ArticleImplementation science : IS2017
Feasibility and acceptability of two incentive-based implementation strategies for mental health therapists implementing cognitive-behavioral therapy: a pilot study to inform a randomized controlled trial.
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 24 papers, 1 of them a synthesis that pooled it.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of training methods for delivery of evidence-based psychotherapies: a systematic review.Implementation science : IS · 2020Pooled it
- Implementation of a Low-Cost, Multi-component, Web-Based Training for Trauma-Focused Cognitive-Behavioral Therapy.Administration and policy in mental health · 2023Trial
- A Randomized Trial to Identify Accurate Measurement Methods for Adherence to Cognitive-Behavioral Therapy.Behavior therapy · 2022Trial
- Stakeholder selected strategies for obesity prevention in childcare: results from a small-scale cluster randomized hybrid type III trial.Implementation science : IS · 2021Trial
- The implementation and adherence to evidence-based protocols for psychotherapy for depression: the perspective of therapists in Dutch specialized mental healthcare.BMC psychiatry · 2018Trial
- Toward hybrid mental health care: an early health technology assessment based on stakeholder analysis and economic simulations.International journal of technology assessment in health care · 2026Article
- Rapid Verbal Persuasion to increase influenza vaccine uptake: protocol for a randomized hybrid type 2 effectiveness -implementation trial.BMC health services research · 2025Article
- Benefits and barriers associated with using cognitive-behavioral therapy to treat obsessive-compulsive disorder: a narrative review.Frontiers in psychiatry · 2025Review
- Implementation Science in School Mental Health: A 10-Year Progress Update and Development of a New Research Agenda.School mental health · 2024Article
- Acceptability and feasibility of policy implementation strategies for taxes earmarked for behavioral health services.Frontiers in health services · 2024Article
- 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
- Strategies for enacting health policy codesign: a scoping review and direction for research.Implementation science : IS · 2023Article
- Acceptability, appropriateness, and feasibility of Rural School Support Strategies for behavioral interventions: a mixed methods evaluation over two years of a hybrid type 3 implementation-effectiveness trial.Implementation science communications · 2023Article
- Identifying Methods to Select and Tailor Implementation Strategies to Context-Specific Determinants in Child Mental Health Settings: A Scoping Review.Global implementation research and applications · 2023Article
- Linking organizational climate for evidence-based practice implementation to observed clinician behavior in patient encounters: a lagged analysis.Implementation science communications · 2022Article
- Implementation of the Wolverine Mental Health Program, Part 3: Sustainment Phase.Cognitive and behavioral practice · 2022Article
- Assessing Causal Pathways and Targets of Implementation Variability for EBP use (Project ACTIVE): a study protocol.Implementation science communications · 2021Article
- Implementation of the kidney team at home intervention: Evaluating generalizability, implementation process, and effects.Transplant international : official journal of the European Society for Organ Transplantation · 2021Article
- Community stakeholder preferences for evidence-based practice implementation strategies in behavioral health: a best-worst scaling choice experiment.BMC psychiatry · 2021Article
- Using behavioral insights to design implementation strategies in public mental health settings: a qualitative study of clinical decision-making.Implementation science communications · 2021Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundInformed by our prior work indicating that therapists do not feel recognized or rewarded for implementation of evidence-based practices, we tested the feasibility and acceptability of two incentive-based implementation strategies that seek to improve therapist adherence to cognitive-behavioral therapy for youth, an evidence-based practice.
methodsThis study was conducted over 6 weeks in two community mental health agencies with therapists (n = 11) and leaders (n = 4). Therapists were randomized to receive either a financial or social incentive if they achieved a predetermined criterion on adherence to cognitive-behavioral therapy. In the first intervention period (block 1; 2 weeks), therapists received the reward they were initially randomized to if they achieved criterion. In the second intervention period (block 2; 2 weeks), therapists received both rewards if they achieved criterion. Therapists recorded 41 sessions across 15 unique clients over the project period. Primary outcomes included feasibility and acceptability. Feasibility was assessed quantitatively. Fifteen semi-structured interviews were conducted with therapists and leaders to assess acceptability. Difference in therapist adherence by condition was examined as an exploratory outcome. Adherence ratings were ascertained using an established and validated observational coding system of cognitive-behavioral therapy.
resultsBoth implementation strategies were feasible and acceptable-however, modifications to study design for the larger trial will be necessary based on participant feedback. With respect to our exploratory analysis, we found a trend suggesting the financial reward may have had a more robust effect on therapist adherence than the social reward.
conclusionsIncentive-based implementation strategies can be feasibly administered in community mental health agencies with good acceptability, although iterative pilot work is essential. Larger, fully powered trials are needed to compare the effectiveness of implementation strategies to incentivize and enhance therapists' adherence to evidence-based practices such as cognitive-behavioral therapy.
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