title: It Takes a Village: A Mixed Method Analysis of Inner Setting Variables and Dialectical Behavior Therapy Implementation.
abstract: Guided by the Consolidated Framework for Implementation Research, this mixed method study explored the relationship between inner setting variables and dialectical behavior therapy (DBT) implementation. Intensively trained DBT clinicians completed an online quantitative survey (n = 79) and a subset were sequentially interviewed using qualitative methods (n = 20) to identify relationships between inner setting variables and DBT implementation. Four interpersonal variables-team cohesion, team communication, team climate, and supervision-were correlated with the quantity of DBT elements implemented. Qualitative themes corroborated these findings. Additional variables were connected to implementation by either quantitative or qualitative findings, but not both.
authors.affiliation: The Ebright Foundation, LLC, 2800 Lancaster Ave., Suite 6, Wilmington, DE, 19810, USA. mditty@ebrightfoundation.org.
authors.forename: Matthew S
authors.initials: MS
authors.lastname: Ditty
authors.affiliation: National Center for PTSD, VA Palo Alto Health Care System, Palo Alto, CA, USA.|University of Washington, Seattle, WA, USA.
authors.forename: Sara J
authors.initials: SJ
authors.lastname: Landes
authors.affiliation: School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Andrea
authors.initials: A
authors.lastname: Doyle
authors.affiliation: Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
authors.forename: Rinad S
authors.initials: RS
authors.lastname: Beidas
mesh_terms: D001521:Behavior Therapy / Q000458:organization & administration*; D003142:Communication; D055317:Evidence-Based Practice; D006801:Humans; D009934:Organization and Administration; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D036301:Qualitative Research; D011795:Surveys and Questionnaires
keywords: Dialectical behavior therapy; Implementation; Inner setting; Organizations