ArticleBehavior therapy2022
Testing a Theory of Implementation Leadership and Climate Across Autism Evidence-Based Interventions of Varying Complexity.
Article in Behavior therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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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.
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Who cites it
34 citing papers in PubMed.
- Understanding mechanisms of multi-level implementation strategies for autism interventions in a randomized trial across service systems.Implementation science : IS · 2025Trial
- 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
- A cluster randomized controlled trial comparing the effectiveness of two school-based interventions for autistic youth with anxiety.BMC psychiatry · 2024Trial
- Evaluation of a Supervisor Toolkit to Support Autism Provider Use of Pivotal Response Training.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
- Exploring Fidelity Elements of a Motivational Interviewing-Based Implementation Strategy to Improve Adoption of Evidence-Based Practices in Schools.Journal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2026Article
- A pilot randomized controlled study of a digital art therapy paradigm for children with ASD: integrating pivotal response treatment into video animation and physical model design.Frontiers in psychiatry · 2026Article
- In an Imperfect World: Barriers and Facilitators to Educators' Evidence-Based Practice Use for Elementary-Aged Autistic Students in Inclusive Settings.Journal of autism and developmental disorders · 2026Article
- Project MIMIC (Maximizing Implementation of Motivational Incentives in Clinics): preparation phase outcomes of a hybrid type 3 trial.Implementation science communications · 2025Article
- Validation of the extended version of the Implementation Leadership Scale (ILS-X).Implementation science communications · 2025Article
- Unpacking the implementation climate in general education settings in public schools: a sequential-explanatory mixed-methods study.Implementation science communications · 2025Article
- The Role of Implementation Climate in Moderating Educator Use of Evidence-Based Practices and Outcomes for Autistic Students.Journal of autism and developmental disorders · 2025Observational
- 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
- Study protocol for a hybrid type 3 effectiveness-implementation trial of a team-based implementation strategy to support educators' use of a social engagement intervention.Implementation science : IS · 2025Article
- Article
- How Can Implementation Science Advance Behavioral Interventions in Preschool? A Scoping Review and Recommendations.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Symphony of Success: Leader-Practitioner Reciprocity during Evidence-Based Practice Implementation.Administration and policy in mental health · 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
- Lessons Learned from a University-School District Partnership to Improve Autism Care in Public Schools.Journal of educational and psychological consultation : the official journal of the Association for Educational and Psychological Consultants · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Prominent theories within the field of implementation science contend that organizational leaders can improve providers' fidelity to evidence-based practices (EBPs) by using focused implementation leadership behaviors that create an organizational climate for EBP implementation. However, this work has been criticized for overreliance on nonspecific, self-report fidelity measures and poor articulation of the boundary conditions that may attenuate leadership and climate's influence. This study tests the predictions of EBP implementation leadership and climate theory on observed fidelity to three school-based EBPs for autism that vary in complexity: pivotal response training (PRT), discrete trial training (DTT), and visual schedules (VS). Educators in kindergarten to third-grade autism support classrooms in 65 schools assessed their principals' EBP implementation leadership and school EBP implementation climate prior to the school year. Mid-school year, trained observers rated educator fidelity to all three interventions. Expert raters confirmed PRT was significantly more complex than DTT or VS using the Intervention Complexity Assessment Tool for Systematic Reviews. Linear regression analyses at the school level indicated principals' increased frequency of EBP implementation leadership predicted a higher school EBP implementation climate, which in turn predicted higher educator fidelity to PRT-however, there was no evidence of a relationship between implementation climate and fidelity to DTT or VS. Comparing principals whose EBP implementation leadership was ±1 SD from the mean, there was a significant indirect association of EBP implementation leadership with PRT fidelity through EBP implementation climate (d = 0.49, 95% CI [0.04, 0.93]). Strategies that target EBP implementation leadership and climate may support fidelity to complex behavioral interventions.
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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.