Tailored implementation of internet-based cognitive behavioural therapy in the multinational context of the ImpleMentAll
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Tailored implementation of internet-based cognitive behavioural therapy in the multinational context of the ImpleMentAll project: a study protocol for a stepped wedge cluster randomized trial Leah Bührmann1,2* , Josien Schuurmans2,3, Jeroen Ruwaard2,3, Margot Fleuren1,2,4, Anne Etzelmüller1,2,5, Jordi Piera-Jiménez6, Tracy Finch7, Tim Rapley8, Sebastian Potthoff9, Bruno Aouizerate10,11, Philip J. Batterham12, Alison Calear12, Helen Christensen13, Claus Duedal Pedersen14, David Daniel Ebert1,5,15, Erik Van der Eycken16, Naim Fanaj17,18, Claire van Genugten2,3, Denise Hanssen19, Ulrich Hegerl20, Juliane Hug21, Annet Kleiboer1,2, Kim Mathiasen22, Carl May23, Sevim Mustafa17,24, Caroline Oehler25, Arlinda Cerga-Pashoja26, Catherine Pope27, Gentiana Qirjako28, Judith Rosmalen19, Ylenia Sacco29, Ludovic Samalin10,30, Mette Maria Skjøth14,31, Kristine Tarp32, Ingrid Titzler5,15, Enrico Zanalda29, Isabel Zbukvic33,34, Johannes H. Smit2,3, Heleen Riper1,2,3, Christiaan Vis1,2 and on behalf of the ImpleMentAll consortium
Abstract Background: Internet-based Cognitive Behavioural Therapy (iCBT) is found effective in treating common mental disorders. However, the use of these interventions in routine care is limited. The international ImpleMentAll study is funded by the European Union’s Horizon 2020 programme. It is concerned with studying and improving methods for implementing evidence-based iCBT services for common mental disorders in routine mental health care. A digitally accessible implementation toolkit (ItFits-toolkit) will be introduced to mental health care organizations with the aim to facilitate the ongoing implementation of iCBT services within local contexts. This study investigates the effectiveness of the ItFits-toolkit by comparing it to implementation-as-usual activities. Methods: A stepped wedge cluster randomized controlled trial (SWT) design will be applied. Over a trial period of 30 months, the ItFits-toolkit will be introduced sequentially in twelve routine mental health care organizations in primary and specialist care across nine countries in Europe and Australia. Repeated measures are applied to assess change over time in the outcome variables. The effectiveness of the ItFits-toolkit will be assessed in terms of the (Continued on next page)
* Correspondence: [email protected] 1 Department of Clinical, Neuro-, & Developmental Psychology, Faculty of Behavioural and Movement Sciences, VU Amsterdam, Amsterdam, The Netherlands 2 Amsterdam UMC, Vrije Universiteit Amsterdam, Psychiatry, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if
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