ArticlePsychiatric services (Washington, D.C.)2017
The Humble Leader: Association of Discrepancies in Leader and Follower Ratings of Implementation Leadership With Organizational Climate in Mental Health.
Article in Psychiatric services (Washington, D.C.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.
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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
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Implementation Leadership in Evidence-Based Practice in Healthcare: A Systematic Review and Meta-Analysis.Worldviews on evidence-based nursing · 2026Pooled it
- Supervisory Alliance as a Moderator of the Effects of Behavioral Rehearsal on TF-CBT Fidelity: Results from a Randomized Trial of Supervision Strategies.Administration and policy in mental health · 2024Trial
- Making Implementation Last: The Impact of Training Design on the Sustainability of an Evidence-Based Treatment in a Randomized Controlled Trial.Administration and policy in mental health · 2021Trial
- Clinician profiles of suicide prevention attitudes and confidence and their association with reported suicide prevention practices.Psychological services · 2026Article
- Same goal, different perspectives: Stakeholder views on context for connected care technology implementation in an integrated healthcare system.Journal of telemedicine and telecare · 2026Article
- Using the Implementation Leadership Scale (ILS) for nutrition incentive programs in the food retail context.The international journal of behavioral nutrition and physical activity · 2026Article
- Article
- Bridging Strategy and Local Reality: First-Line Managers' Experiences in Leading Large-Scale Implementation.Health services insights · 2026Article
- Unit Leadership and Climates for Evidence-Based Practice Implementation in Maternal-Infant Health Units: A Cross-Sectional Descriptive Study.Journal of advanced nursing · 2025Article
- Using the implementation research logic model to examine high-intensity resistance rehabilitation implementation in skilled nursing facilities: a mixed methods multi-site case study.Implementation science communications · 2025Article
- An evaluation of implementation climate in inpatient maternity care: a cross-sectional survey study.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2023Article
- Validity and reliability of the transculturally adapted Spanish version of the Implementation Leadership Scale (ILS).Implementation science communications · 2023Article
- 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
- Perceptual differences in nursing implementation leadership and climate: a cross-sectional study.Implementation science communications · 2023Article
- Care team and practice-level implementation strategies to optimize pediatric collaborative care: study protocol for a cluster-randomized hybrid type III trial.Implementation science : IS · 2022Article
- Validation of the Norwegian versions of the Implementation Leadership Scale (ILS) and Multifactor Leadership Questionnaire (MLQ) in a mental health care setting.BMC psychology · 2022Article
- Intervening for sustainable change: Tailoring strategies to align with values and principles of communities.Frontiers in health services · 2022Article
- The relationship between first-level leadership and inner-context and implementation outcomes in behavioral health: a scoping review.Implementation science : IS · 2021Article
- Strengthening capacity for implementation of evidence-based practices for autism in schools: The roles of implementation climate, school leadership, and fidelity.The American psychologist · 2020Article
- Otago exercise programme-from evidence to practice: a qualitative study of physiotherapists' perceptions of the importance of organisational factors of leadership, context and culture for knowledge translation in Norway.BMC health services research · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesDiscrepancies, or perceptual distance, between leaders' self-ratings and followers' ratings of the leader are common but usually go unrecognized. Research on discrepancies is limited, but there is evidence that discrepancies are associated with organizational context. This study examined the association of leader-follower discrepancies in Implementation Leadership Scale (ILS) ratings of mental health clinic leaders and the association of those discrepancies with organizational climate for involvement and performance feedback. Both involvement and performance feedback are important for evidence-based practice (EBP) implementation in mental health.
methodsA total of 593 individuals-supervisors (leaders, N=80) and clinical service providers (followers, N=513)-completed surveys that included ratings of implementation leadership and organizational climate. Polynomial regression and response surface analyses were conducted to examine the associations of discrepancies in leader-follower ILS ratings with organizational involvement climate and performance feedback climate, aspects of climate likely to support EBP implementation.
resultsBoth involvement climate and performance feedback climate were highest where leaders rated themselves low on the ILS and their followers rated those leaders high on the ILS ("humble leaders").
conclusionsTeams with "humble leaders" showed more positive organizational climate for involvement and for performance feedback, contextual factors important during EBP implementation and sustainment. Discrepancy in leader and follower ratings of implementation leadership should be a consideration in understanding and improving leadership and organizational climate for mental health services and for EBP implementation and sustainment in mental health and other allied health settings.
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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.