Beidas Rinad S, Edmunds Julie, Ditty Matthew, Watkins Jessica, Walsh Lucia, Marcus Steven, Kendall Philip
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market Street, 3015, Philadelphia, PA, 19104, USA,
Adm Policy Ment Health. 2014 Nov;41(6):788-99. doi: 10.1007/s10488-013-0529-x.
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.
心理健康领域面临的挑战之一是循证实践的传播与实施。本研究调查了内部环境变量（即采用者特征和对组织内部因素的个人认知）与两个实施结果之间的关系，这两个结果分别是基于表现的角色扮演中独立评定的治疗师保真度（即依从性和技能）以及培训后青少年焦虑症认知行为疗法的自我报告普及率。研究发现内部环境变量与保真度之间存在显著关系。具体而言，采用者特征与依从性和技能相关；对组织内部因素的个人认知与依从性相关。内部环境变量与普及率无关。文中还讨论了未来的研究方向。
