Integrity of Evidence-Based Practice: Are Providers Modifying Practice Content or Practice Sequencing?
Open accessAbstract
This study examined patterns of evidence-based treatment (EBT) implementation within community settings by evaluating integrity along separate dimensions of practice content (PC; a session included the prescribed procedure) and practice sequencing (a session occurred in the prescribed sequence) within a recent randomized effectiveness trial. We measured whether sessions showed integrity to PC and to flexible or linear practice sequences. Findings revealed that providers tended to incorporate content from the EBT protocol in most treatment sessions, but that the sequencing of the sessions was often modified, suggesting that providers are amenable to evidence-based procedures, but not necessarily their prescribed arrangement.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Items were added to reflect a larger variety of modifications identified through the literature, ongoing observational work, and stakeholder interviews.
“Although many items in this section are unchanged from the original framework, items were added to reflect a larger variety of modifications identified through the literature, ongoing observational work (c.f., [1, 3, 20, 21, 23, 48]), and stakeholder interviews.”
From The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions (2019) · cites this paper as [48]
No citation lists for this paper
No citation lists for this paper yet — checked again daily.
References 47 · Cited by 34
- Authors
- The Research Network on Youth Mental Health, Park, A. L., Chorpita, B. F., Regan, J., & Weisz, J. R.
- Affiliations
- University of California, Los Angeles (US)
- Harvard University (US)
- Corresponding author
- Park, Alayna L.
- Venue
- Administration and Policy in Mental Health and Mental Health Services Research
- Published
- 2014-05-20
- Volume
- 42
- Issue
- 2
- Pages
- 186-196
- ISSN
- 0894-587X (ISSN-L)
- 1573-3289
- OpenAlex
- W1991281491
- Cited by
- 34
- References
- 47
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 2
- FWCI
- 6.62
- Type
- journal article
- Language
- en
- Open access
- green
- nrs.harvard.edu
- Licence
- Locations
- Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- evidence-based practice, implementation fidelity, community mental health providers, intervention fidelity
- MeSH terms
- Adult, Anxiety Disorders, Mental Disorders, Child, Clinical Protocols, Depressive Disorder, Female, Humans, Male, Middle Aged, Psychiatry, Psychology, Social Work, Psychiatric, Cognitive Behavioral Therapy, Conduct Disorder, Guideline Adherence, Evidence-Based Practice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
