ArticleImplementation science communications2022
Linking organizational climate for evidence-based practice implementation to observed clinician behavior in patient encounters: a lagged analysis.
Article in Implementation science communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 29 citations in OpenAlex.
- 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
- Experiences and Needs of Leaders Supporting Multilingual ABA Staff: A Qualitative Exploration.Journal of autism and developmental disorders · 2026Article
- Study protocol for coaching and leadership in autism support settings: a cluster randomized controlled hybrid type 2 effectiveness-implementation trial.Implementation science : IS · 2026Article
- Defining and measuring implementation climate: a scoping review and concept analysis.Implementation science communications · 2026Review
- Organization-level determinants for low secondary traumatic stress in lay counselors delivering trauma-focused cognitive behavioral therapy in Kenya.PLOS global public health · 2026Article
- A Measurement Roadmap to Guide Implementation Practitioners in Selecting Implementation Measures.Global implementation research and applications · 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
- Climates and associated factors for evidence-based practice implementation among nurses: a cross-sectional study.BMC nursing · 2024Article
- Eliminating Monitor Overuse (EMO) type III effectiveness-deimplementation cluster-randomized trial: Statistical analysis plan.Contemporary clinical trials communications · 2023Article
- A Structural Model of Organization and Clinician Factors Associated with Standardized Measure Use in a National Survey of Youth Mental Health Providers.Administration and policy in mental health · 2023Article
- Individual-level associations between implementation leadership, climate, and anticipated outcomes: a time-lagged mediation analysis.Implementation science communications · 2023Article
- Climate for evidence-based mental health care implementation in Germany: psychometric investigation of the Implementation Climate Scale (ICS).Scientific reports · 2023Article
- Sustainable deimplementation of continuous pulse oximetry monitoring in children hospitalized with bronchiolitis: study protocol for the Eliminating Monitor Overuse (EMO) type III effectiveness-deimplementation cluster-randomized trial.Implementation science : IS · 2022Article
- Uncovering determinants of perceived feasibility of TF-CBT through coincidence analysis.Implementation research and practiceArticle
- Implementation leadership and implementation climate in context: A single organization intrinsic case study for implementation of digital measurement-based care.Implementation research and practiceArticle
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4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundTheory and empirical research suggest organizational climate for evidence-based practice (EBP) implementation may be an important and malleable target to improve clinician use of EBPs in healthcare; however, this work has been criticized for overreliance on self-report measures of implementation outcomes and cross-sectional designs. This study combines data from two studies spanning 7 years to test the hypothesis that higher levels of organizational EBP implementation climate prospectively predicts improved clinician adherence to an EBP, cognitive behavioral therapy (CBT), as rated by expert observers.
methodsBiennial assessments of EBP implementation climate collected in 10 community mental health agencies in Philadelphia as part of a systemwide evaluation (time 1) were linked to subsequent observer ratings of clinician adherence to CBT in clinical encounters with 108 youth (time 2). Experts rated clinician adherence to CBT using the Therapy Process Observation Coding System which generated two primary outcomes (a) maximum CBT adherence per session (i.e., highest rated CBT intervention per session; depth of delivery) and (b) average CBT adherence per session (i.e., mean rating across all CBT interventions used; depth and breadth of delivery).
resultsOn average, time 2 clinician adherence observations occurred 19.8 months (SD = 10.15) after time 1 organizational climate assessments. Adjusting for organization, clinician, and client covariates, a one standard deviation increase in organizational EBP implementation climate at time 1 predicted a 0.63-point increase in clinicians' maximum CBT adherence per session at time 2 (p = 0.000), representing a large effect size (d = 0.93; 95% CI = 0.63-1.24) when comparing organizations in the upper (k = 3) versus lower tertiles (k = 3) of EBP implementation climate. Higher levels of time 1 organizational EBP implementation climate also predicted higher time 2 average CBT adherence per session (b = 0.23, p < 0.001, d = 0.72). Length of time between assessments of climate and adherence did not moderate these relationships.
conclusionsOrganizational EBP implementation climate is a promising predictor of clinicians' subsequent observed adherence to CBT. Implementation strategies that target this antecedent may improve the delivery of EBPs in healthcare settings.
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