Evidence map›Paper›PMID 38230918›Full record

ArticleJournal of clinical psychology2024

Different factors identified by stakeholder group for barriers and facilitators to measurement-based care implementation in behavioral health clinics.

Amy M Yule, Soo Jeong Youn, Kimberlye Dean, Diana W Woodward, Elizabeth S Firmin, Joanna Kramer, Mira Stone, Luana Marques, Timothy E Wilens

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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 3 institutions in 1 country.

Amy M YuleDepartment of Psychiatry, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Soo Jeong YounDepartment of Behavioral Health, Reliant Medical Group, Optum Care, Worcester, Massachusetts, USA.
Kimberlye DeanDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Diana W WoodwardDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Elizabeth S FirminDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.
Joanna KramerDepartment of Psychiatry, Boston University School of Medicine, Boston Medical Center, Boston, Massachusetts, USA.
Mira StoneDepartment of Psychiatry, Massachusetts General Hospital, Boston, Massachusetts, USA.ORCID 0009-0007-6834-9718
Luana MarquesDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Timothy E WilensDepartment of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA.
Harvard University · USMassachusetts General Hospital · USBoston University · US

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Does Treating Young Persons Psychopathology Prevent the Onset of Opioid and other Substance Use Disorders?UH3DA050252 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI WILENS, TIMOTHY E, YULE, AMY · 2020 to 2020
$3.0M
Does Treating Young Persons Psychopathology Prevent the Onset of Opioid and other Substance Use Disorders?UG3DA050252 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI WILENS, TIMOTHY E, YULE, AMY · 2019 to 2019
$749k
NCATS NIH HHS UL1 TR001430NIDA NIH HHS UG3 DA050252NIDA NIH HHS UG3DA050252NIDA NIH HHS UH3 DA050252NIDA NIH HHS UH3DA050252
6 · The paper itself

Abstract

introductionDespite the benefits of measurement-based care (MBC) in the behavioral health setting, there have been difficulties in implementation and low saturation. Although barriers and facilitators to MBC implementation have been identified, research has generally only included the perspective of one stakeholder group. The current study aims to examine the similarities and differences-by stakeholder group-in the identified barriers to and facilitators of implementing MBC in the behavioral health setting.

methodA purposeful sampling approach was used to recruit and conduct interviews and focus groups with stakeholders (clinicians, clinic leaders, and administrative staff) from four behavioral health clinics at an academic medical center that is part of a larger healthcare system. The data coding process included a directed content analytic approach whereby the coding team used an iterative process to analyze deidentified transcripts starting with a codebook based on the Consolidated Framework for Implementation Research (CFIR) constructs.

resultsA total of 31 clinicians, 11 clinic leaders, and 8 administrative staff participated in the interviews and focus groups. There was convergence among all stakeholder regarding which CFIR constructs were identified as barriers and facilitators, but there were differences in the specific thematic factors identified by stakeholders as barriers and facilitators within each of these implementation constructs. The barriers and facilitators that stakeholders identified within each CFIR construct were often connected to their specific role in implementing MBC.

conclusionCollecting information on barriers and facilitators to MBC implementation from the multiple stakeholders involved in the process may enhance successful implementation of MBC given the variation between groups in identified thematic factors. Administrative staff perspectives, which have not been reported in the literature, may be of particular importance in planning for successful MBC implementation.

Indexed as

Delivery of Health CareFocus GroupsHumansQualitative Researchbarriersfacilitatorsimplementationmeasurement-based carepatient reported outcomes measures

Identifiers

PMID38230918
PMCPMC10923014
OpenAlexW4390954824

What OpenQuestion holds

Textmetadata
LicenceTDM
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.