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Administration and Policy in Mental Health and Mental Health Services Research

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01.11.2014 | Original Article

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

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

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 6/2014

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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.

92 participants completed the ITAY.

Given the finding that both adherence and skill were negatively related to EBPAS requirements, it is of note that if a therapist was rated as very low on adherence, they would also be rated low on skill.

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Titel: Are Inner Context Factors Related to Implementation Outcomes in Cognitive-Behavioral Therapy for Youth Anxiety?
verfasst von: Rinad S. Beidas
Julie Edmunds
Matthew Ditty
Jessica Watkins
Lucia Walsh
Steven Marcus
Philip Kendall
Publikationsdatum: 01.11.2014
Verlag: Springer US
Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 6/2014
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI: https://doi.org/10.1007/s10488-013-0529-x

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

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