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informal, at multiple levels of an organization. LIMITATIONS The aims and objectives of our overall study were not specifically focused on questions of leadership, but more generally on what key contextual elements support the institutionalization of EBP. Therefore, a potential limitation is that our currently describe... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.495 | 0.834 | ["leadership", "education", "philosophy"] | 466 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.834539 | [
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estion was explicitly about leadership behaviors. This limitation is partly mediated by initial use of a conceptual framework that included leadership ( Pettigrew, Ferlie, & Mckee, 1992 ) and by use of interview questions worded to capture the “how, what, and why” of strategic change. The latter often resulted in respo... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.623 | 0.852 | ["leadership", "strategy", "management", "interview"] | 482 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.834804 | [
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eam members’ involvement in the analysis process. During this process we constantly referenced extant literature and theory to verify or challenge emerging findings. Finally, findings from our leadership analysis should be considered in context of limitations of the full study, including data collection in two sites on... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.492 | 0.84 | ["leadership", "crisis", "education"] | 488 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.834951 | [
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y verbal accounts beyond available documentation. LINKING EVIDENCE TO ACTION Review leadership actions or day-to-day behaviors and their implications for perceived support or hindrance of EBP. Assess who is and who could be a key supportive formal or informal leader for EBP. Integrate concepts of strategic thinking rel... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.621 | 0.828 | ["leadership", "philosophy", "strategy"] | 437 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.835072 | [
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refine detailed EBP supportive leader behaviors. SUMMARY AND CONCLUSIONS Our findings identify observable EBP supportive behaviors enacted by multiple levels of leaders; build upon and extend the limited research base regarding such EBP-related behaviors by providing more breadth and demonstrating multilevel and dynami... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.443 | 0.838 | ["leadership"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.835171 | [
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the coalface” and health services researchers interested in developing leadership interventions designed to enhance successful implementation. Specifically, it suggests further exploration of the premise that EBP supportive leadership is about ongoing, strategic, vision-focused, deliberative thinking and day-to-day beh... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.461 | 0.83 | ["leadership", "strategy", "education", "communication", "management"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.835278 | [
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idance needed to underpin the often-noted but abstract finding that leaders should “support” EBP. It could clarify specific actions/approaches to be tested and trialed in healthcare organizations desirous of EBP institutionalization, and it could inform graduate programs in nursing as to the potential importance of req... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.456 | 0.85 | ["philosophy", "leadership", "crisis", "education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.835369 | [
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at the publisher's web site: Appendix 1 Key study definitions (see Stetler, Ritchie, Rycroft-Malone, Schultz, & Charns, 2009 ) Appendix 2 : Outline of core thematic groupings of leadership behaviors for EBP Appendix 3 : Tools & processes in the mid-level Functional leadership theme of Implementing specific EBP projects... | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.608 | 0.844 | ["leadership", "education"] | 504 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.835460 | [
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nctional leadership theme of Implementing specific EBP projects Appendix 4 : Comparable research on leadership behaviors with conceptual categorizations wvn0011-0219-SD1.doc (67KB, doc) | https://pmc.ncbi.nlm.nih.gov/articles/PMC4240461/ | Leadership for Evidence-Based Practice: Strategic and Functional Behaviors for Institutionalizing EBP - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.619 | 0.744 | ["leadership"] | 185 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:44.836522 | [
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Cite Display options Display options Format Abstract PubMed PMID Abstract In recent decades an infusion of economics has lent the study of strategy much needed theory and empirical evidence. Strategy consultants, armed with frameworks and techniques, have stepped forward to help managers analyze their industries and po... | https://pubmed.ncbi.nlm.nih.gov/18271318/ | Putting leadership back into strategy - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.594 | 0.83 | ["strategy", "management", "war_conflict", "education", "philosophy"] | 435 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.032284 | [
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to be seen as an analytical problem to be solved. But, says Montgomery, the Timken Professor of Business Administration at Harvard Business School, the benefits of this rigorous approach have attendant costs: Strategy has become a competitive game plan, separate from the company's larger sense of purpose. The CEO's uni... | https://pubmed.ncbi.nlm.nih.gov/18271318/ | Putting leadership back into strategy - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.63 | 0.858 | ["strategy", "salary", "war_conflict", "education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.032709 | [
