Evidence map›Paper›PMID 30698775›Full record

ArticleTranslational behavioral medicine2020

Advancing implementation frameworks with a mixed methods case study in child behavioral health.

Melanie Barwick, Raluca Barac, Melissa Kimber, Lindsay Akrong, Sabine N Johnson, Charles E Cunningham, Kathryn Bennett, Graham Ashbourne, Tim Godden

Open access · bronzeAbstract read
In one paragraph

Article in Translational behavioral medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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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

9 authors at 8 institutions in 1 country.

Melanie BarwickResearch Institute, The Hospital for Sick Children, Toronto, Canada.
Raluca BaracMemorial University, St John's, Newfoundland, Canada.
Melissa KimberDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Lindsay AkrongDepartment of Pediatrics, McMaster University, Hamilton, Canada.
Sabine N JohnsonDepartment of Psychology, York University, Toronto, Canada.
Charles E CunninghamDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada.
Kathryn BennettDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada.
Graham AshbourneCraigwood Youth Services, London, Canada.
Tim GoddenCentre for Addiction and Mental Health, Toronto, Canada.
McMaster University · CACentre for Addiction and Mental Health · CAImpact · CAMcMaster Children's Hospital · CAMemorial University of Newfoundland · CAUniversity of Toronto · CAYork University · CAYouth Services Bureau of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite a growing policy push for the provision of services based on evidence, evidence-based treatments for children and youth with mental health challenges have poor uptake, yielding limited benefit. With a view to improving implementation in child behavioral health, we investigated a complementary implementation approach informed by three implementation frameworks in the context of implementing motivational interviewing in four child and youth behavioral health agencies: the Active Implementation Frameworks (AIF) (process), the Consolidated Framework for Implementation Research (factors), and the Implementation Outcomes Framework (evaluation). The study design was mixed methods with embedded interrupted time series and motivational interviewing (MI) fidelity was the primary outcome. Focus groups and field notes informed perspectives on the implementation approach, and a questionnaire explored the salience of Consolidated Framework for Implementation Research (CFIR) factors. Findings validate the process guidance provided by the AIF and highlight CIFR factors related to implementation success. Novel CFIR factors, not elsewhere reported in the literature, are identified that could potentially extend the framework if validated in future research. Introducing fidelity measurement in practice proved challenging and was not sustained beyond the study. A complementary implementation approach was successful in implementing MI in child behavioral health agencies. In contrast with the typical train and hope approach to implementation, practice change did not occur immediately post-training but emerged over a 7 month period of consultation and practice following a discrete interactive training period. The saliency of CFIR constructs aligned with findings from studies conducted in other contexts, demonstrating external validity and highlighting common factors that can focus planning and measurement.

Indexed as

Mental HealthResearch DesignAdolescentChildChild HealthHumansActive Implementation FrameworksChild behavioral healthConsolidated Framework for Implementation ResearchImplementation scienceMotivational interviewing

Identifiers

PMID30698775
PMCPMC7413184
OpenAlexW3021532713

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.