ArticleImplementation science : IS2017
Advancing theory development: exploring the leadership-climate relationship as a mechanism of the implementation of cultural competence.
Article in Implementation science : IS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Improving measurement-based care implementation in youth mental health through organizational leadership and climate: a mechanistic analysis within a randomized trial.Implementation science : IS · 2024Trial
- Barriers beyond behavior: structural determinants of behavioral health treatment disparities among Hispanics in the U.S.Frontiers in public health · 2026Article
- Factors influencing general practice nurse's implementation of culturally responsive care, using normalization process theory: A cross-sectional study.Journal of advanced nursing · 2025Article
- Transformational leadership and employee AI usage: the role of perceived organizational support and competitive workplace climate.Frontiers in psychology · 2025Article
- Workforce Diversity and disparities in wait time and retention among opioid treatment programs.Substance abuse treatment, prevention, and policy · 2022Article
- A bifurcated opioid treatment system and widening insidious disparities.Addictive behaviors · 2022Article
- Applying a scoping review approach for identifying effective implementation strategies in oral health settings.Journal of clinical and translational science · 2021Article
- Implementing culturally competent transplant care and implications for reducing health disparities: A prospective qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020Article
- Comparing a standard and tailored approach to scaling up an evidence-based intervention for antiretroviral therapy for people who inject drugs in Vietnam: study protocol for a cluster randomized hybrid type III trial.Implementation science : IS · 2020Article
- Testing a theory of strategic implementation leadership, implementation climate, and clinicians' use of evidence-based practice: a 5-year panel analysis.Implementation science : IS · 2020Article
- Creating and disseminating a home-based cardiac rehabilitation program: experience from the Veterans Health Administration.BMC cardiovascular disorders · 2019Article
- Drivers of continued implementation of cultural competence in substance use disorder treatment.Journal of substance abuse treatment · 2019Article
- A repeated cross-sectional study of clinicians' use of psychotherapy techniques during 5 years of a system-wide effort to implement evidence-based practices in Philadelphia.Implementation science : IS · 2019Article
- Program Capacity to Deliver Prevention Services to Children of Adult Clients Receiving Substance Use Disorder Treatment.The journal of primary prevention · 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
- Advancing theory on the multilevel role of leadership in the implementation of evidence-based health care practices.Health care management reviewArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundLeadership style and specific organizational climates have emerged as critical mechanisms to implement targeted practices in organizations. Drawing from relevant theories, we propose that climate for implementation of cultural competence reflects how transformational leadership may enhance the organizational implementation of culturally responsive practices in health care organizations.
methodsUsing multilevel data from 427 employees embedded in 112 addiction treatment programs collected in 2013, confirmatory factor analysis showed adequate fit statistics for our measure of climate for implementation of cultural competence (Cronbach's alpha = .88) and three outcomes: knowledge (Cronbach's alpha = .88), services (Cronbach's alpha = .86), and personnel (Cronbach's alpha = .86) practices.
resultsResults from multilevel path analyses indicate a positive relationship between employee perceptions of transformational leadership and climate for implementation of cultural competence (standardized indirect effect = .057, bootstrap p < .001). We also found a positive indirect effect between transformational leadership and each of the culturally competent practices: knowledge (standardized indirect effect = .006, bootstrap p = .004), services (standardized indirect effect = .019, bootstrap p < .001), and personnel (standardized indirect effect = .014, bootstrap p = .005).
conclusionsFindings contribute to implementation science. They build on leadership theory and offer evidence of the mediating role of climate in the implementation of cultural competence in addiction health service organizations.
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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.