title: Early assessment of implementing evidence-based brief therapy interventions among secondary service psychiatric therapists.
abstract: This implementation study was part of the Ostrobothnia Depression Study, in Finland, which covered implementation of motivational interviewing (MI) and behavioral activation (BA) within regional public psychiatric secondary care. It aimed to evaluate the mid-term progress of implementation and related factors. Altogether, 80 therapists had been educated through the implementation program by the point of the mid-term evaluation. Eligible information for evaluation was gathered using two questionnaires (q1, q2) with a one-year interval. A total of 45 of the 80 therapists completed q1, 30 completed q2, and 24 completed both questionnaires. Professional education was the only background factor associated with adopting the interventions (q1: p=0.059, q2: p=0.023), with higher education indicating greater activity. On the basis of trends such as changes in overall usefulness score from q1 to q2, the most involved therapists were slightly more likely to adopt MI/BA. Our experience so far suggests that encouraging staff to begin using new interventions during education is very important. The Consolidated Framework for Implementation Research was found to be a useful tool for constructing the evaluation.
authors.affiliation: Department of Psychiatry, South Ostrobothnia Hospital District, Huhtalantie 53, FI-60220 Seinäjoki, Finland; School of Medicine, University of Tampere, FI-33014 Tampere, Finland. Electronic address: lars.lindholm@fimnet.fi.
authors.forename: Lars H
authors.initials: LH
authors.lastname: Lindholm
authors.affiliation: Department of Psychiatry, South Ostrobothnia Hospital District, Huhtalantie 53, FI-60220 Seinäjoki, Finland; School of Medicine, University of Tampere, FI-33014 Tampere, Finland. Electronic address: antti.koivukangas@epsh.fi.
authors.forename: Antti
authors.initials: A
authors.lastname: Koivukangas
authors.affiliation: Department of Psychiatry, South Ostrobothnia Hospital District, Huhtalantie 53, FI-60220 Seinäjoki, Finland. Electronic address: antero.lassila@epshp.fi.
authors.forename: Antero
authors.initials: A
authors.lastname: Lassila
authors.affiliation: Department of Psychiatry, South Ostrobothnia Hospital District, Huhtalantie 53, FI-60220 Seinäjoki, Finland; School of Medicine, University of Tampere, FI-33014 Tampere, Finland. Electronic address: olli.kampman@staff.uta.fi.
authors.forename: Olli
authors.initials: O
authors.lastname: Kampman
mesh_terms: D001291:Attitude of Health Personnel; D001521:Behavior Therapy / Q000379:methods*; D003866:Depressive Disorder / Q000628:therapy*; D055317:Evidence-Based Practice; D005387:Finland; D006284:Health Plan Implementation / Q000379:methods / Q000458:organization & administration / Q000706:statistics & numerical data; D006302:Health Services Research / Q000379:methods / Q000458:organization & administration; D006801:Humans; D062405:Motivational Interviewing / Q000379:methods*; D016730:Program Development / Q000379:methods / Q000592:standards; D015397:Program Evaluation; D011614:Psychotherapy, Brief / Q000379:methods / Q000458:organization & administration* / Q000706:statistics & numerical data; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires
keywords: Brief psychotherapy; Evidence-based practice; Implementation; Program development; Program evaluation