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Organisational implementation climate in implementing internet-based cognitive behaviour therapy for depression.

Christiaan Vis1,2,3, Annet Kleiboer4,5, Mayke Mol4,5,6

  • 1Department of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Van der Boechorststraat 7, Amsterdam, 1081 BT, The Netherlands. p.d.c.vis@vu.nl.

BMC Health Services Research
|June 1, 2022
PubMed
Summary
This summary is machine-generated.

Organizational implementation climate is key for successful Internet-based Cognitive Behaviour Therapy (iCBT) for depression. Shaping this climate improves iCBT adoption in mental health services.

Keywords:
AcceptanceImplementersInternet-based Cognitive Behavioural TherapyOrganisational ContextOrganisational Implementation ClimateService deliverers

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Area of Science:

  • Mental Health Services Research
  • Digital Health Implementation
  • Organizational Psychology

Background:

  • Internet-based Cognitive Behaviour Therapy (iCBT) for depression is increasingly integrated into European routine care.
  • Implementation success varies, highlighting the need to understand organizational factors.
  • This study focuses on organizational implementation climate from the perspective of those involved in delivering iCBT.

Purpose of the Study:

  • To explore the concept of organizational implementation climate for optimizing iCBT use in mental health services.
  • To identify key characteristics and tools that foster a supportive climate for iCBT implementation.
  • To assess the relationship between implementation climate and service provider satisfaction and usability of iCBT.

Main Methods:

  • Combined qualitative (concept mapping workshop with implementers) and quantitative (cross-sectional survey of service deliverers) approaches.
  • Qualitative phase identified key climate characteristics and tools.
  • Quantitative phase assessed service provider perceptions of climate, satisfaction, and usability.

Main Results:

  • Supportive climate characteristics include clear implementer roles, feasible targets, and dedicated teams.
  • Effective tools for climate support involve performance feedback, progress monitoring, and impact assessment guidelines.
  • Service providers generally perceived a supportive climate, with moderate associations between climate and satisfaction, and weak associations with usability.

Conclusions:

  • Organizational implementation climate significantly impacts iCBT implementation in routine mental health care.
  • This climate is not static and can be actively shaped to enhance iCBT service delivery.
  • Further theoretical development and empirical validation of measurement tools for organizational implementation climate are recommended.