ArticleBMC health services research2025
Determinants of implementation of child-parent psychotherapy to treat early childhood trauma: a reflexive analysis.
Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTrauma experiences in early childhood can significantly impact children’s development. Child-Parent Psychotherapy (CPP) is an evidence-based treatment that addresses traumatic stress and child-parent attachment in children ages 0–6 years. Successful implementation of evidence-based interventions is challenging and presupposes a thorough understanding of the context in which it is being implemented. The objectives of this study were to explore the beliefs and experiences of therapists involved in the training and implementation of CPP in child and adolescent mental health- and child welfare services in Norway. The aim was to understand how health professionals experience implementation of CPP and identify determinants that could enhance or support the implementation process.
methodsTherapists were recruited from two subsequent CPP-training courses at the Regional Centre for Child and Adolescent Mental Health. We conducted ten semi-structured focus group interviews with forty therapists. They were interviewed after approximately six months of an 18-month CPP training initiative and again at the end of the training. We used reflexive thematic analysis to identify themes and determinants from descriptions of beliefs, attitudes and experiences with the training and implementation of CPP.
resultsFour major themes were identified: (1) Intrinsic motivation due to alignment between personal needs and client needs, (2) Psychological readiness influences how therapists engage with CPP, (3) CPP offers welcomed flexibility and professional autonomy, but ambivalence emerges in practice, and (4) Leadership support is not the same as implementation leadership. These themes and determinants were often interconnected and multileveled, reflecting the complexity of implementation processes.
conclusionsImplementation of CCP was influenced by determinants such as therapists’ intrinsic motivation, psychological readiness, and a balance between flexibility and intervention structure. Proactive leadership or strong self-leadership appears to be necessary to create opportunities for implementation engagement. The successful implementation of CPP appears to require tailoring to individual, organizational, and cultural needs.
Indexed as
Identifiers
What OpenQuestion holds
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.