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tance of making strategy a dynamic tool for guiding the company's development over time. For any company, intelligent guidance requires a clear sense of purpose, of what makes the organization truly distinctive. Purpose, Montgomery says, serves as both a constraint on activity and a guide to behavior. Creativity and in... | https://pubmed.ncbi.nlm.nih.gov/18271318/ | Putting leadership back into strategy - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.481 | 0.826 | ["strategy", "innovation"] | 416 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.032860 | [
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ional purpose; analysis alone will never suffice. As the CEO--properly a company's chief strategist--translates purpose into practice, he or she must remain open to the possibility that the purpose itself may need to change. Lou Gerstner did this in the 1990s, when he decided that IBM would evolve to focus on applying ... | https://pubmed.ncbi.nlm.nih.gov/18271318/ | Putting leadership back into strategy - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.436 | 0.858 | ["strategy", "decision_making", "career", "philosophy"] | 491 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.033029 | [
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anded the company into attractive new businesses. Watching over strategy day in and day out is the CEO's greatest opportunity to shape the firm as well as outwit the competition. PubMed Disclaimer MeSH terms Administrative Personnel Actions Search in PubMed Search in MeSH Add to Search Commerce / organization & adminis... | https://pubmed.ncbi.nlm.nih.gov/18271318/ | Putting leadership back into strategy - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.573 | 0.866 | ["strategy", "economy"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.033170 | [
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ns Actions Search in PubMed Search in MeSH Add to Search Leadership* Actions Search in PubMed Search in MeSH Add to Search United States Actions Search in PubMed Search in MeSH Add to Search | https://pubmed.ncbi.nlm.nih.gov/18271318/ | Putting leadership back into strategy - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.507 | 0.73 | ["leadership"] | 190 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.033324 | [
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Cite Display options Display options Format Abstract PubMed PMID Abstract Firms in an industry typically cluster around a few strategic positions, and the intense competition on those occupied "mountaintops" makes it hard for firms to gain attractive returns. Superior opportunities lie on unoccupied mountaintops. Yet b... | https://pubmed.ncbi.nlm.nih.gov/21800475/ | The new psychology of strategic leadership - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.454 | 0.832 | ["strategy", "economy", "philosophy"] | 488 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.228343 | [
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acting on them. Competition, therefore, is weak. Most managers are trained to analyze economic forces when they want to identify new opportunities. But that approach usually won't uncover the kinds of ideas that overturn the status quo. Recent research on human cognition suggests that leaders would do better to use ass... | https://pubmed.ncbi.nlm.nih.gov/21800475/ | The new psychology of strategic leadership - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.469 | 0.846 | ["leadership", "management"] | 478 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.228724 | [
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with businesses in other industries, for example. For example, Charles Merrill launched an extraordinarily successful business when he reimagined banking as a "financial supermarket." This article explores ways to jump-start associational thinking--and to bring stakeholders along on the journey. PubMed Disclaimer MeSH ... | https://pubmed.ncbi.nlm.nih.gov/21800475/ | The new psychology of strategic leadership - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.439 | 0.852 | ["innovation", "economy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.228865 | [
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Actions Search in PubMed Search in MeSH Add to Search Leadership* Actions Search in PubMed Search in MeSH Add to Search United States Actions Search in PubMed Search in MeSH Add to Search | https://pubmed.ncbi.nlm.nih.gov/21800475/ | The new psychology of strategic leadership - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.518 | 0.718 | ["leadership"] | 187 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.229010 | [
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Full text links Cite Display options Display options Format Abstract PubMed PMID Abstract This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders ad... | https://pubmed.ncbi.nlm.nih.gov/22617694/ | Cultivating strategic thinking skills - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.556 | 0.818 | ["strategy", "leadership", "management", "philosophy"] | 474 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.432917 | [
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ze and sustain organizational change initiatives. In this article, the author presents an overview of strategic leadership and offers approaches for cultivating strategic thinking skills. PubMed Disclaimer MeSH terms Creativity Actions Search in PubMed Search in MeSH Add to Search Humans Actions Search in PubMed Search... | https://pubmed.ncbi.nlm.nih.gov/22617694/ | Cultivating strategic thinking skills - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.667 | 0.858 | ["leadership", "strategy", "innovation", "education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.433299 | [
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in MeSH Add to Search Nursing Staff / education Actions Search in PubMed Search in MeSH Add to Search Nursing Staff / organization & administration* Actions Search in PubMed Search in MeSH Add to Search Problem Solving Actions Search in PubMed Search in MeSH Add to Search Staff Development* Actions Search in PubMed Sea... | https://pubmed.ncbi.nlm.nih.gov/22617694/ | Cultivating strategic thinking skills - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.504 | 0.674 | ["education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.433476 | [
