Evidence map›Paper›PMID 33115545›Full record

ArticleTrials2020

Tailored implementation of internet-based cognitive behavioural therapy in the multinational context of the ImpleMentAll project: a study protocol for a stepped wedge cluster randomized trial.

Leah Bührmann, Josien Schuurmans, Jeroen Ruwaard, Margot Fleuren, Anne Etzelmüller, Jordi Piera-Jiménez, Tracy Finch, Tim Rapley, Sebastian Potthoff, Bruno Aouizerate and 31 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03652883 (ImpleMentAll - Towards Evidence-based Tailored Implementation Strategies for eHealth), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03652883 nacompletednot on this map

ImpleMentAll - Towards Evidence-based Tailored Implementation Strategies for eHealth

TypeinterventionalSponsorVU University of AmsterdamRan2018 to 2020Enrolled456ConditionsTailored Implementation: Online ItFits-toolkit, Implementation as UsualArmsItFits-toolkit, Implementation as Usual
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Tailored interventions to address determinants of practice.The Cochrane database of systematic reviews · 2026
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  14. Towards an Implementation-STakeholder Engagement Model (I-STEM) for improving health and social care services.Health expectations : an international journal of public participation in health care and health policy · 2023
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  16. Editorial: Tailoring in implementation science.Frontiers in health services · 2023
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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

41 authors.

Leah BührmannDepartment of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands. l.buhrmann@vu.nl.ORCID http://orcid.org/0000-0001-6957-4369
Josien SchuurmansAmsterdam UMC, Vrije Universiteit Amsterdam, Psychiatry, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Jeroen RuwaardAmsterdam UMC, Vrije Universiteit Amsterdam, Psychiatry, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Margot FleurenDepartment of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands.
Anne EtzelmüllerDepartment of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands.
Jordi Piera-JiménezDepartment of Research and Innovation, Badalona Serveis Assistencials, Badalona, Spain.
Tracy FinchDepartment of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK.
Tim RapleyDepartment of Social Work, Education and Community Wellbeing, Northumbria University, Newcastle upon Tyne, UK.
Sebastian PotthoffFaculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne, UK.
Bruno AouizerateFondation FondaMental, Creteil, France.
Philip J BatterhamCentre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.
Alison CalearCentre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, Australia.
Helen ChristensenBlack Dog Institute, University of New South Wales, Randwick, Australia.
Claus Duedal PedersenCentre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark.
David Daniel EbertDepartment of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands.
Erik Van der EyckenGAMIAN Europe, Brussels, Belgium.
Naim FanajMental Health Center Prizren, Prizren, Kosovo.
Claire van GenugtenAmsterdam UMC, Vrije Universiteit Amsterdam, Psychiatry, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Denise HanssenUniversity Medical Center Groningen, Interdisciplinary Center for Psychopathology and Emotion Regulation, University of Groningen, Groningen, The Netherlands.
Ulrich HegerlDepartment of Psychiatry, Psychosomatics and Psychotherapy, Goethe-Universität Frankfurt, Frankfurt, Germany.
Juliane HugEuropean Alliance Against Depression e.V., Leipzig, Germany.
Annet KleiboerDepartment of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands.
Kim MathiasenResearch Unit for Depression and Anxiety, Aarhus University Hospital, Aarhus N, Denmark.
Carl MayFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Sevim MustafaMental Health Center Prizren, Prizren, Kosovo.
Caroline OehlerStiftung Deutsche Depressionshilfe, Leipzig, Germany.
Arlinda Cerga-PashojaDepartment of Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Catherine PopeNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
Gentiana QirjakoDepartment of Public Health, Faculty of Medicine, University of Medicine, Tirana, Albania.
Judith RosmalenUniversity Medical Center Groningen, Interdisciplinary Center for Psychopathology and Emotion Regulation, University of Groningen, Groningen, The Netherlands.
Ylenia SaccoDipartimento di Salute Mentale, Azienda Sanitaria Locale Torino 3, Turin, Italy.
Ludovic SamalinFondation FondaMental, Creteil, France.
Mette Maria SkjøthCentre for Innovative Medical Technology, Odense University Hospital, Odense, Denmark.
Kristine TarpCentre for Telepsychiatry, Region of Southern Denmark, Denmark.
Ingrid TitzlerGET.ON Institute, Hamburg, Germany.
Enrico ZanaldaDipartimento di Salute Mentale, Azienda Sanitaria Locale Torino 3, Turin, Italy.
Isabel ZbukvicOrygen, Parkville, Victoria, Australia.
Johannes H SmitAmsterdam UMC, Vrije Universiteit Amsterdam, Psychiatry, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Heleen RiperDepartment of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands.
Christiaan VisDepartment of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands.
ImpleMentAll consortium

Funding

H2020 Health 733025National Health and Medical Research Council 1142363
6 · The paper itself

Abstract

backgroundInternet-based Cognitive Behavioural Therapy (iCBT) is found effective in treating common mental disorders. However, the use of these interventions in routine care is limited. The international ImpleMentAll study is funded by the European Union's Horizon 2020 programme. It is concerned with studying and improving methods for implementing evidence-based iCBT services for common mental disorders in routine mental health care. A digitally accessible implementation toolkit (ItFits-toolkit) will be introduced to mental health care organizations with the aim to facilitate the ongoing implementation of iCBT services within local contexts. This study investigates the effectiveness of the ItFits-toolkit by comparing it to implementation-as-usual activities.

methodsA stepped wedge cluster randomized controlled trial (SWT) design will be applied. Over a trial period of 30 months, the ItFits-toolkit will be introduced sequentially in twelve routine mental health care organizations in primary and specialist care across nine countries in Europe and Australia. Repeated measures are applied to assess change over time in the outcome variables. The effectiveness of the ItFits-toolkit will be assessed in terms of the degree of normalization of the use of the iCBT services. Several exploratory outcomes including uptake of the iCBT services will be measured to feed the interpretation of the primary outcome. Data will be collected via a centralized data collection system and analysed using generalized linear mixed modelling. A qualitative process evaluation of routine implementation activities and the use of the ItFits-toolkit will be conducted within this study. DISCUSSION: The ImpleMentAll study is a large-scale international research project designed to study the effectiveness of tailored implementation. Using a SWT design that allows to examine change over time, this study will investigate the effect of tailored implementation on the normalization of the use of iCBT services and their uptake. It will provide a better understanding of the process and methods of tailoring implementation strategies. If found effective, the ItFits-toolkit will be made accessible for mental health care service providers, to help them overcome their context-specific implementation challenges.

trial registrationClinicalTrials.gov NCT03652883 . Retrospectively registered on 29 August 2018.

Indexed as

Cognitive Behavioral TherapyMental Health ServicesAustraliaEuropeHumansInternetRandomized Controlled Trials as TopicDeterminants of practiceeHealthiCBTImplementation strategiesInternet-delivered Cognitive Behavioural TherapyMental healthNormalizationStepped wedge trial designSWTTailored implementation

Identifiers

PMID33115545
PMCPMC7592568

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Registered trials

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.