Evidence map›Paper›PMID 38802827›Full record

Observational studyImplementation science : IS2024

Inter-organizational alignment and implementation outcomes in integrated mental healthcare for children and adolescents: a cross-sectional observational study.

Yanchen Zhang, Madeline Larson, Mark G Ehrhart, Kevin King, Jill Locke, Clayton R Cook, Aaron R Lyon

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Implementation science : IS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Yanchen ZhangCollege of Education, University of Iowa, 240 S Madison St, Iowa City, IA, 52242, USA. yanchen-zhang@uiowa.edu.ORCID 0000-0003-1756-1077
Madeline LarsonCenter for Applied Research and Educational Improvement, University of Minnesota, Minneapolis, USA.
Mark G EhrhartDepartment of Psychology, University of Central Florida, Orlando, USA.
Kevin KingDepartment of Psychology, University of Washington, Seattle, USA.
Jill LockeDepartment of Psychiatry & Behavioral Sciences, University of Washington, Seattle, USA.
Clayton R CookDepartment of Educational Psychology, University of Minnesota, Minneapolis, USA.
Aaron R LyonDepartment of Psychiatry & Behavioral Sciences, University of Washington, Seattle, USA.

Funding

The Impact of Inter-Organizational Alignment (IOA) on Implementation OutcomesR21MH110691 · NIMH · UNIVERSITY OF WASHINGTON · PI LYON, AARON ROBERT · 2017 to 2018
$440k
RETINOIC ACID RECEPTOR COFACTORS IN NEURONAL FUNCTIONF31MH011069 · NIMH · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI SZETO, DANIEL P · 1995 to 1996
–
NIMH NIH HHS F31 MH011069NIMH NIH HHS R21MH11069NIMH NIH HHS R21 MH110691
6 · The paper itself

Abstract

backgroundIntegrated care involves care provided by a team of professionals, often in non-traditional settings. A common example worldwide is integrated school-based mental health (SBMH), which involves externally employed clinicians providing care at schools. Integrated mental healthcare can improve the accessibility and efficiency of evidence-based practices (EBPs) for vulnerable populations suffering from fragmented traditional care. However, integration can complicate EBP implementation due to overlapping organizational contexts, diminishing the public health impact. Emerging literature suggests that EBP implementation may benefit from the similarities in the implementation context factors between the different organizations in integrated care, which we termed inter-organizational alignment (IOA). This study quantitatively explored whether and how IOA in general and implementation context factors are associated with implementation outcomes in integrated SBMH.

methodsSBMH clinicians from community-based organizations (CBOs; n

resultsThe IOA in general context factors exceeded those of implementation context factors. The standalone effects of implementation context factors on most implementation outcomes were larger than those of general context factors. Similarly, implementation context factors between CBOs and schools showed larger 2-way interaction effects on implementation outcomes than general context factors.

conclusionsThis study preliminarily supported the importance of IOA in context factors for integrated SBMH. The findings shed light on how IOA in implementation and general context factors may be differentially associated with implementation outcomes across a broad array of integrated mental healthcare settings.

Indexed as

Delivery of Health Care, IntegratedOrganizational CultureAdolescentAdultChildCross-Sectional StudiesEvidence-Based PracticeFemaleHumansImplementation ScienceLeadershipMaleMental Health ServicesSchool Health ServicesSchool Mental Health ServicesGeneral organizational contextImplementation contextIntegrated mental healthcareInter-organizational alignmentOrganizational implementation context

Identifiers

PMID38802827
PMCPMC11129427

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.