Sustaining evidence-based practices after initial training and support has ended is necessary to ensure lasting improvements in youth mental health services. This study examined factors impacting community clinicians' decisions to sustain a transdiagnostic youth intervention following participation in a study. The aim of the study was to identify potentially mutable factors impacting sustainability to inform future implementation efforts. Thirteen clinicians (85% women, 92% Caucasian, M age = 35.6) completed interviews after participating in an open trial of an evidence-based intervention for depression, anxiety, and conduct disorders. Interviews were analyzed using thematic analysis methods. All (100%) clinicians reported current use of the intervention. Four themes emerged related to sustainability. Clinicians (100%) reported that making modifications, alignment with prior training, and relative advantage influenced their current intervention use. Clinicians (100%) reported that knowledge transfer from treatment developers was vital to sustainability. They (92%) noted a number of logistical, inner-organizational, and client-level barriers to sustainability. Lastly, clinicians (92%) identified factors related to scaling up the intervention. A variety of personal, organizational, logistical, and client variables influence the sustainment of new interventions, and could be leveraged in future implementation efforts.

中文翻译：

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研究结束后：影响干预可持续性的因素的定性研究。

在初始培训和支持结束后维持循证实践对于确​​保青年心理健康服务的持续改进是必要的。本研究调查了影响社区临床医生在参与研究后决定维持跨诊断青年干预的因素。该研究的目的是确定影响可持续性的潜在可变因素，为未来的实施工作提供信息。13 名临床医生（85% 女性，92% 白种人，M 年龄 = 35.6）在参与一项针对抑郁、焦虑和品行障碍的循证干预的公开试验后完成了访谈。访谈采用主题分析方法进行分析。所有 (100%) 临床医生都报告了目前干预的使用情况。出现了四个与可持续性相关的主题。临床医生 (100%) 报告说，进行修改、与先前培训保持一致以及相对优势影响了他们当前的干预使用。临床医生 (100%) 报告说，治疗开发人员的知识转移对可持续性至关重要。他们 (92%) 指出了可持续性的一些后勤、组织内部和客户层面的障碍。最后，临床医生 (92%) 确定了与扩大干预相关的因素。各种个人、组织、后勤和客户变量会影响新干预措施的维持，并可在未来的实施工作中加以利用。他们 (92%) 指出了可持续性的一些后勤、组织内部和客户层面的障碍。最后，临床医生 (92%) 确定了与扩大干预相关的因素。各种个人、组织、后勤和客户变量会影响新干预措施的维持，并可在未来的实施工作中加以利用。他们 (92%) 指出了可持续性的一些后勤、组织内部和客户层面的障碍。最后，临床医生 (92%) 确定了与扩大干预相关的因素。各种个人、组织、后勤和客户变量会影响新干预措施的维持，并可在未来的实施工作中加以利用。