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

doi:10.1007/s10488-013-0529-x

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

Medical Social Sciences

Research output: Contribution to journal › Article › peer-review

67 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 language	English (US)
Pages (from-to)	788-799
Number of pages	12
Journal	Administration and Policy in Mental Health and Mental Health Services Research
Volume	41
Issue number	6
DOIs	https://doi.org/10.1007/s10488-013-0529-x
State	Published - Oct 11 2014

Funding

Acknowledgments Funding for this research project was supported by the following grants from NIMH: (MH083333, MH099179 Bei-das; MH086436, MH063747 Kendall). Additionally, the preparation of this article was supported in part by the Implementation Research Institute (IRI), at the George Warren Brown School of Social Work, Washington University in St. Louis; through an award from the National Institute of Mental Health (R25 MH080916) and Quality Enhancement Research Initiative (QUERI), Department of Veterans Affairs Contract, Veterans Health Administration, Office of Research & Development, Health Services Research & Development Service. Dr. Beidas is an IRI fellow.

Keywords

Evidence-based practice
Implementation outcomes
Inner context

ASJC Scopus subject areas

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

Access to Document

10.1007/s10488-013-0529-x

Cite this

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

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.",

keywords = "Evidence-based practice, Implementation outcomes, Inner context",

author = "Beidas, {Rinad S.} and Julie Edmunds and Matthew Ditty and Jessica Watkins and Lucia Walsh and Steven Marcus and Philip Kendall",

note = "Publisher Copyright: {\textcopyright} 2013, Springer Science+Business Media New York.",

year = "2014",

month = oct,

day = "11",

doi = "10.1007/s10488-013-0529-x",

language = "English (US)",

volume = "41",

pages = "788--799",

journal = "Administration and Policy in Mental Health and Mental Health Services Research",

issn = "0894-587X",