ArticleJournal of consulting and clinical psychology2017
Therapist report of adaptations to delivery of evidence-based practices within a system-driven reform of publicly funded children's mental health services.
Article in Journal of consulting and clinical psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 3 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
69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 128 citations in OpenAlex.
- A Systematic Review of Parenting Programs for Southeast Asian Families.Clinical child and family psychology review · 2025Pooled it
- A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes.Administration and policy in mental health · 2021Pooled it
- Systematic review to examine the methods used to adapt evidence-based psychological treatments for adults diagnosed with a mental illness.Evidence-based mental health · 2021Pooled it
- The effects of culturally adapted expressive writing interventions on depressive and anxiety symptoms among Chinese American breast cancer survivors: A randomized controlled trial.Behaviour research and therapy · 2023Trial
- Implementing Parent-Teen Motivational Interviewing + Behavior Therapy for ADHD in Community Mental Health.Prevention science : the official journal of the Society for Prevention Research · 2021Trial
- Therapists' Adaptations to an Intervention to Reduce Challenging Behaviors in Children with Autism Spectrum Disorder in Publicly Funded Mental Health Services.Journal of autism and developmental disorders · 2019Trial
- Bridging Intervention and Implementation Research for More Personalized Behavioral Health.Clinical psychology : a publication of the Division of Clinical Psychology of the American Psychological Association · 2026Article
- Localizing Prevention: Insights from Youth Voices on Culturally Grounded Substance Use Prevention Implementation in Windward O'ahu.Translational issues in psychological science · 2026Article
- Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.Journal of autism and developmental disorders · 2026Article
- Cultural Adaptations in Community Health Worker-Delivered Mental Health Interventions for U.S Latine Populations.Journal of racial and ethnic health disparities · 2026Article
- Improving the Fit of Interventions for Autism in Schools: Lessons Learned Following Paraeducator Coaching on the RUBIES Program.Journal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2025Article
- Characterizing the Relationship Between Intervention Delivery and Outcomes Within Part C Community Settings.Behavioral sciences (Basel, Switzerland) · 2025Article
- Behavioral Nudges to Enhance Fidelity in Telehealth Sessions (BENEFITS): Protocol for Developing and Pilot Testing a Telehealth Tool to Improve Cognitive Behavioral Therapy Implementation.JMIR research protocols · 2025Article
- Practice-based research examining effectiveness of exposure-based CBT for youth in a community mental health setting.Journal of mood and anxiety disorders · 2025Article
- Clinician-Reported Person-Centered Culturally Responsive Practices for Youth with OCD and Anxiety.Children (Basel, Switzerland) · 2025Article
- Culturally Adapted Interventions for Anxiety and Trauma-Related Disorders in Marginalized Youth: A Systematic Review.Child psychiatry and human development · 2025Review
- Article
- Pilot study of implementing Managing and Adapting Practice in a German psychotherapy master's program.Scientific reports · 2024Article
- Provider Adherence to Modular Cognitive Behavioral Therapy for Children and Adolescents.Administration and policy in mental health · 2024Article
- Getting More Out of Clinical Documentation: Can Clinical Dashboards Yield Clinically Useful Information?Administration and policy in mental health · 2024Article
9 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
8 authors at 6 institutions in 1 country.
Funding
Abstract
objectiveThis study examined clinical adaptations reported by community therapists to multiple evidence-based practices (EBPs) currently implemented in children's mental health services. Based on an item set informed by Stirman and colleagues' model (2015), 2 factors emerged describing Augmenting adaptations and Reducing/Reordering adaptations. We used multilevel modeling to examine therapist- and practice-level predictors of therapist reports of each type of adaptation.
methodData were drawn from an online survey, including a novel therapist report measure of EBP adaptations, completed by 572 therapists (89.2% female, Mage = 37.08 years, 33.4% non-Hispanic White) delivering EBPs in the context of a system-driven, fiscally mandated implementation effort.
resultsAnalyses revealed that the 2 types of therapist adaptations (Augmenting and Reducing/Reordering) could be readily discriminated, with therapists reporting significantly more Augmenting than Reducing/Reordering adaptations. Therapists of Hispanic/Latino ethnicity and with fewer years of experience reported more extensive Augmenting adaptations, but no therapist background characteristics were associated with Reducing/Reordering adaptations. Therapists' general attitudes that EBPs diverged from their personal approach to therapy were associated with reporting more Augmenting and Reducing/Reordering adaptations. In contrast, negative perceptions toward the specific EBP predicted Reducing/Reordering adaptations, but not Augmenting adaptations.
conclusionsCommunity therapist reports suggest that most adaptations undertaken involve engaging with the practice to augment the fit of the EBPs for local contexts; however, when practices were perceived negatively, therapists were more likely to make adaptations reducing or rearranging components. (PsycINFO Database Record
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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.