دورية أكاديمية
Effectiveness of Self-guided Tailored Implementation Strategies in Integrating and Embedding Internet-Based Cognitive Behavioral Therapy in Routine Mental Health Care:Results of a Multicenter Stepped-Wedge Cluster Randomized Trial
| العنوان: | Effectiveness of Self-guided Tailored Implementation Strategies in Integrating and Embedding Internet-Based Cognitive Behavioral Therapy in Routine Mental Health Care:Results of a Multicenter Stepped-Wedge Cluster Randomized Trial |
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| المؤلفون: | Vis, Christiaan, Schuurmans, Josien, Aouizerate, Bruno, Atipei Craggs, Mette, Batterham, Philip, Bührmann, Leah, Calear, Alison, Cerga Pashoja, Arlinda, Christensen, Helen, Dozeman, Els, Duedal Pedersen, Claus, Ebert, David Daniel, Etzelmueller, Anne, Fanaj, Naim, Finch, Tracy L, Hanssen, Denise, Hegerl, Ulrich, Hoogendoorn, Adriaan, Mathiasen, Kim, May, Carl, Meksi, Andia, Mustafa, Sevim, O'Dea, Bridianne, Oehler, Caroline, Piera-Jiménez, Jordi, Potthoff, Sebastian, Qirjako, Gentiana, Rapley, Tim, Rosmalen, Judith, Sacco, Ylenia, Samalin, Ludovic, Skjoth, Mette Maria, Tarp, Kristine, Titzler, Ingrid, Van der Eycken, Erik, van Genugten, Claire Rosalie, Whitton, Alexis, Zanalda, Enrico, Smit, Jan H, Riper, Heleen |
| المصدر: | Vis , C , Schuurmans , J , Aouizerate , B , Atipei Craggs , M , Batterham , P , Bührmann , L , Calear , A , Cerga Pashoja , A , Christensen , H , Dozeman , E , Duedal Pedersen , C , Ebert , D D , Etzelmueller , A , Fanaj , N , Finch , T L , Hanssen , D , Hegerl , U , Hoogendoorn , A , Mathiasen , K , May , C , Meksi , A , Mustafa , S , O'Dea , B , Oehler , .... |
| سنة النشر: | 2023 |
| الوصف: | BACKGROUND: Internet-based cognitive behavioral therapy (iCBT) services for common mental health disorders have been found to be effective. There is a need for strategies that improve implementation in routine practice. One-size-fits-all strategies are likely to be ineffective. Tailored implementation is considered as a promising approach. The self-guided integrated theory-based Framework for intervention tailoring strategies toolkit (ItFits-toolkit) supports local implementers in developing tailored implementation strategies. Tailoring involves identifying local barriers; matching selected barriers to implementation strategies; developing an actionable work plan; and applying, monitoring, and adapting where necessary. OBJECTIVE: This study aimed to compare the effectiveness of the ItFits-toolkit with implementation-as-usual (IAU) in implementing iCBT services in 12 routine mental health care organizations in 9 countries in Europe and Australia. METHODS: A stepped-wedge cluster randomized trial design with repeated measures was applied. The trial period lasted 30 months. The primary outcome was the normalization of iCBT delivery by service providers (therapists, referrers, IT developers, and administrators), which was measured with the Normalization Measure Development as a proxy for implementation success. A 3-level linear mixed-effects modeling was applied to estimate the effects. iCBT service uptake (referral and treatment completion rates) and implementation effort (hours) were used as secondary outcomes. The perceived satisfaction (Client Satisfaction Questionnaire), usability (System Usability Scale), and impact of the ItFits-toolkit by implementers were used to assess the acceptability of the ItFits-toolkit. RESULTS: In total, 456 mental health service providers were included in this study. Compared with IAU, the ItFits-toolkit had a small positive statistically significant effect on normalization levels in service providers (mean 0.09, SD 0.04; P=.02; Cohen d=0.12). The uptake of iCBT by patients was ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://research.vumc.nl/en/publications/c3dd265d-6933-4234-85a3-4ef03880a8b1Test |
| DOI: | 10.2196/41532 |
| الإتاحة: | https://doi.org/10.2196/41532Test https://research.vumc.nl/en/publications/c3dd265d-6933-4234-85a3-4ef03880a8b1Test http://www.scopus.com/inward/record.url?scp=85147458256&partnerID=8YFLogxKTest |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.5CD85751 |
| قاعدة البيانات: | BASE |
| DOI: | 10.2196/41532 |
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