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H Add to Search LinkOut - more resources Full Text Sources Ovid Technologies, Inc. Wolters Kluwer | https://pubmed.ncbi.nlm.nih.gov/22617694/ | Cultivating strategic thinking skills - PubMed | pubmed.ncbi.nlm.nih.gov | public_domain | false | 0.473 | 0.582 | [] | 97 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.433600 | [
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Implement Sci . 2017 May 12;12:64. doi: 10.1186/s13012-017-0593-9 Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study Byron J Powell Byron J Powell ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.548 | 0.838 | ["education", "leadership", "strategy", "management", "war_conflict"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.642843 | [
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vran-Greenberg Hall, Campus Box 7411, Chapel Hill, NC 27599 USA 2 Center for Mental Health Policy and Services Research, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 USA Find articles by Byron J Powell 1, 2 , David S Mandell David S Mandell 2 Center for Menta... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.49 | 0.71 | ["education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.643218 | [
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04 USA Find articles by David S Mandell 2 , Trevor R Hadley Trevor R Hadley 2 Center for Mental Health Policy and Services Research, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104 USA Find articles by Trevor R Hadley 2 , Ronnie M Rubin Ronnie M Rubin 3 Communit... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.48 | 0.72 | ["education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.643397 | [
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ealth and Intellectual disAbility Services, Philadelphia, PA 19107 USA 5 American Psychological Association, Washington, DC USA Find articles by Arthur C Evans 4, 5 , Matthew O Hurford Matthew O Hurford 6 Community Care Behavioral Health, Pittsburgh, PA USA Find articles by Matthew O Hurford 6 , Rinad S Beidas Rinad S ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.48 | 0.71 | ["education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.643541 | [
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nia, Philadelphia, PA 19104 USA Find articles by Rinad S Beidas 2, ✉ Author information Article notes Copyright and License information 1 Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, 1105C McGavran-Greenberg Hall, Campus Box 7411, Chap... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.495 | 0.704 | ["education", "philosophy", "management"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.643682 | [
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ty of Pennsylvania, Philadelphia, PA 19104 USA 3 Community Behavioral Health, Philadelphia, PA 19107 USA 4 Department of Behavioral Health and Intellectual disAbility Services, Philadelphia, PA 19107 USA 5 American Psychological Association, Washington, DC USA 6 Community Care Behavioral Health, Pittsburgh, PA USA ✉ Co... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.485 | 0.82 | [] | 421 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.643824 | [
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017 May 4; Collection date 2017. © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give ap... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.485 | 0.832 | ["innovation"] | 461 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.643967 | [
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mmons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated. PMC Copyright notice PMCID: PMC5429548 PMID: 28499401 Abstract Background Examining th... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.506 | 0.812 | ["innovation", "war_conflict"] | 441 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.644108 | [
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d developing effective implementation strategies. This study examines whether both general (organizational culture, organizational climate, and transformational leadership) and strategic (implementation climate and implementation leadership) organizational-level factors predict therapist-level determinants of implement... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.576 | 0.814 | ["leadership", "education", "strategy", "war_conflict", "philosophy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.644259 | [
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evidence-based practices (EBPs) and recovery-oriented care, we conducted an observational, cross-sectional study of 19 child-serving agencies in the City of Philadelphia, including 23 sites, 130 therapists, 36 supervisors, and 22 executive administrators. Organizational variables included characteristics such as EBP in... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.491 | 0.822 | ["education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.644409 | [
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climate (Organizational Social Context Measurement System) and transformational leadership (Multifactor Leadership Questionnaire); and strategic factors such as implementation climate (Implementation Climate Scale) and implementation leadership (Implementation Leadership Scale). Therapist-level variables included demog... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.426 | 0.696 | ["leadership", "education", "strategy", "war_conflict", "philosophy"] | 469 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.644556 | [
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wledge of Evidence-Based Services Questionnaire). We used linear mixed-effects regression models to estimate the associations between the predictor (organizational characteristics, general and strategic factors) and dependent (knowledge of and attitudes toward EBPs) variables. Results Several variables were associated ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.566 | 0.826 | ["education", "leadership", "strategy", "war_conflict", "philosophy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.644688 | [
