ArticleImplementation research and practice
The impact of implementation climate on community mental health clinicians' attitudes toward exposure: An evaluation of the effects of training and consultation.
Article in Implementation research and practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 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.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Acceptability, feasibility, and factors affecting implementation of a gender-sensitivity training for HIV providers and staff in Uganda: a mixed methods, quasi-experimental controlled pilot trial.BMC public health · 2025Trial
- Fear of Fear: Challenges and Negative Beliefs About Gradual Exposure Use in TF-CBT.Evidence-based practice in child and adolescent mental health · 2026Article
- Defining and measuring implementation climate: a scoping review and concept analysis.Implementation science communications · 2026Review
- Online Lifestyle Medicine Continuing Medical Education (CME) Course Completion Predicts Increases in Clinician Knowledge, Confidence, and Practice of Lifestyle Medicine.American journal of lifestyle medicine · 2024Article
- Evaluation of Two Online Learning Courses for Evidence-Based Trauma Treatments: TFCBTCognitive and behavioral practice · 2024Article
- Dynamic interplay between available resources and implementation climate across phases of implementation: a qualitative study of a VA national population health tool.Implementation science communications · 2023Article
- Therapist perceptions of experiential training for exposure therapy.Behavioural and cognitive psychotherapy · 2023Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
Background: Most evidence-based treatments (EBTs) for posttraumatic stress disorder (PTSD) and anxiety disorders include exposure; however, in community settings, the implementation of exposure lags behind other EBT components. Clinician-level determinants have been consistently implicated as barriers to exposure implementation, but few organizational determinants have been studied. The current study examines an organization-level determinant, implementation climate, and clinician-level determinants, clinician demographic and background factors, as predictors of attitudes toward exposure and changes in attitudes following training. Method: Clinicians ( Results: Attitudes toward exposure significantly improved from pre-training to post-consultation ( Conclusions: Clinician perceptions of implementation climate predicted greater improvement of attitudes toward exposure following EBT training and consultation. Findings suggest that organizational determinants outside of training impact changes in clinicians' attitudes. Training in four EBTs, only two of which include exposure as a component, resulted in positive changes in clinicians' attitudes toward exposure, which suggests non-specialty trainings can be effective at changing attitudes, which may enable scale-up.
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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.