| Title: |
Uncovering determinants of perceived feasibility of TF-CBT through coincidence analysis |
| Authors: |
Johnson, Clara; AlRasheed, Rashed; Gray, Christine; Triplett, Noah; Mbwayo, Anne; Weinhold, Andrew; Whetten, Kathryn; Dorsey, Shannon |
| Contributors: |
National Institute of Mental Health |
| Source: |
Implementation Research and Practice ; volume 5 ; ISSN 2633-4895 2633-4895 |
| Publisher Information: |
SAGE Publications |
| Publication Year: |
2024 |
| Description: |
Introduction A mental health provider's perception of how well an intervention can be carried out in their context (i.e., feasibility) is an important implementation outcome. This article aims to identify determinants of feasibility of trauma-focused cognitive behavioral therapy (TF-CBT) through a case-based causal approach. Method Data come from an implementation-effectiveness study in which lay counselors (teachers and community health volunteers) implemented a culturally adapted manualized mental health intervention, TF-CBT, delivered to teens who were previously orphaned and were experiencing posttraumatic stress symptoms and prolonged grief in Western Kenya. The intervention team identified combinations of determinants that led to feasibility among teacher- and community health volunteer-counselors through coincidence analysis. Results Among teacher-counselors, organizational-level factors (implementation climate, implementation leadership) determined moderate and high levels of feasibility. Among community health volunteer-counselors, a strong relationship between a clinical supervisor and the supervisee was the most influential determinant of feasibility. Conclusion Methodology and findings from this article can guide the assessment of determinants of feasibility and the development of implementation strategies for manualized mental health interventions in contexts like Western Kenya. Plain Language Summary A mental health provider's perception of how easy a therapy is to use in their work setting (i.e., feasibility) can impact whether the provider uses the therapy in their setting. Implementation researchers have recommended finding practices and constructs that lead to important indicators that a therapy will be used. However, limited research to our knowledge has searched and found practices and constructs that might determine feasibility of a therapy. This article uses existing data from a large trial looking at the continued use of a trauma-focused therapy to find practices and constructs that lead ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1177/26334895231220277 |
| Availability: |
https://doi.org/10.1177/26334895231220277; https://journals.sagepub.com/doi/pdf/10.1177/26334895231220277; https://journals.sagepub.com/doi/full-xml/10.1177/26334895231220277 |
| Rights: |
https://creativecommons.org/licenses/by-nc/4.0/ |
| Accession Number: |
edsbas.23B521E1 |
| Database: |
BASE |