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(idealized influence) had greater knowledge of EBPs; conversely, clinicians in organizations with more resistant cultures, more functional organizational climates, and implementation climates characterized by higher levels of financial reward for EBPs had less knowledge of EBPs. A number of organizational factors were ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.376 | 0.832 | ["education", "war_conflict"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.644833 | [
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d by higher levels of educational support, and more proactive implementation leadership were all associated with more positive attitudes toward EBPs. Conclusions This study provides evidence for the importance of both general and strategic organizational determinants as predictors of knowledge of and attitudes toward E... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.603 | 0.828 | ["education", "leadership", "war_conflict", "strategy"] | 471 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.644968 | [
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ence of organizational factors on implementation. Keywords: Implementation research, Behavioral health, Organizational context, Attitudes toward evidence-based practice, Knowledge of evidence-based practices Background There are a growing number of evidence-based practices (EBPs) for youth psychiatric disorders [ 1 , 2... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.534 | 0.814 | ["war_conflict", "education"] | 417 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.645136 | [
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orly implemented in community settings [ 3 – 7 ]. To understand the relative lack of implementation success to date, a number of studies have examined the factors that facilitate or impede the adoption, implementation, and sustainment of EBPs (e.g., [ 8 – 15 ]). Implementation barriers have been summarized in a range o... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.362 | 0.858 | ["communication", "rhetoric"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.645264 | [
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[ 17 ], the Exploration, Preparation, Implementation, and Sustainment framework [ 18 ], and the Checklist for Identifying Determinants of Practice [ 19 ]. Nearly all of these models include multiple ecological levels and emphasize that effective implementation requires consideration of both provider and organizational ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.541 | 0.844 | ["communication", "education", "rhetoric"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.645395 | [
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f interventions with fidelity, as well as organizational contexts that are sufficiently supportive of EBPs. While individual- and provider-level factors are widely acknowledged to be critical to effective implementation, the literature is still in a nascent state in two respects. First, many conceptual models and frame... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.371 | 0.842 | ["networking", "education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.645530 | [
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lesce to influence implementation success or failure and, hence, how implementation strategies [ 20 , 21 ] should be selected and sequenced to promote the implementation of EBPs. Second, while some of the more general organizational constructs (e.g., organizational culture, organizational climate, leadership) have a re... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.514 | 0.852 | ["leadership"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.645665 | [
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e emerging (e.g., implementation climate [ 24 – 26 ], implementation leadership [ 27 ], implementation citizenship [ 28 ]). Rather than assessing organizational characteristics and functioning more broadly, these constructs are theorized to be more proximal to implementation and to sharpen focus on the specific strateg... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.442 | 0.834 | ["leadership"] | 431 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.645799 | [
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reated to ensure effective implementation [ 23 ]. The relationship between general and strategic (i.e., implementation-specific) organizational factors has yet to be established, and few studies have focused on whether they are uniquely predictive of individual-level factors (e.g., knowledge and attitudes) that are mor... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.417 | 0.846 | ["strategy", "networking", "education"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.645930 | [
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ctors is a priority for implementation research [ 31 – 33 ], as this knowledge could inform the careful development and testing of implementation strategies that could promote the implementation, sustainment, and scale-up of EBPs [ 20 , 21 , 34 , 35 ]. The present study examined a set of general (organizational culture... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.581 | 0.696 | ["leadership", "education", "philosophy", "strategy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.646060 | [
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tors and their association with clinician knowledge of and attitudes toward EBPs within the context of a large publicly funded behavioral health system in Philadelphia. We begin by defining each of these constructs and describing their relationship to implementation. Organizational culture and climate Organizational cu... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.545 | 0.848 | ["education", "networking", "war_conflict"] | 481 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.646201 | [
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... | ||
w upon the work of Glisson and colleagues [ 36 ]. They define organizational culture as the shared views of norms and expectations within organizations [ 36 ]. Organizational climate refers to organizational members’ shared perception of the psychological impact of the work environment on their own well-being [ 36 ]. O... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.362 | 0.874 | ["war_conflict"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.646337 | [
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... | ||
