| Title |
Mechanisms of Change in the ARC Organizational Strategy: Increasing Mental Health Clinicians’ EBP Adoption Through Improved Organizational Culture and Capacity
|
|---|---|
| Published in |
Administration and Policy in Mental Health and Mental Health Services Research, May 2016
|
| DOI | 10.1007/s10488-016-0742-5 |
| Pubmed ID | |
| Authors |
Nathaniel J. Williams, Charles Glisson, Anthony Hemmelgarn, Philip Green |
| Abstract |
The development of efficient and scalable implementation strategies in mental health is restricted by poor understanding of the change mechanisms that increase clinicians' evidence-based practice (EBP) adoption. This study tests the cross-level change mechanisms that link an empirically-supported organizational strategy for supporting implementation (labeled ARC for Availability, Responsiveness, and Continuity) to mental health clinicians' EBP adoption and use. Four hundred seventy-five mental health clinicians in 14 children's mental health agencies were randomly assigned to the ARC intervention or a control condition. Measures of organizational culture, clinicians' intentions to adopt EBPs, and job-related EBP barriers were collected before, during, and upon completion of the three-year ARC intervention. EBP adoption and use were assessed at 12-month follow-up. Multilevel mediation analyses tested changes in organizational culture, clinicians' intentions to adopt EBPs, and job-related EBP barriers as linking mechanisms explaining the effects of ARC on clinicians' EBP adoption and use. ARC increased clinicians' EBP adoption (OR = 3.19, p = .003) and use (81 vs. 56 %, d = .79, p = .003) at 12-month follow-up. These effects were mediated by improvement in organizational proficiency culture leading to increased clinician intentions to adopt EBPs and by reduced job-related EBP barriers. A combined mediation analysis indicated the organizational culture-EBP intentions mechanism was the primary carrier of ARC's effects on clinicians' EBP adoption and use. ARC increases clinicians' EBP adoption and use by creating proficient organizational cultures that increase clinicians' intentions to adopt EBPs. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 4 | 67% |
| United Kingdom | 1 | 17% |
| Unknown | 1 | 17% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 3 | 50% |
| Members of the public | 2 | 33% |
| Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Mendeley readers
The data shown below were compiled from readership statistics for 131 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | <1% |
| Portugal | 1 | <1% |
| Unknown | 129 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Doctoral Student | 19 | 15% |
| Researcher | 16 | 12% |
| Student > Ph. D. Student | 15 | 11% |
| Student > Master | 15 | 11% |
| Student > Bachelor | 7 | 5% |
| Other | 27 | 21% |
| Unknown | 32 | 24% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 28 | 21% |
| Social Sciences | 15 | 11% |
| Business, Management and Accounting | 13 | 10% |
| Nursing and Health Professions | 10 | 8% |
| Medicine and Dentistry | 8 | 6% |
| Other | 15 | 11% |
| Unknown | 42 | 32% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 December 2017.
All research outputs
#8,331,653
of 25,732,188 outputs
Outputs from Administration and Policy in Mental Health and Mental Health Services Research
#300
of 723 outputs
Outputs of similar age
#123,532
of 354,053 outputs
Outputs of similar age from Administration and Policy in Mental Health and Mental Health Services Research
#4
of 7 outputs
Altmetric has tracked 25,732,188 research outputs across all sources so far. This one has received more attention than most of these and is in the 67th percentile.
So far Altmetric has tracked 723 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.7. This one has gotten more attention than average, scoring higher than 58% of its peers.
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