Are Inner Context Factors Related to Implementation Outcomes in Cognitive-Behavioral Therapy for Youth Anxiety?

Rinad S. Beidas*, Julie Edmunds, Matthew Ditty, Jessica Watkins, Lucia Walsh, Steven Marcus, Philip Kendall

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

63 Scopus citations

Abstract

Among the challenges facing the mental health field are the dissemination and implementation of evidence-based practices. The present study investigated the relationships between inner context variables (i.e., adopter characteristics and individual perceptions of intra-organizational factors) and two implementation outcomes—independently rated therapist fidelity on a performance-based role-play (i.e., adherence and skill) and self-reported penetration of cognitive behavioral therapy for youth anxiety following training. A significant relationship was found between inner context variables and fidelity. Specifically, adopter characteristics were associated with adherence and skill; individual perceptions of intra-organizational factors were associated with adherence. Inner context variables were not associated with penetration. Future directions are discussed.

Original languageEnglish (US)
Pages (from-to)788-799
Number of pages12
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume41
Issue number6
DOIs
StatePublished - Oct 11 2014

Keywords

  • Evidence-based practice
  • Implementation outcomes
  • Inner context

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Health Policy
  • Phychiatric Mental Health

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