41 ], sustainment of new practices [ 39 ], and youth mental health outcomes [ 41 , 42 ]. For further reference, Glisson and Williams [ 43 ] provide a thorough overview of work to develop more positive cultures and climates. Implementation climate Implementation climate has been defined as employees’ shared perception t... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.549 | 0.834 | ["innovation", "war_conflict"] | 416 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.646465 | [
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d, and rewarded within their organization [ 44 ]. Strong implementation climates encourage the use of EBPs by (1) ensuring employees are adequately skilled in their use, (2) incenting the use of EBPs and eliminating any disincentives, and (3) removing barriers to EBP use [ 44 ]. Weiner and colleagues [ 24 ] have docume... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.551 | 0.838 | ["war_conflict"] | 425 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.646589 | [
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... | ||
of implementation climate can advance the field. Perhaps most central to the present inquiry is that it may have greater predictive validity than more general constructs. The empirical evidence linking implementation climate to implementation effectiveness is primarily drawn from the information systems implementation ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.356 | 0.838 | ["philosophy"] | 469 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.646718 | [
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eloped by Ehrhart et al. [ 26 ] and Jacobs et al. [ 25 ], offering new opportunities for empirical work focusing on implementation climate. Transformational leadership Effective leadership is essential for implementation success [ 17 , 23 ] and can emerge (formally or informally) from any level of the organization [ 17... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.465 | 0.858 | ["leadership", "philosophy"] | 502 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.646861 | [
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ctional, and passive or laissez-faire leadership. Corrigan et al. [ 46 ] note that transformational leadership is characterized by helping team members transform their services to meet the ever-evolving needs of their patients and is achieved through charisma, inspiration, intellectual stimulation, and consideration of... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.583 | 0.84 | ["leadership", "philosophy", "management", "motivation"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.647000 | [
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sh their goals by using goal-setting, feedback, self-monitoring, and reinforcement. Both transformational and transactional leadership styles have been shown to be effective, in contrast to laissez-faire leaders, who are characterized as aloof, uninvolved, and disinterested in the activities of the front-line workers [... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.527 | 0.838 | ["leadership", "philosophy", "innovation", "war_conflict"] | 510 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.647150 | [
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vation climates and attitudes toward EBPs [ 47 ]. Aarons and colleagues [ 23 , 48 ] provide informative reviews of empirical findings from applications of this model in a wide range of settings, including health, mental health, and child welfare. Implementation leadership Aarons and colleagues [ 27 ] have developed the... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.415 | 0.834 | ["leadership", "resume", "war_conflict", "philosophy"] | 451 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.647274 | [
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ders exhibit to promote effective implementation. Implementation leadership is measured with four subscales: (1) proactive leadership, (2) knowledgeable leadership, (3) supportive leadership, and (4) perseverant leadership. A pilot study demonstrated that implementation leadership can be improved through an organizatio... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.535 | 0.83 | ["leadership", "education", "strategy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.647412 | [
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nly recently developed, further research is required to establish its utility in predicting additional implementation determinants and outcomes. Knowledge of and attitudes toward evidence-based practices Knowledge of EBPs is a precursor to implementation and is a key construct in some of the most commonly used implemen... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.412 | 0.85 | ["education", "war_conflict"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.647856 | [
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re knowledgeable about treatments that are indicated (or contraindicated) for common mental health problems such as anxiety and avoidance, depression and withdrawal, disruptive behavior, and attention and hyperactivity [ 51 ]. Therapists’ attitudes toward EBPs are also an important precursor to effective implementation... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.339 | 0.846 | ["war_conflict", "education", "philosophy"] | 492 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.647988 | [
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whether or not a therapist adopts a new practice. Second, if therapists do adopt a new practice, their attitudes may influence their decisions about the actual implementation and sustainment of the innovation. Measures have been developed to assess mental health therapists’ attitudes toward EBPs, including the 15-item ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.391 | 0.846 | ["decision_making", "innovation", "war_conflict"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648111 | [
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ganizational cultures and organizational support for EBPs are associated with more positive attitudes toward EBPs and that more positive attitudes toward EBPs are associated with provider adoption of EBPs [ 54 – 56 ]. However, Aarons and colleagues [ 52 ] underscore the need for more research that examines the associat... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.395 | 0.856 | ["war_conflict", "education", "strategy", "networking"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648254 | [
