Evidence map›Paper›PMID 41824797›Full record

Trial reportTranslational behavioral medicine2026

Effects of a leadership-focused implementation strategy on uptake of digital measurement-based care in mental health clinics: a cluster randomized trial.

Nathaniel J Williams, Gregory A Aarons, Mark G Ehrhart, Nallely Vega, Steven C Marcus

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational behavioral medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Nathaniel J WilliamsSchool of Social Work, Boise State University, Boise, ID, United States.ORCID 0000-0002-3948-7480
Gregory A AaronsDepartment of Psychiatry, University of California, San Diego, CA, United States.
Mark G EhrhartDepartment of Psychology, University of Central Florida, Orlando, FL, United States.
Nallely VegaSchool of Social Work, Boise State University, Boise, ID, United States.
Steven C MarcusSchool of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, United States.

Funding

Randomized trial of a leadership and organizational change strategy to improve the implementation and sustainment of digital measurement-based care in youth mental health servicesR01MH119127 · NIMH · BOISE STATE UNIVERSITY · PI WILLIAMS, NATHANIEL J. · 2019 to 2022
$2.8M
NIH HHSNIMH NIH HHS R01 MH119127U. S. National Institute of Mental Health R01MH119127
6 · The paper itself

Abstract

backgroundLeaders of healthcare organizations are often called on to guide the implementation of new innovations, including evidence-based practices and digital health technologies. However, many leaders lack preparation for this role and most available leadership trainings have not been rigorously tested, particularly over periods incorporating multiple implementation phases. PURPOSE: This study tested the effects of the Leadership and Organizational Change for Implementation (LOCI) strategy on the uptake of digital measurement-based care (MBC) in mental health settings across 35 months, incorporating implementation and sustainment phases.

methodsIn 21 outpatient mental health clinics serving youth, a two-arm, cluster randomized, hybrid type III effectiveness-implementation trial tested whether adding LOCI (k = 11) to standard digital MBC training and technical assistance (k = 10) improved uptake of digital MBC, assessed using system generated data and operationalized as clinic-level monthly counts of the number of youths with a measure administered and with feedback viewed by their clinician.

resultsOn both outcomes, clinics randomized to LOCI exhibited superior initial uptake (3 months post-baseline: mean difference in youths with measure administered per clinic (MYMA_Diff=5.09, 95% CI=[1.63-8.55]); mean difference in youths with feedback viewed per clinic (MYFV_Diff=3.81 [1.26-6.37]), superior uptake when the implementation phase concluded (13 months post-baseline: MYMA_Diff=9.03, [1.64-16.41]; MYFV_Diff=8.31 [3.07-13.56]), and superior uptake when the sustainment phase concluded (35 months post-baseline: MYMA_Diff=3.82 [1.28-6.36]; MYFV_Diff=1.41 [0.22-2.60]).

conclusionsLOCI is an effective approach for training organizational leaders to support implementation of evidence-based digital health technologies in healthcare settings. Studies examining how policy-level variables interact with leadership training are needed.

Indexed as

LeadershipMental Health ServicesAdolescentDigital HealthEvidence-Based PracticeFemaleHumansMaleOrganizational Innovationevidence-based practiceimplementationleadership and organizational change for implementationmeasurement-based careorganizational leadershipsustainmentuptakeWISDOM trial

Identifiers

PMID41824797
PMCPMC13016732

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Registered trials

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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.