title: Examining implementation of a patient activation and self-management intervention within the context of an effectiveness trial.
abstract: This qualitative study examines factors important for delivering a patient activation/self-management intervention in 13 mental health clinics within the context of an effectiveness trial to inform understanding of real-world implementation. Eighteen key personnel were interviewed about the following factors relative to the intervention and its delivery: alignment with organization values/patient needs; buy-in/support from leaders and providers; roles played by leaders and key personnel; and availability of organizational resources. Where supportive, these factors facilitated the delivery of the intervention; elsewhere, they presented as impediments. Findings from this study could help anticipate challenges to implementation that could be examined in a full-scale implementation study.
authors.affiliation: Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beach Street, 4th Floor, Somerville, MA, 02143, USA, aault@charesearch.org.
authors.forename: Andrea
authors.initials: A
authors.lastname: Ault-Brutus
authors.forename: Catherine
authors.initials: C
authors.lastname: Lee
authors.forename: Sara
authors.initials: S
authors.lastname: Singer
authors.forename: Michele
authors.initials: M
authors.lastname: Allen
authors.forename: Margarita
authors.initials: M
authors.lastname: Alegría
mesh_terms: D003362:Cost-Benefit Analysis; D005260:Female; D006266:Health Education / Q000379:methods; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D007857:Leadership; D008297:Male; D008605:Mental Health Services / Q000191:economics / Q000458:organization & administration; D010358:Patient Participation / Q000191:economics / Q000379:methods*; D016730:Program Development; D015397:Program Evaluation; D012648:Self Care / Q000191:economics / Q000379:methods*