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ationship between general and strategic organizational-level determinants and therapist-level determinants of implementation and (2) to determine whether strategic organizational-level determinants predict individual-level determinants after controlling for general organizational-level determinants that are more firmly... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.596 | 0.708 | ["leadership", "strategy", "philosophy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648361 | [
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lture and climate, transformational leadership) would be associated with increased therapist knowledge of and more positive attitudes toward EBPs, because they are characterized by (1) more proficient organizational cultures in which therapists are expected to have up-to-date knowledge of best practices and they are le... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.524 | 0.702 | ["leadership", "education", "communication", "war_conflict", "philosophy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648457 | [
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xploration of new programs and practices [ 36 ]; and (3) higher levels of transformational leadership, which has been shown to lead to more positive climates for innovation [ 47 ]. Moreover, we hypothesized that more positive strategic organizational contexts for implementation would be associated with higher levels of... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.618 | 0.712 | ["leadership", "war_conflict", "communication", "strategy", "innovation"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648549 | [
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24 , 44 ] and by leaders who provide the concrete supports needed to facilitate the exploration (and ultimately the preparation, implementation, and sustainment) of EBPs [ 18 , 27 ]. Methods Setting This study was conducted in partnership with Philadelphia’s Department of Behavioral Health and Intellectual disAbility S... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.498 | 0.696 | ["leadership", "communication", "networking", "salary", "education"] | 478 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648672 | [
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ces through a network of more than 250 providers. In partnership with Community Behavioral Health, a not-for-profit 501(c)(3) corporation contracted by the City of Philadelphia, they provide behavioral health coverage to more than 500,000 Medicaid-enrolled individuals [ 57 ]. Since 2007, DBHIDS has supported several la... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.338 | 0.834 | ["communication", "networking", "rhetoric"] | 459 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648770 | [
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embraces recovery and evidence-based care [ 58 ]. These initiatives have included efforts to implement cognitive therapy [ 59 ], trauma-focused cognitive behavioral therapy [ 60 ], prolonged exposure, dialectical behavior therapy, and, most recently, parent-child interaction therapy. In addition to providing robust tra... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.513 | 0.836 | ["communication", "crisis"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648865 | [
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ges at the practitioner, organizational, and system levels through the use of a number of implementation strategies [ 58 ]. For example, DBHIDS utilized multilevel implementation strategies including forming an Evidence-Based Practice and Innovations Center (EPIC) to guide the overall vision of EBP implementation and a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.471 | 0.692 | ["communication", "strategy", "crisis", "innovation", "salary"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.648970 | [
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an EBP Coordinator role within EPIC; paying for clinicians’ lost billable hours during training; funding ongoing supervision and consultation; providing CEUs for EBP initiatives; providing enhanced reimbursement rates for some EBPs; giving public recognition to organizations implementing EBPs; ensuring that care manage... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.512 | 0.692 | ["philosophy", "strategy", "management", "salary"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649071 | [
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ders to build buy-in and inform implementation; and sponsoring public events that focused on reducing stigma and raising awareness of behavioral health concerns. It is beyond the scope of this paper to describe DBHIDS’ transformation effort in great detail; however, it is described elsewhere. For example, Powell et al.... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.416 | 0.858 | ["philosophy", "war_conflict"] | 492 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649172 | [
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he policy ecology model of implementation [ 61 ]. Wiltsey Stirman et al. [ 59 ] and Beidas et al. [ 60 ] provide detailed descriptions of two individual initiatives focusing on cognitive therapy and trauma-focused cognitive behavioral therapy, respectively. The present study involved child- and youth-serving agencies a... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.552 | 0.832 | ["education"] | 426 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649266 | [
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rventions and therapeutic techniques [ 56 , 62 ]. Agencies and participants More than 100 community mental health agencies in Philadelphia provide outpatient services for children and youth (Cathy Bolton, PhD, written communication, January 3, 2013). Purposive sampling [ 63 ] was used to recruit the 29 largest child-se... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.501 | 0.828 | ["family", "communication"] | 433 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649358 | [
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0... | ||
