Trial reportBehaviour research and therapy2016
Increasing clinicians' EBT exploration and preparation behavior in youth mental health services by changing organizational culture with ARC.
Trial report in Behaviour research and therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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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
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- A Systematic Review of Organizational and Workforce Interventions to Improve the Culture and Climate of Youth-Service Settings.Administration and policy in mental health · 2020Pooled it
- Operationalizing the 'pragmatic' measures construct using a stakeholder feedback and a multi-method approach.BMC health services research · 2018Pooled it
- Examining Organizational Factors Supporting the Adoption and Use of Evidence-Based Interventions.Community mental health journal · 2021Trial
- Associations Among Job Role, Training Type, and Staff Turnover in a Large-Scale Implementation Initiative.The journal of behavioral health services & research · 2019Trial
- Testing the 4Rs and 2Ss Multiple Family Group intervention: study protocol for a randomized controlled trial.Trials · 2017Trial
- Fostering Motivation for Practice Change: Using Self-Determination Theory to Guide Mental Health Training.Community mental health journal · 2026Article
- The Influence of Context on Implementation and Improvement: Protocol for a Mixed Methods, Secondary Analyses Study.JMIR research protocols · 2022Article
- Embedding school cultures and climates that promote evidence-based practice implementation for youth with autism: A qualitative study.Autism : the international journal of research and practice · 2021Article
- Getting to the table: Agency characteristics and evidence-based intervention adoption in children's mental health care.Children and youth services review · 2020Article
- Outcomes Associated With Adapting a Research-Supported Treatment for Children With Behavior Disorders.Research on social work practice · 2020Article
- Interactions Between Clinician and Organizational Characteristics to Predict Cognitive-Behavioral and Psychodynamic Therapy Use.Administration and policy in mental health · 2019Article
- Annual Research Review: The state of implementation science in child psychology and psychiatry: a review and suggestions to advance the field.Journal of child psychology and psychiatry, and allied disciplines · 2019Review
- Measurement Training and Feedback System for Implementation of family-based services for adolescent substance use: protocol for a cluster randomized trial of two implementation strategies.Implementation science : IS · 2019Article
- Organizational culture and climate profiles: relationships with fidelity to three evidence-based practices for autism in elementary schools.Implementation science : IS · 2019Observational
- Navigating the storm: How proficient organizational culture promotes clinician retention in the shift to evidence-based practice.PloS one · 2018Article
- The relationship between consumer, clinician, and organizational characteristics and use of evidence-based and non-evidence-based therapy strategies in a public mental health system.Behaviour research and therapy · 2017Article
- The Pursuit of Quality for Social Work Practice: Three Generations and Counting.Journal of the Society for Social Work and Research · 2017Article
- Association of organizational culture and climate with variation in the clinical outcomes of collaborative care for maternal depression in community health centers.Implementation research and practiceArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveClinician EBT exploration and preparation behavior is essential to the ongoing implementation of new EBTs. This study examined the effect of the ARC organizational intervention on clinician EBT exploration and preparation behavior and assessed the mediating role of organizational culture as a linking mechanism.
methodFourteen community mental health agencies that serve youth in a major Midwestern metropolis along with 475 clinicians who worked in those agencies, were randomly assigned to either the three-year ARC intervention or control condition. Organizational culture was assessed with the Organizational Social Context (OSC) measure at baseline and follow-up. EBT exploration and preparation behavior was measured as clinician participation in nine separate community EBT workshops held over a three-year period.
resultsThere was 69 percent greater odds (OR = 1.69, p < .003) of clinicians in the ARC condition (versus control) attending each subsequent workshop. Workshop attendance in the control group remained under two percent and declined over three years while attendance in the ARC condition grew from 3.6 percent in the first workshop to 12 percent in the ninth and final workshop. Improvement in proficient organizational culture mediated the positive effect of the ARC intervention on clinicians' workshop attendance (a × b = .21; 95% CI:LL = .05, UL = .40).
conclusionsOrganizational interventions that create proficient mental health agency cultures can increase clinician EBT exploration and preparation behavior that is essential to the ongoing implementation of new EBTs in community youth mental health settings.
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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.