Observational studyJournal of consulting and clinical psychology2022
Therapist adaptations to evidence-based practices and associations with implementation outcomes in child therapy sessions.
Observational study in Journal of consulting and clinical psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- Effects of an Artificial Intelligence Platform for Behavioral Interventions on Depression and Anxiety Symptoms: Randomized Clinical Trial.Journal of medical Internet research · 2023Trial
- In their own words: a qualitative exploration of patients' perspectives of genetic counseling sessions across clinical disciplines.Journal of community genetics · 2026Article
- Characterizing clinical and counseling psychology graduate students' perceptions of evidence-based treatment usability and training.Psychological services · 2026Article
- Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.Journal of autism and developmental disorders · 2026Article
- Article
- Early Detection and Intervention Practices Provided by Physical and Occupational Therapists in Saudi Arabia for Children with or at Risk for Cerebral Palsy.Journal of multidisciplinary healthcare · 2025Article
- Integrating cognitive behavioral therapy into music therapy methods using a flexibility within fidelity framework.Frontiers in psychiatry · 2025Article
- Applying the Cognitive Walkthrough for Implementation Strategies methodology to inform the redesign of a selection-quality implementation toolkit for use in schools.Implementation science communications · 2024Article
- Redesigning an Autism Evidence-Based Practice Adoption and Decision-Making Implementation Toolkit for Middle and High Schools.School mental health · 2024Article
- Applying the Cognitive Walkthrough for Implementation Strategies Methodology to Inform the Redesign of a Selection-Quality Implementation Toolkit for Use in Schools.Research square · 2024Article
- Incorporating Community Perspectives to Inform the Scaling-Out of an Evidence-Based Executive Functioning Intervention from Schools to Community Mental Health Settings.Evidence-based practice in child and adolescent mental health · 2024Article
- Assessment of modifications to evidence-based psychotherapies using administrative and chart note data from the US department of veterans affairs health care system.Frontiers in public health · 2022Article
- Evaluating Intervention Fidelity and Adaptation Within Context: A Mixed-Methods Study of Implementation Practice Within Public Early Intervention Systems.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
objectiveCommunity therapists inevitably adapt evidence-based practices (EBPs) to meet the needs of their clients and practice settings. Yet, the implications of spontaneous, therapist-driven adaptations for EBP implementation outcomes are not well understood. We used a sequential QUAN → qual mixed-methods design to examine how different types of therapist-described adaptations were associated with observer-rated extensiveness of therapist delivery of EBP content and technique strategies at the session level.
methodData were drawn from an observational study of a system-driven implementation of multiple EBPs into public children's mental health services. Community therapists (
resultsQuantitative analyses using multilevel regression revealed that Modifying Presentation adaptations were associated with higher extensiveness of EBP technique delivery, whereas Extending adaptations were associated with lower extensiveness of EBP content and technique delivery. Qualitative analysis of adaptation descriptions identified explanations for the quantitative findings.
conclusionsFindings suggest that Modifying Presentation adaptations, associated with higher extensiveness, involved creative use of activities and materials, language modification, and personalization of EBP content to meet clients' diverse needs, whereas Extending adaptations, associated with lower extensiveness, involved slowing EBP pacing in response to client challenges. Implications for provider training are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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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.