Observational studyImplementation science : IS2016
The 4KEEPS study: identifying predictors of sustainment of multiple practices fiscally mandated in children's mental health services.
Observational study in Implementation science : IS, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis 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
56 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quantitative measures of health policy implementation determinants and outcomes: a systematic review.Implementation science : IS · 2020Pooled it
- Therapist Delivery of Evidence Based Practice (EBP) Strategies in a System-Driven Implementation of Multiple EBPs for Children.Administration and policy in mental health · 2026Article
- "He Just Wants Someone to Hear Him and Listen to Him": Barriers and Facilitators to Autistic Youth with Anxiety Receiving Quality Mental Healthcare.Journal of autism and developmental disorders · 2026Article
- Challenges Implementing Youth-Focused Evidence-Based Practices in Rural Areas: A Rapid Ethnographic Study.Rural mental health · 2026Article
- Effectiveness of Multi-Level Implementation Strategies on Caregiver-Identified "Top Problems:" Secondary Outcomes of a Hybrid Trial of Two Autism Interventions.Evidence-based practice in child and adolescent mental health · 2025Article
- Enhancing Behavioral Health Implementation in a Care Coordination Program at a Federally Qualified Health Center: A Case Study Applying Implementation Frameworks.Health promotion practice · 2025Article
- Employing survival analysis of administrative claims to identify prospective predictors of evidence-based practice sustainment versus provider turnover.Journal of consulting and clinical psychology · 2025Article
- Validating a Pragmatic Measure of Evidence-Based Practice (EBP) Delivery: Therapist Reports of EBP Strategy Delivery and Associations with Child Outcome Trajectories.Administration and policy in mental health · 2024Article
- Article
- Observed Engagement in Community Implemented Evidence-Based Practices for Children and Adolescents: Implications for Practice Delivery.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023Observational
- Misalignment in Community Mental Health Leader and Therapist Ratings of Psychological Safety Climate Predicts Therapist Self-Efficacy with Evidence-Based Practices (EBPs).Administration and policy in mental health · 2023Article
- Mental Health Therapist Perspectives on the Role of Executive Functioning in Children's Mental Health Services.Evidence-based practice in child and adolescent mental health · 2023Article
- Scaling-up Child and Youth Mental Health Services: Assessing Coverage of a County-Wide Prevention and Early Intervention Initiative During One Fiscal Year.Administration and policy in mental health · 2023Article
- Lay Health Workers Engaging Latino Fathers: A qualitative study.Children and youth services review · 2022Article
- Implementation facilitation strategies to promote routine progress monitoring among community therapists.Psychological services · 2022Article
- Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care.Administration and policy in mental health · 2022Article
- Therapist adaptations to evidence-based practices and associations with implementation outcomes in child therapy sessions.Journal of consulting and clinical psychology · 2022Observational
- Applying Implementation Mapping to Expand a Care Coordination Program at a Federally Qualified Health Center.Frontiers in public health · 2022Article
- COVID-related work changes, burnout, and turnover intentions in mental health providers: A moderated mediation analysis.Psychiatric rehabilitation journal · 2021Article
- Outer-context determinants in the sustainment phase of a reimbursement-driven implementation of evidence-based practices in children's mental health services.Implementation science : IS · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
backgroundResearch to date has largely focused on predictors of adoption and initial implementation of evidence-based practices (EBPs), yet sustained implementation is crucial to deliver a return on investments in dissemination. Furthermore, most studies focus on single EBPs, limiting opportunities to study the fit between practice characteristics EBPs and implementation contexts. METHODS/
designThis observational study will characterize implementation sustainment and identify organizational and therapist characteristics that predict sustainment of multiple practices being implemented within a fiscal mandate in the largest public mental health system in the USA. Specific aims are to (1) characterize sustainment outcomes (volume/penetration, EBP concordant care); (2) use mixed methods to characterize inner context (agency- and therapist-level) factors and early implementation conditions; and (3) identify inner context factors and early implementation conditions that predict sustainment outcomes. This study will undertake original data collection and analysis of existing data sources to achieve its aims. Archived reports and documents will be used to characterize early implementation conditions in 102 agencies. Administrative claims data will be used to characterize volume and penetration outcomes over 8 years. Therapist and program manager surveys will be administered to characterize sustained EBP concordant care and inner context determinants of sustainment. An in-depth study in a subset of agencies will yield interview data and recordings of treatment sessions for validation of the EBP concordant care scale. DISCUSSION: This project will yield new understanding of whether and how multiple EBPs can be sustained in public mental health systems undergoing a policy-driven community implementation effort. We will produce generalizable models for characterizing sustainment, including feasible and flexible measurement of practice across multiple EBPs. The findings will inform the development of implementation interventions to promote sustained delivery of EBPs to maximize their public health impact.
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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.