Evidence map›Paper›PMID 28545492›Full record

ArticleImplementation science : IS2017

Non-participants in policy efforts to promote evidence-based practices in a large behavioral health system.

Rebecca E Stewart, Danielle R Adams, David S Mandell, Gayatri Nangia, Lauren Shaffer, Arthur C Evans, Ronnie Rubin, Shawna Weaver, Trevor R Hadley, Rinad S Beidas

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Implementation science : IS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06576323 (An Intervention Mapping Approach to Closing the Gap in Maternal OUD and Infant NAS Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 14% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT06576323 narecruitingnot on this mapstarted 2024, after this paper: background citation

An Intervention Mapping Approach to Closing the Gap in Maternal OUD and Infant NAS Care

TypeinterventionalSponsorUniversity of PennsylvaniaRan2024 to 2027Enrolled50ConditionsOpioid Use Disorder, Neonatal Abstinence SyndromeArmsAn implementation model for co-located Medications for Opioid Use Disorder (MOUD) prescription in the NICU
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Rebecca E StewartDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA. restewar@upenn.edu.ORCID 0000-0002-6453-6715
Danielle R AdamsDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
David S MandellDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Gayatri NangiaDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Lauren ShafferDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Arthur C EvansDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Ronnie RubinCommunity Behavioral Health, Philadelphia, PA, USA.
Shawna WeaverCommunity Behavioral Health, Philadelphia, PA, USA.
Trevor R HadleyDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Rinad S BeidasDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
University of Pennsylvania · USAmerican Psychological Association · USUniversity of Chicago · US

Funding

Policy to Implementation: Evidence-Based Practice in Community Mental HealthK23MH099179 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI BEIDAS, RINAD SARY · 2012 to 2016
$887k
Investigating the Payer Role in the Implementation of EBP in the Public SectorF32MH103960 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI STEWART, REBECCA E · 2014 to 2017
$172k
NIMH NIH HHS F32 MH103960NIMH NIH HHS K23 MH099179
6 · The paper itself

Abstract

backgroundSystem-wide training initiatives to support and implement evidence-based practices (EBPs) in behavioral health systems have become increasingly widespread. Understanding more about organizations who do not participate in EBP training initiatives is a critical piece of the dissemination and implementation puzzle if we endeavor to increase access in community settings.

methodsWe conducted 30 1-h semi-structured interviews with leaders in non-participating agencies who did not formally participate in system-wide training initiatives to implement EBPs in the City of Philadelphia, with the goal to understand why they did not participate.

resultsWe found that despite not participating in training initiatives, most agencies were adopting (and self-financing) some EBP implementation. Leadership from agencies that were implementing EBPs reported relying on previously trained staff to implement EBPs and acknowledged a lack of emphasis on fidelity. Most leaders at agencies not adopting EBPs did not have a clear understanding of what EBP is. Those familiar with EBPs in agencies not adopting EBPs reported philosophical objections to EBPs. When asked about quality assurance and treatment selection, leaders reported being guided by system audits.

conclusionsWhile it is highly encouraging that many agencies are adopting EBPs on their own, significant questions about fidelity and implementation success more broadly remain.

Indexed as

Attitude of Health PersonnelAdultEvidence-Based PracticeFemaleHealth Facility AdministratorsHumansMaleMiddle AgedPhiladelphiaEvidence-based practicesFidelityPolicySystem-levelTraining initiatives

Identifiers

PMID28545492
PMCPMC5445384
OpenAlexW2617817142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.