Evidence map›Paper›PMID 36765402›Full record

ArticleImplementation science communications2023

Associations between teamwork and implementation outcomes in multidisciplinary cross-sector teams implementing a mental health screening and referral protocol.

Elizabeth A McGuier, Gregory A Aarons, Kara A Byrne, Kristine A Campbell, Brooks Keeshin, Scott D Rothenberger, Laurie R Weingart, Eduardo Salas, David J Kolko

Open access · goldAbstract read
In one paragraph

Article in Implementation science communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Elizabeth A McGuierDepartment of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA. millerea3@upmc.edu.ORCID http://orcid.org/0000-0002-6219-6358
Gregory A AaronsDepartment of Psychiatry, University of California-San Diego, San Diego, CA, USA.
Kara A ByrneDavid Eccles School of Business, Kem C. Gardner Policy Institute, University of Utah, Salt Lake City, UT, USA.
Kristine A CampbellCenter for Safe and Healthy Families, Department of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Brooks KeeshinCenter for Safe and Healthy Families, Department of Pediatrics, University of Utah, Salt Lake City, UT, USA.
Scott D RothenbergerDepartment of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Laurie R WeingartTepper School of Business, Carnegie Mellon University, Pittsburgh, PA, USA.
Eduardo SalasRice University, Houston, TX, USA.
David J KolkoDepartment of Psychiatry, School of Medicine, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA.
University of Pittsburgh · USUniversity of Utah · USCarnegie Mellon University · USRice University · USUniversity of California San Diego · US

Funding

UC San Diego Clinical and Translational Research InstituteUL1TR001442 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S, HOGARTH, MICHAEL · 2015 to 2024
$88.3M
Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Enhancing team effectiveness for a collaborative school-based intervention for ADHDP50MH126231 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LAUREN BROOKMAN-FRAZEE · 2022 to 2026
$13.9M
NRSA Training CoreTL1TR001858 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RADOMSKI, THOMAS, RUBIO, DORIS M · 2016 to 2025
$11.1M
CLINICAL RESEARCH TRAINING IN CHILD PSYCHIATRYT32MH018951 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI TINA R GOLDSTEIN · 1990 to 2026
$9.7M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
IMPLEMENTATION RESEARCH INSTITUTE FOR MENTAL HEALTH SERVICES IRI-MHSR25MH080916 · NIMH · WASHINGTON UNIVERSITY · PI Byron James Powell · 2009 to 2026
$3.7M
Statewide System and Organizational Strategy for Evidence-Based Practice Implementation and Sustainment in Substance Use Disorder TreatmentR01DA049891 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI AARONS, GREGORY · 2020 to 2024
$3.6M
Improving access to mental health services for rural youth: Leveraging multidisciplinary teams to enhance implementation of a screening and referral protocol in rural Child Advocacy CentersK23MH123729 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MCGUIER, ELIZABETH ANN · 2021 to 2025
$907k
NCATS NIH HHS TL1 TR001858NCATS NIH HHS TL1TR001858NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001442NCATS NIH HHS UL1TR001442NCATS NIH HHS UL1 TR002538NIDA NIH HHS DA049891NIDA NIH HHS R01 DA049891NIMH NIH HHS K23 MH123729NIMH NIH HHS MH018951NIMH NIH HHS MH080916NIMH NIH HHS MH123729NIMH NIH HHS P50 MH126231NIMH NIH HHS R25 MH080916NIMH NIH HHS T32 MH018951SAMHSA HHS 1U79SM080000
6 · The paper itself

Abstract

purposeTeams play a central role in the implementation of new practices in settings providing team-based care. However, the implementation science literature has paid little attention to potentially important team-level constructs. Aspects of teamwork, including team interdependence, team functioning, and team performance, may affect implementation processes and outcomes. This cross-sectional study tests associations between teamwork and implementation antecedents and outcomes in a statewide initiative to implement a standardized mental health screening/referral protocol in Child Advocacy Centers (CACs).

methodsMultidisciplinary team members (N = 433) from 21 CACs completed measures of team interdependence; affective, behavioral, and cognitive team functioning; and team performance. Team members also rated the acceptability, appropriateness, and feasibility of the screening/referral protocol and implementation climate. The implementation outcomes of days to adoption and reach were independently assessed with administrative data. Associations between team constructs and implementation antecedents and outcomes were tested with linear mixed models and regression analyses.

resultsTeam task interdependence was positively associated with implementation climate and reach, and outcome interdependence was negatively correlated with days to adoption. Task and outcome interdependence were not associated with acceptability, appropriateness, or feasibility of the screening/referral protocol. Affective team functioning (i.e., greater liking, trust, and respect) was associated with greater acceptability, appropriateness, and feasibility. Behavioral and cognitive team functioning were not associated with any implementation outcomes in multivariable models. Team performance was positively associated with acceptability, appropriateness, feasibility, and implementation climate; performance was not associated with days to adoption or reach.

conclusionsWe found associations of team interdependence, functioning, and performance with both individual- and center-level implementation outcomes. Implementation strategies targeting teamwork, especially task interdependence, affective functioning, and performance, may contribute to improving implementation outcomes in team-based service settings.

Indexed as

Child maltreatmentImplementation outcomesMental health screeningTeamTeamwork

Identifiers

PMID36765402
PMCPMC9921625
OpenAlexW4319957229

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.