Measurement-Based Care Fidelity and Youth Outcomes in Community Mental Health.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Trial
- Improving measurement-based care implementation in youth mental health through organizational leadership and climate: a mechanistic analysis within a randomized trial.Implementation science : IS · 2024Trial
- A randomized controlled trial in schools aimed at exploring mechanisms of change of a multifaceted implementation strategy for promoting mental health at the workplace.Implementation science : IS · 2022Trial
- Obesity prevention practices in early care and education settings: an adaptive implementation trial.Implementation science : IS · 2022Trial
- The influence of a blended, theoretically-informed pre-implementation strategy on school-based clinician implementation of an evidence-based trauma intervention.Implementation science : IS · 2019Trial
- A Method for Tracking Implementation Strategies: An Exemplar Implementing Measurement-Based Care in Community Behavioral Health Clinics.Behavior therapy · 2018Trial
- Participatory approaches for tailoring implementation strategies in healthcare settings: a scoping review of contemporary literature (2019-2024).Implementation science communications · 2026Review
- The roads towards fidelity: a mixed-method study of mechanisms of a multifaceted implementation strategy to improve implementation of a guideline for the prevention of mental Ill-health at the workplace in a school setting.Implementation science communications · 2026Article
- A mixed methods evaluation of mechanisms for facilitation in pediatric primary care.Implementation science communications · 2026Article
- Study protocol for coaching and leadership in autism support settings: a cluster randomized controlled hybrid type 2 effectiveness-implementation trial.Implementation science : IS · 2026Article
37 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
A step toward the development of optimally effective, efficient, and feasible implementation strategies that increase evidence-based treatment integration in mental health services involves identification of the multilevel mechanisms through which these strategies influence implementation outcomes. This article (a) provides an orientation to, and rationale for, consideration of multilevel mediating mechanisms in implementation trials, and (b) systematically reviews randomized controlled trials that examined mediators of implementation strategies in mental health. Nine trials were located. Mediation-related methodological deficiencies were prevalent and no trials supported a hypothesized mediator. The most common reason was failure to engage the mediation target. Discussion focuses on directions to accelerate implementation strategy development in mental health.
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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.