ArticleImplementation science communications2022
How low can you go? Examining the effects of brief online training and post-training consultation dose on implementation mechanisms and outcomes for measurement-based care.
Article in Implementation science communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.
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.
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.
Brief Online Training (BOLT) for Routine Outcome Monitoring
Addressing Clinician Bias to Improve Equitable Implementation of Evidence-Based Practice-Virtual Implicit Bias Reduction and Neutralization Training (VIBRANT)
Who cites it
19 citing papers in PubMed.
- Consultation Content and Techniques for measurement-Based Care Implementation in Youth Community Mental Health Settings.Administration and policy in mental health · 2025Trial
- Dose-Response Effects of MittEcho, a Measurement Feedback System, in an Indicated Mental Health Intervention for Children in Municipal and School Services in Norway.Administration and policy in mental health · 2025Trial
- Mediators of measurement-based care implementation in community mental health settings: results from a mixed-methods evaluation.Implementation science : IS · 2022Trial
- A Brief Online Implicit Bias Intervention for School Mental Health Clinicians.International journal of environmental research and public health · 2022Trial
- Prioritizing partnerships in school-based implementation research and practice: Applying the ACCESS model.Evidence-based practice in child and adolescent mental health · 2025Article
- The Use of Feedback in Mental Health Services: Expanding Horizons on Reach and Implementation.Administration and policy in mental health · 2025Article
- Provider Use of, Attitudes Towards, and Self-efficacy with Key Measurement-based Care Practices in Youth Mental Health Treatment: A Multi-site Examination.Administration and policy in mental health · 2025Article
- Implementation Science in School Mental Health: A 10-Year Progress Update and Development of a New Research Agenda.School mental health · 2024Article
- Implementation Science to Advance Health Equity in Stroke Rehabilitation.Journal of the American Heart Association · 2024Article
- Partnering with Schools to Adapt a Team Science Intervention: Processes and Challenges.School mental health · 2024Article
- Article
- Ten years of implementation outcomes research: a scoping review.Implementation science : IS · 2023Article
- Strategies for implementing the interRAI home care frailty scale with home-delivered meal clients.Frontiers in public health · 2023Observational
- Co-developed implementation guidelines to maximize acceptability, feasibility, and usability of mobile phone supervision in Kenya.Global mental health (Cambridge, England) · 2023Article
- Measurement feedback system implementation in public youth mental health treatment services: a mixed methods analysis.Implementation science communications · 2022Article
- Measurement-based care implementation by K-12 public school clinicians: A mixed-methods proof of concept study.Implementation research and practiceArticle
- Assessing the Implementation of a Novel Digital Measurement-Based Care Training in Behavioral Health Using the PRISM Framework.Implementation research and practiceArticle
- Not getting better but not getting worse: A cluster randomized controlled pilot trial of a leadership implementation strategy.Implementation research and practiceArticle
- External and Internal Validity Considerations in Youth Effectiveness Trials: Lessons Learned from the COMET Study.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
backgroundInitial training and ongoing post-training consultation (i.e., ongoing support following training, provided by an expert) are among the most common implementation strategies used to change clinician practice. However, extant research has not experimentally investigated the optimal dosages of consultation necessary to produce desired outcomes. Moreover, the degree to which training and consultation engage theoretical implementation mechanisms-such as provider knowledge, skills, and attitudes-is not well understood. This study examined the effects of a brief online training and varying dosages of post-training consultation (BOLT+PTC) on implementation mechanisms and outcomes for measurement-based care (MBC) practices delivered in the context of education sector mental health services.
methodsA national sample of 75 clinicians who provide mental health interventions to children and adolescents in schools were randomly assigned to BOLT+PTC or control (services as usual). Those in BOLT+PTC were further randomized to 2-, 4-, or 8-week consultation conditions. Self-reported MBC knowledge, skills, attitudes, and use (including standardized assessment, individualized assessment, and assessment-informed treatment modification) were collected for 32 weeks. Multilevel models were used to examine main effects of BOLT+PTC versus control on MBC use at the end of consultation and over time, as well as comparisons among PTC dosage conditions and theorized mechanisms (skills, attitudes, knowledge).
resultsThere was a significant linear effect of BOLT+PTC over time on standardized assessment use (b = .02, p < .01), and a significant quadratic effect of BOLT+PTC over time on individualized assessment use (b = .04, p < .001), but no significant effect on treatment modification. BOLT + any level of PTC resulted in higher MBC knowledge and larger growth in MBC skill over the intervention period as compared to control. PTC dosage levels were inconsistently predictive of outcomes, providing no clear evidence for added benefit of higher PTC dosage.
conclusionsOnline training and consultation in MBC had effects on standardized and individualized assessment use among clinicians as compared to services as usual with no consistent benefit detected for increased consultation dosage. Continued research investigating optimal dosages and mechanisms of these established implementation strategies is needed to ensure training and consultation resources are deployed efficiently to impact clinician practices.
trial registrationClinicalTrials.gov NCT05041517 . Retrospectively registered on 10 September 2021.
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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.