Implementation of an Evidence-Based Depression Treatment Into Social Service Settings: The Relative Importance of Acceptability and Contextual Factors

Lisa S. Segre, University of Iowa
J. E. McCabe
S. M. Stasik
M. W. O'Hara
S. Arndt


Listening Visits (LV), an empirically supported depression treatment delivered by non mental health specialists, were implemented into two distinctly structured programs. The relative importance of providers' views and organizational context on implementation were examined. Thirty-seven home visitors completed pre- and post-LV training surveys assessing their views toward implementing LV. Implementation rates markedly differed in the two organizations (73.9% vs. 35.7%). Logistic regression results showed that when predicting the implementation rate, the impact of the organizational setting outweighed home visitors' personal views. These results underscore the importance of organizational context in the implementation of empirically supported treatments.