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Interactions Between Clinician and Organizational Characteristics to Predict Cognitive-Behavioral and Psychodynamic
Emily M Becker-Haimes1, Nathaniel J Williams2, Kelsie H Okamura3
1Department of Psychiatry, University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd Floor, 3015, Philadelphia, PA, 19104, USA. embecker@upenn.edu.
Abstract:
Conceptual models of implementation posit contextual factors and their associations with evidence-based practice (EBP) use at multiple levels and suggest these factors exhibit complex cross-level interactions. Little empirical work has examined these interactions, which is critical to advancing causal implementation theory and optimizing implementation strategy design. Mixed effects regression examined cross-level interactions between clinician (knowledge, attitudes) and organizational characteristics (culture, climate) to predict cognitive-behavioral and psychodynamic therapy use with youth (N = 247 clinicians across 28 agencies). Results indicated several interactions, highlighting the importance of attending to interactions between variables at multiple levels to advance multilevel implementation theory and strategies.
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