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.
authors.affiliation: Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA, rbeidas@upenn.edu.
authors.forename: Rinad S
authors.initials: RS
authors.lastname: Beidas
authors.forename: Julie
authors.initials: J
authors.lastname: Edmunds
authors.forename: Matthew
authors.initials: M
authors.lastname: Ditty
authors.forename: Jessica
authors.initials: J
authors.lastname: Watkins
authors.forename: Lucia
authors.initials: L
authors.lastname: Walsh
authors.forename: Steven
authors.initials: S
authors.lastname: Marcus
authors.forename: Philip
authors.initials: P
authors.lastname: Kendall
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000193:education / Q000379:methods* / Q000458:organization & administration; D055317:Evidence-Based Practice / Q000193:education / Q000379:methods / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D009936:Organizational Innovation; D016730:Program Development