uth receiving publicly funded mental health care. Of those 29 agencies, 18 (62%) agreed to participate and one additional agency that was involved with DBHIDS’ efforts to implement EBPs asked to participate, resulting in a final sample of 19 agencies (23 sites, 130 therapists, 36 supervisors, and 22 executive administr... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.355 | 0.834 | ["leadership"] | 444 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649455 | [
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each site was treated as a distinct organization. The leader of each organization was invited to participate as the executive administrator. There were no exclusion criteria. Sixteen of the 23 participating organizations had participated in city-sponsored EBP initiatives, and those that did participate varied in terms ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.532 | 0.84 | ["leadership"] | 482 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649548 | [
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tives in all analyses, which are described below. Additional studies focusing on the same sample of organizations have documented a myriad of barriers to implementing EBPs [ 15 ], including challenges related to turnover [ 40 ], a shifting workforce [ 64 ], and financial distress [ 65 ]. While all of these organization... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.416 | 0.864 | ["crisis"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649641 | [
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vidence that organizations were faced with challenges shared by most organizations in public service sectors minimize potential concerns about selection bias. However, we acknowledge that the baseline willingness to implement EBPs may be higher in this system given concerted efforts to prioritize and support EBP use. T... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.377 | 0.842 | ["crisis", "education"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649744 | [
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ticipating in EBP initiatives 3.0 (0–5.0) Program size (number of therapists) 9.5 (7.0–25.0) Proportion of staff that are independent contractors 0.8 (0.4–0.9) Organizational social context Proficient culture 55.6 (45.8–59.4) Rigid culture 58.0 (53.0–63.2) Resistant culture 64.2 (56.8–74.7) Engaged climate 54.2 (48.8–5... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.558 | 0.678 | ["war_conflict", "education"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649831 | [
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port 1.6 (1.3–2.0) Recognition 2.0 (1.7–2.6) Rewards 0.4 (0.3–1.0) Staff selection 2.3 (2.0–2.9) Openness 2.9 (2.3–3.4) Transformational leadership Idealized influence (attributed) 3.0 (2.6–3.3) Idealized influence (behavior) 2.8 (2.3–3.3) Inspirational motivation 3.0 (2.6–3.5) Intellectual stimulation 2.6 (2.3–3.1) In... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.613 | 0.67 | ["leadership", "motivation", "war_conflict", "education", "philosophy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.649934 | [
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) Perseverant 2.8 (2.4–3.3) Open in a new tab Procedure The institutional review boards in the City of Philadelphia and at the University of Pennsylvania approved all study procedures. The executive administrator at each of the 23 organizations was asked to participate in the study. They completed their questionnaires ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.511 | 0.858 | ["education", "resume"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650026 | [
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ime, 2-h meeting at each organization, at which we provided lunch, obtained written informed consent, and completed data collection. Approximately 49% of therapists employed by the 23 organizations participated in the study. We collected data from March 1, 2013, through July 25, 2013. Participants received $50 for thei... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.493 | 0.83 | ["education", "philosophy"] | 473 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650118 | [
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ng the Therapist Background Questionnaire [ 67 ]. Organizational characteristics Three organizational characteristics were measured: number of therapists, proportion of staff that were independent contractors, and the total number of years each organization participated in each of the city-sponsored EBP initiatives (e.... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.535 | 0.84 | [] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650200 | [
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herapy initiative for 3 years would be coded as participating for 5 years in EBP initiatives). Data regarding the number of therapists and proportion of staff that were independent contractors was collected from organizational leaders, and data regarding EBP initiative participation was obtained from Community Behavior... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.523 | 0.848 | ["leadership"] | 498 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650297 | [
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an capital that may be available for EBP efforts. Financial difficulties [ 65 ] have led many organizations to employ an increasing number of therapists as independent contractors, and these therapists have been shown to have poorer attitudes toward and less knowledge of EBPs [ 64 ]. Participation in EBP initiatives gi... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.344 | 0.842 | ["strategy", "crisis", "war_conflict", "education"] | 464 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650406 | [
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ining and consultation related to a specific EBP. Controlling for these characteristics minimizes concerns about selection bias and informs the broader generalizability of this study to other contexts that may not have formal EBP initiatives underway. Organizational social context (organizational culture and climate) O... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.531 | 0.832 | ["philosophy", "education"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650501 | [
0.019688362255692482,
0.04587508738040924,
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0.09427231550216675,
