Trial reportBMC health services research2022
A stepped-wedge randomized trial investigating the effect of the Leadership and Organizational Change for Implementation (LOCI) intervention on implementation and transformational leadership, and implementation climate.
Trial report in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03719651 (Testing the Leadership and Organizational Change for Implementation), which is not on this map. Cited by 33 papers.
What it found
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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.
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.
Testing the Leadership and Organizational Change for Implementation (LOCI) Intervention in Norwegian Mental Health Clinics: A Stepped-wedge Design Study Protocol
Who cites it
33 citing papers in PubMed, 42 citations in OpenAlex.
- Understanding mechanisms of multi-level implementation strategies for autism interventions in a randomized trial across service systems.Implementation science : IS · 2025Trial
- Effectiveness of Multilevel Implementation Strategies for Autism Interventions: Outcomes of Two Linked Implementation Trials.Journal of the American Academy of Child and Adolescent Psychiatry · 2025Trial
- Effects of an Organizational Implementation Strategy on Sustainment of Measurement-Based Care in Community Mental Health.Psychiatric services (Washington, D.C.) · 2025Trial
- Randomized Trial of an Organizational Implementation Strategy to Improve Measurement-Based Care Fidelity and Youth Outcomes in Community Mental Health.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Trial
- Improving measurement-based care implementation in youth mental health through organizational leadership and climate: a mechanistic analysis within a randomized trial.Implementation science : IS · 2024Trial
- Mediators of measurement-based care implementation in community mental health settings: results from a mixed-methods evaluation.Implementation science : IS · 2022Trial
- Study protocol for coaching and leadership in autism support settings: a cluster randomized controlled hybrid type 2 effectiveness-implementation trial.Implementation science : IS · 2026Article
- Organization-level determinants for low secondary traumatic stress in lay counselors delivering trauma-focused cognitive behavioral therapy in Kenya.PLOS global public health · 2026Article
- Psychometric evaluation of the PTSD Checklist for the DSM-5 (PCL-5) in Norway.European journal of psychotraumatology · 2025Observational
- Stepping together for children after trauma: protocol for a randomized controlled trial of a parent-led treatment in first-line services (NorStep Study).European journal of psychotraumatology · 2025Article
- Unit Leadership and Climates for Evidence-Based Practice Implementation in Maternal-Infant Health Units: A Cross-Sectional Descriptive Study.Journal of advanced nursing · 2025Article
- Navigating Funding Cliffs: An Exploration of the Dynamic Contextual Factors That Influence Evidence-Based Practice Sustainment.JAACAP open · 2025Article
- "Going above and beyond" for implementation in the education sector: extension and validation of the School Implementation Citizenship Behavior Scale (SICBS).Implementation science communications · 2025Article
- Study protocol for testing the efficacy of the Helping Educational Leaders Mobilize Evidence (HELM) implementation strategy in elementary schools: a hybrid type 3 effectiveness-implementation randomized controlled trial.Implementation science : IS · 2025Article
- Creating a Supportive Work Environment: A Cognitive Behavioral Approach for Nurse Leaders.Nursing reports (Pavia, Italy) · 2025Article
- Implementation climate and clinic personnel attitudes in primary care towards a mental health and drug use preventive intervention for hispanic families: preliminary findings.Frontiers in health services · 2025Article
- Operational and organizational variation in determinants of policy implementation success: the case of policies that earmark taxes for behavioral health services.Implementation science : IS · 2024Article
- Testing an Organizational Implementation Process Model Related to Teachers' Implementation-Related Attitudes and Behaviors: a Multilevel Mediation Analysis.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Centering School Leaders' Expertise: Usability Evaluation of a Leadership-Focused Implementation Strategy to Support Tier 1 Programs in Schools.School mental health · 2024Article
- Inter-Organizational Alignment and Implementation Outcomes in Integrated Mental Healthcare for Children and Adolescents: A Cross-Sectional Observational Study.Research square · 2024Article
Corrections and comments
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Authors and funding
13 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundThis study evaluates the Leadership and Organizational Change for Implementation (LOCI) strategy and its effect on implementation leadership, transformational leadership, and implementation climate.
methodsA stepped wedge cluster randomized study design enrolling 47 first-level leaders from child- and adult-specialized mental health clinics within Norwegian health trusts across three cohorts. All therapists (n = 790) received training in screening of trauma exposure and posttraumatic stress, and a subgroup of therapists (n = 248) received training in evidence-based treatment methods for posttraumatic stress disorder (PTSD). First-level leaders and therapists completed surveys at baseline, 4, 8-, 12-, 16-, and 20-months assessing leadership and implementation climate. General linear mixed-effects models were used to investigate whether the LOCI strategy would lead to greater therapist-rated scores on implementation leadership, transformational leadership, and implementation climate.
resultsAfter introducing the LOCI strategy, there was a significant increase in therapist-rated implementation and transformational leadership and implementation climate. The increase was sustained at all measurement time points compared to non-LOCI conditions, which demonstrated a steady decrease in scores before LOCI.
conclusionsThe LOCI strategy can develop better transformational and implementation leadership skills and contribute to a more positive implementation climate, which may enhance successful EBP implementation. Thus, LOCI can help leaders create an organizational context conducive for effective EBP implementation.
trial registrationRetrospectively registered: ClinicalTrials NCT03719651 , 25th of October 2018. The trial protocol can be accessed from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6417075/ .
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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.