Evidence map›Paper›PMID 32132809›Full record

ArticleChild & youth care forum2019

Therapist Reports of EBP Client Engagement Challenges in Sessions with Diverse Youth and Families in Community Mental Health Settings.

R Gellatly, L Brookman-Frazee, M Barnett, J C Gonzalez, J J Kim, A S Lau

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Child & youth care forum, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. 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
  4. Observational
  5. Article
  6. Article
  7. 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

6 authors at 3 institutions in 1 country.

R GellatlyUniversity of California, Los Angeles, Los Angeles, CA, USA.ORCID 0000-0003-3214-620X
L Brookman-FrazeeUniversity of California, San Diego, La Jolla, CA, USA.
M BarnettUniversity of California, Santa Barbara, Santa Barbara, CA, USA.
J C GonzalezUniversity of California, Santa Barbara, Santa Barbara, CA, USA.
J J KimUniversity of California, Los Angeles, Los Angeles, CA, USA.
A S LauUniversity of California, Los Angeles, Los Angeles, 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

backgroundThe implementation of evidence-based practices (EBPs) in community settings appears to result in reduced benefit relative to controlled trials. This difference in outcomes may be attributable in part to engagement challenges therapists encounter when delivering EBPs to low-income ethnic minority youth and families.

objectiveThe current study sought to identify therapist, client, and session characteristics associated with therapist-reported engagement challenges in therapy sessions, as well the associations between two types of client engagement challenges and therapists' self-reported ability to deliver the EBP in sessions within a system-driven implementation in public children's mental health services.

methodOne hundred and three therapists reported on two types of engagement challenges-Limited Client Engagement and Expressed Client Concerns-in 702 sessions with 274 clients.

resultsResults indicated that therapists reported a higher frequency of Limited Client Engagement in sessions with male clients and in sessions where the youth was present, and by therapists with smaller caseloads. No variables significantly predicted Expressed Client Concerns. Both types of engagement challenges were negatively associated with therapists' report of their ability to carry out intended activities in the same session.

conclusionsFindings suggest that therapists may benefit from learning strategies to address these two distinct types of engagement challenges encountered in implementation of EBPs with diverse families in community settings.

Indexed as

BarriersCommunity mental healthDissemination and implementationEBP implementationEngagement

Identifiers

PMID32132809
PMCPMC7055736
OpenAlexW2891325852

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.