Evidence map›Paper›PMID 31263771›Full record

ArticleEvidence-based practice in child and adolescent mental health2018

Community Therapist Reports of Client Engagement Challenges During the Implementation of Multiple EBPs in Children's Mental Health.

Anna S Lau, Juan Carlos Gonzalez, Miya L Barnett, Joanna J Kim, Dana Saifan, Lauren Brookman-Frazee

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Evidence-based practice in child and adolescent mental health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  7. Observed Engagement in Community Implemented Evidence-Based Practices for Children and Adolescents: Implications for Practice Delivery.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 · 2023
    Observational
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  15. Culturally Responsive Telepsychology & mHealth Interventions for Racial-Ethnic Minoritized Youth: Research Gaps and Future Directions.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Review
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

6 authors at 3 institutions in 1 country.

Anna S LauDepartment of Psychology, University of California, Los Angeles, Los Angeles, CA, USA.
Juan Carlos GonzalezDepartment of Counseling, Clinical, and School Psychology, University of California, Santa Barbara, Santa Barbara, CA, USA.
Miya L BarnettDepartment of Counseling, Clinical, and School Psychology, University of California, Santa Barbara, Santa Barbara, CA, USA.
Joanna J KimDepartment of Psychology, University of California, Los Angeles, Los Angeles, CA, USA.
Dana SaifanDepartment of Psychology, University of California, Los Angeles, Los Angeles, CA, USA.
Lauren Brookman-FrazeeDepartment of Psychiatry, Child and Adolescent Services Research Center, University of California, San Diego, San Diego, CA, USA.
University of California, Los Angeles · USUniversity of California, Santa Barbara · USUniversity of California, San Diego · US

Funding

Sustainment of Multiple EBP's Fiscally Mandate in Children's MH ServicesR01MH100134 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BROOKMAN-FRAZEE, LAUREN, LAU, ANNA SHAN-LAI · 2014 to 2018
$3.9M
NIMH NIH HHS R01 MH100134
6 · The paper itself

Abstract

This study investigated therapist reports of client engagement challenges in delivering evidence-based practices (EBPs), within the context of a large-scale implementation of multiple practices in children's mental health services. Data were drawn from an online survey of 668 therapists (88% female, 35.0% Non-Hispanic White). The majority of therapists (75.4%) endorsed at least one client engagement challenge during their implementation of an EBP with an identified client over the previous two months. Two types of EBP client engagement challenges with distinct correlates but similar overall frequencies could be readily differentiated - Expressed Client Concerns and Limited Client Engagement in therapy activities. Limited Client Engagement were more commonly reported for clients with externalizing problems and by therapists with higher emotional exhaustion and negative perceptions of the specific EBP being delivered, whereas Hispanic/Latino therapists were less likely to report Limited Client Engagement. In contrast, Expressed Client Concerns were more commonly reported by therapists with positive general attitudes towards EBPs, and among therapists delivering a parent training EBP. Limited Client Engagement but not Expressed Concerns were linked with therapists' self-reported ability to carry out the EBP with the target client. Findings suggest that client engagement challenges are frequent during the delivery of EBPs, but may impact implementation differently based on whether they relate to challenges in engaging clients in therapy activities versus addressing concerns raised by clients.

Identifiers

PMID31263771
PMCPMC6602085
OpenAlexW2795530960

What OpenQuestion holds

Textmetadata
LicenceTDM
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.