ABSTRACT In order to improve access to and utilization of high-quality children’s mental health services, there have been considerable efforts to disseminate evidence-based treatments (EBTs) into community-based settings. However, these efforts have not always led to successful use of interventions overtime, and further understanding of how organizational and individual factors may serve as barriers to the implementation process is needed. To help measure implementation and sustainability success in a sample of 118 community-based mental health providers, a 70-item electronic survey was developed to query participant’s experiences with EBT implementation post-training. Results of hierarchical regression analysis suggest that more positive attitudes toward evidence-based practices, the provision of agency incentives, and more intensive training of the intervention increase the likelihood of EBT sustainability, while more positive attitudes toward evidence-based practice and more intensive training increase the likelihood that strategies to help promote protocol fidelity are used. Results contribute to the growing implementation literature in mental health. Post-training consultation may help increase a provider’s ability to manage organizational barriers inherent to providing EBTs within community-based settings. Provision of agency incentives, such as praise and financial compensation, as well as helping promote trainee’s positive attitudes toward EBTs, may also help increase likelihood of implementation success.

中文翻译：

---

儿童循证治疗的保真度和可持续性：实施决定因素的调查

摘要为了改善获得和利用高质量儿童心理健康服务的机会，已经做出了相当大的努力，将基于证据的治疗（EBT）传播到基于社区的环境中。但是，这些努力并不总是导致成功地加班使用干预措施，因此需要进一步了解组织和个人因素如何可能成为实施过程的障碍。为了帮助评估118个社区精神卫生服务提供者的实施和可持续性成功，开发了70项电子调查，以查询参与者在EBT实施培训后的经验。分层回归分析的结果表明，对于基于证据的做法，提供机构激励措施，干预措施的强化培训增加了EBT可持续性的可能性，而对循证实践的积极态度和强化培训则增加了使用有助于促进协议保真度的策略的可能性。结果有助于在心理健康方面越来越多的实施文献。培训后的咨询可能有助于提高提供者管理在基于社区的环境中提供EBT所固有的组织障碍的能力。提供诸如奖励和经济补偿之类的机构激励措施，以及帮助提高学员对EBT的积极态度，也可能有助于增加实施成功的可能性。同时，对基于证据的实践采取更积极的态度以及进行更深入的培训，会增加采用有助于促进协议保真度的策略的可能性。结果有助于在心理健康方面越来越多的实施文献。培训后的咨询可能有助于提高提供者管理在基于社区的环境中提供EBT所固有的组织障碍的能力。提供诸如奖励和经济补偿之类的机构激励措施，以及帮助提高学员对EBT的积极态度，也可能有助于增加实施成功的可能性。同时，对基于证据的实践采取更积极的态度以及进行更深入的培训，会增加采用有助于促进协议保真度的策略的可能性。结果有助于在心理健康方面越来越多的实施文献。培训后的咨询可能有助于提高提供者管理在基于社区的环境中提供EBT所固有的组织障碍的能力。提供诸如奖励和经济补偿之类的机构激励措施，以及帮助提高学员对EBT的积极态度，也可能有助于增加实施成功的可能性。培训后的咨询可能有助于提高提供者管理在基于社区的环境中提供EBT所固有的组织障碍的能力。提供诸如奖励和经济补偿之类的机构激励措施，以及帮助提高学员对EBT的积极态度，也可能有助于增加实施成功的可能性。培训后的咨询可能有助于提高提供者管理在基于社区的环境中提供EBT所固有的组织障碍的能力。提供诸如奖励和经济补偿之类的机构激励措施，以及帮助提高学员对EBT的积极态度，也可能有助于增加实施成功的可能性。