It Takes a Village: A Mixed Method Analysis of Inner Setting Variables and Dialectical Behavior Therapy Implementation

被引:37
作者
Ditty, Matthew S. [1 ]
Landes, Sara J. [2 ,3 ]
Doyle, Andrea [4 ]
Beidas, Rinad S. [5 ]
机构
[1] Ebright Fdn LLC, Wilmington, DE 19810 USA
[2] VA Palo Alto Hlth Care Syst, Natl Ctr PTSD, Palo Alto, CA USA
[3] Univ Washington, Seattle, WA 98195 USA
[4] Univ Penn, Sch Social Policy & Practice, Philadelphia, PA USA
[5] Univ Penn, Dept Psychiat, Perelman Sch Med, Philadelphia, PA 19104 USA
关键词
Dialectical behavior therapy; Implementation; Inner setting; Organizations; BORDERLINE PERSONALITY-DISORDER; RANDOMIZED CONTROLLED-TRIAL; TEAM CLIMATE INVENTORY; CONSOLIDATED FRAMEWORK; CHILD-WELFARE; HEALTH-CARE; WOMEN; RECOMMENDATIONS; PERSPECTIVES; SERVICES;
D O I
10.1007/s10488-014-0602-0
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Guided by the Consolidated Framework for Implementation Research, this mixed method study explored the relationship between inner setting variables and dialectical behavior therapy (DBT) implementation. Intensively trained DBT clinicians completed an online quantitative survey (n = 79) and a subset were sequentially interviewed using qualitative methods (n = 20) to identify relationships between inner setting variables and DBT implementation. Four interpersonal variables-team cohesion, team communication, team climate, and supervision-were correlated with the quantity of DBT elements implemented. Qualitative themes corroborated these findings. Additional variables were connected to implementation by either quantitative or qualitative findings, but not both.
引用
收藏
页码:672 / 681
页数:10
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