Providers' Perceptions of Trauma-Focused EBT/EBP Implementation Fidelity: Implementation Process and Individual Influences.
Implementation fidelity is the extent to which an intervention is delivered in the manner in which it was designed. Within randomized-controlled trials (RCTs), fidelity is often rigorously ensured through strategies out of reach for most organizations. This limitation may be of particular concern fo...
| Publicado en: | Community Mental Health Journal Vol. 62; no. 4; pp. 632 - 644 |
|---|---|
| Autores principales: | , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
May2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=193493447&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 193493447 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: May2026 vid: 62 iid: 4 pid: 237 pub: Springer Nature artinfo: ui: 193493447 10.1007/s10597-025-01553-x ppf: 632 ppct: 12 formats: tig: atl: Providers' Perceptions of Trauma-Focused EBT/EBP Implementation Fidelity: Implementation Process and Individual Influences. aug: au: Gusler, Stephanie Sprang, Ginny Eslinger, Jessica Whitt, Adrienne affil: https://ror.org/02k3smh20 Center on Trauma and Children, University of Kentucky, Lexington, USA su: Treatment of post-traumatic stress disorder Cross-sectional method Psychotherapy Corporate culture Mental health services Medical care Psychosocial factors Children Scale analysis (Psychology) Pearson correlation (Statistics) Professional practice Cronbach's alpha T-test (Statistics) Clinical supervision Scientific observation Statistical sampling Research evaluation Descriptive statistics Pediatrics Attitudes of medical personnel Evidence-based medicine Mental health personnel Data analysis software sug: subj: Treatment of post-traumatic stress disorder Cross-sectional method Psychotherapy Corporate culture Mental health services Medical care Psychosocial factors Children Offices of Mental Health Practitioners (except Physicians) Residential Mental Health and Substance Abuse Facilities Psychiatric and Substance Abuse Hospitals Marketing Research and Public Opinion Polling Scale analysis (Psychology) Pearson correlation (Statistics) Professional practice Cronbach's alpha T-test (Statistics) Clinical supervision Scientific observation Statistical sampling Research evaluation Descriptive statistics Pediatrics Attitudes of medical personnel Evidence-based medicine Mental health personnel Data analysis software keyword: Compassion satisfaction Fidelity Implementation strategies Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Personal effectiveness Secondary traumatic stress Trauma-Focused EBT/EBP Compassion satisfaction Fidelity Implementation strategies Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Personal effectiveness Secondary traumatic stress Trauma-Focused EBT/EBP ab: Implementation fidelity is the extent to which an intervention is delivered in the manner in which it was designed. Within randomized-controlled trials (RCTs), fidelity is often rigorously ensured through strategies out of reach for most organizations. This limitation may be of particular concern for trauma-focused evidence-based treatments/evidence-based practices (EBT/EBPs), as the needs of individuals and families seeking trauma-based treatment are often complex, with existing comorbidities that can complicate recovery. The present study used the Consolidated Framework for Implementation Research (CFIR) to examine implementation process and individual characteristics, as well as interactions among these factors in impacting provider's perceptions of fidelity. Data came from 598 primarily child serving mental health providers, who completed an online survey regarding provider demographics, perceptions of personal effectiveness, work experiences such as secondary traumatic stress (STS) and compassion satisfaction, and organizational implementation strategies used for a trauma-focused EBT/EBP. Significant positive associations were found between perceptions of implementation fidelity and compassion satisfaction, implementation strategy use, and personal effectiveness. Further, STS was significantly negatively associated with implementation fidelity. Significant differences were found based on population served and use of consultation calls and in-person supervision. Within a regression model, a significant two-way interaction between STS and implementation strategy use was significant, along with a three-way interaction between STS, implementations strategy use, and personal effectiveness. This study advances our understanding of how fidelity is created, maintained and understood in implementation settings that provide EBT/EBPs to individuals exposed to trauma. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|