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-0.020531611517071724,
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0.04538356885313988,
0.021838... | ||
izational Social Context Measurement System (OSC) [ 36 ]. The OSC is a 105-item measure of organizational culture, climate, and work attitudes (the latter of which was not used for the current study). Organizational culture is measured using three second-order factors: proficiency, rigidity, and resistance. Proficient ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.518 | 0.834 | ["education"] | 458 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650594 | [
0.01742534339427948,
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0.03511080890893936,
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0.036488670855760574,
0.024736... | ||
ed to be competent and have up-to-date knowledge. Rigid cultures are those in which employees have little discretion or flexibility in conducting their work. Resistant cultures are characterized by employees who show little interest in new ways of providing services and suppress any change effort. Organizational climat... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.341 | 0.818 | ["education"] | 421 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650688 | [
0.02799115516245365,
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0.014... | ||
including engagement, functionality, and stress. Engaged climates are characterized by employee perceptions that they can personally accomplish worthwhile tasks, remain personally involved in their work, and maintain concern for their clients. Functional climates are characterized by employee perceptions that they rece... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.365 | 0.848 | ["career"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650780 | [
0.08830253779888153,
-0.015130452811717987,
0.011910991743206978,
0.09067786484956741,
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0.008504388853907585,
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0.018256019800901413,
0.036... | ||
how they can be successful within the organization. In stressful climates, employees feel emotionally exhausted. Organizational culture and climate are measured with T -scores, in which a score of 50 represents the mean and the standard deviation is 10. These T -scores are based upon a normed sample of 100 community me... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.341 | 0.87 | ["family"] | 493 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650882 | [
0.06896685808897018,
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0.0768379420042038,
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0.05768377333879471,
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0.01285308226943016,
0.01... | ||
confirmed in two nationwide samples [ 36 , 69 ]. Implementation climate Implementation climate was measured from the perspective of therapists, supervisors, and executive administrators with the Implementation Climate Scale (ICS) [ 26 ]. The ICS is an 18-item scale that measures the climate for EBP implementation using... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.533 | 0.85 | ["war_conflict", "education"] | 493 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.650975 | [
0.01284813042730093,
0.060896795243024826,
0.04168271645903587,
0.06271003186702728,
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0.011070208624005318,
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-0.04449989274144173,
-0.0036249603144824505,
0.... | ||
ff for EBPs, and selection of staff for openness. Each of the items is measured on a five-point Likert scale ranging from 0 (not at all) to 4 (very great extent), and each subscale represents the mean of the items within that dimension. There is strong support for the reliability and validity of the ICS, as well as the... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.387 | 0.876 | ["leadership", "philosophy"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.651061 | [
-0.00083792710211128,
0.047519534826278687,
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0.005696134641766548,
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0.049536243081092834,
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-0.03547260910272598,
-0.03587760776281357,
0.0... | ||
the perspective of therapists who rated their direct supervisor using the Multifactor Leadership Questionnaire (MLQ 5X Short) [ 70 ]. The MLQ includes 45 items that measure transformational leadership, transactional leadership, and laissez-faire leadership. Given its association with innovation [ 47 ], we focused only ... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.421 | 0.844 | ["leadership", "motivation", "philosophy", "innovation"] | 511 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.651153 | [
0.04299760237336159,
-0.017032865434885025,
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0.002831932157278061,
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0.08792001754045486,
0.00381718878634274,
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-0.004387815482914448,
-0.00873627234250307,
-0.010238228365778923,
... | ||
pirational motivation (4 items), intellectual stimulation (4 items), and individual consideration (4 items). Each item is measured on a continuum from 0 (not at all) to 4 (to a very great extent), with each subscale representing the mean of the items within that dimension. The MLQ possesses strong psychometric properti... | https://pmc.ncbi.nlm.nih.gov/articles/PMC5429548/ | Are general and strategic measures of organizational context and leadership associated with knowledge and attitudes toward evidence-based practices in public behavioral health settings? A cross-sectional observational study - PMC | pmc.ncbi.nlm.nih.gov | public_domain | false | 0.399 | 0.858 | ["leadership", "motivation", "family"] | 512 | Strategic Thinking Leadership | topic | 2026-03-31T17:45:45.651260 | [
0.04892595484852791,
0.007484100293368101,
-0.018128378316760063,
-0.031487517058849335,
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0.07551553100347519,
0.04459778591990471,
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0.02575201727449894,
0.018224777653813362,
0.012726356275379658,
0.03854244947433472,
0.025... |
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