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Table 5 Therapist and manager agreement that ICBT implementation was facilitated by CFIR constructs

From: Implementation of internet-delivered cognitive behavior therapy within community mental health clinics: a process evaluation using the consolidated framework for implementation research

Questions Therapists M (SD) (n = 22) Managers M (SD) (n = 11) Overall M (SD) (n = 33)  
Intervention Characteristics 4.36 (0.72) 4.78 (0.37) 4.5 (0.65)  
 1. It is positive that the ICBT Wellbeing Course was developed externally and the health region did not have to develop our own ICBT program 4.32 (0.95) 4.91 (0.30) 4.52 (0.83)  
 2. The research evidence on the ICBT Wellbeing course is strong 4.18 (1.01) 4.82(0.41) 4.39 (0.90)  
 3. ICBT has a number of advantages for clients 4.36 (0.95) 4.82 (0.41) 4.52 (0.83)  
 4. It has been beneficial to be able to trial the ICBT Wellbeing Course on a small scale in our health region 3.86 (1.08) 4.82(0.60) 4.18 (1.04)  
 5. It is beneficial that the ICBT Wellbeing course treats both depression and anxiety 4.73 (0.55) 4.91 (0.30) 4.79 (0.49)  
 6. It is beneficial that the ICBT course involves 5 lessons spread over 8–9 weeks 4.45 (0.86) 4.55 (0.69) 4.48 (0.80)  
 7. The ICBT materials are of high quality 4.73 (0.55) 4.82 (0.60) 4.76 (0.56)  
 8. It is beneficial that there is no additional cost to the health region to deliver the ICBT Wellbeing course 4.23 (1.48) 4.64 (0.92) 4.36 (1.32)  
Outer Setting Characteristics 3.6 (0.52) 4.16 (0.40) 3.79 (0.55)  
 9. My health region is aware of the high need for mental health care 4.05 (1.25) 4.36 (0.92) 4.15 (1.15)  
 10. My health region benefits from partnering with the Online Therapy Unit 4.05 (1.40) 4.73 (0.14) 4.27 (1.21)  
 11. There is pressure from other health regions in Saskatchewan to implement ICBT 2.91 (0.68) 2.91 (0.83) 2.91 (0.72)  
 12. There is pressure from Saskatchewan Health to implement ICBT 3.41 (0.80) 4.55 (0.52) 3.79 (0.89)  
 13. My health region is aware of recommendations of other groups to implement ICBT 3.59 (0.85) 4.27 (0.79) 3.82 (0.88)  
Inner Setting Characteristics 3.10 (0.47) 3.74 (0.55) 3.32 (0.58)  
 14. My health region has an adequate number of therapists available to deliver ICBT 3.05 (1.33) 3.00 (1.27) 3.03 (1.29)  
 15. The waiting list in my health region is long 3.77 (1.34) 3.82 (1.66) 3.79 (1.43)  
 16. We had an adequate number of formal meetings to discuss ICBT within my clinic setting 2.55 (1.30) 3.91 (1.14) 3.00 (1.39)  
 17. We had an adequate number of informal meetings/discussion to discuss ICBT within my clinic setting 2.77 (1.23) 3.73 (1.27) 3.09 (1.31)  
18. We have a positive clinic culture 3.77 (1.27) 4.00 (0.63) 3.85 (1.09)  
19. There is strong interest in doing things differently in my clinic 3.55 (0.96) 4.00 (0.89) 3.70 (0.95)  
20. It is easy to incorporate ICBT in our regular clinic work flow 2.64 (1.36) 3.73 (1.62) 3.00 (1.52)  
21. There is a high priority given to ICBT in my setting 3.14 (0.99) 3.82 (1.08) 3.36 (1.06)  
 22. Therapists within my clinic who offer ICBT are recognized for their important work 2.36 (1.14) 3.73 (1.62) 2.79 (1.29)  
 23. We have set specific goals for ICBT in my clinic setting 2.68 (1.13) 2.64 (1.21) 2.67 (1.14)  
 24. We have adequate time to reflect on how ICBT is working and address challenges in my clinic setting 2.14 (1.08) 2.82 (1.25) 2.36 (1.17)  
 25. Health region managers are committed to ICBT 3.50 (1.06) 4.45(0.69) 3.82 (1.04)  
 26. Therapists have been given adequate time to learn and offer ICBT 3.18 (1.37) 4.00 (1.00) 3.45 (1.30)  
 27. We had adequate access to information on ICBT from the Online Therapy Unit 4.36 (0.79) 4.82(0.41) 4.52 (0.71)  
Individual Characteristics 3.75 (0.64) 4.42 (0.50) 3.97 (0.67)  
 28. Therapists trained in my health region have adequate knowledge about ICBT 3.86 (0.94 4.27 (1.20) 4.00 (1.03)  
 29. Therapists in my health region are committed to offering ICBT 2.91 (1.11) 3.82 (1.08) 3.21 (1.17)  
 30. Therapists in my health region are competent to deliver ICBT 3.95 (0.95) 4.64 (0.67) 4.18 (0.92)  
 31. Therapists in my health region are committed to improving the clinic 3.86(0.89) 4.73(0.47) 4.15 (0.87)  
 32. Therapists in my health region have strong computer skills 4.00 (0.69) 4.36 (0.51) 4.12 (0.65)  
 33. Therapists in my health region have a strong interest in learning 3.91 (0.97) 4.73(0.47) 4.18 (0.92)  
Implementation Process 3.92 (0.58) 4.37 (0.37) 4.07 (0.55)  
 34. We spent adequate time planning how to deliver ICBT in advance in my health region 2.59 (1.10) 3.64 (1.21) 2.94 (1.22)  
 35. Therapists in my health region received adequate training in ICBT 3.86 (1.17) 4.27 (0.91) 4.00 (1.09)  
 36. My health region made sure that all staff were informed about ICBT, including those who did not actually provide ICBT 3.27 (1.16) 4.00 (0.41) 3.52 (1.06)  
 37. It was helpful that the Online Therapy Unit obtained research funding to support ICBT in the province 4.05 (1.05) 4.82 (0.41) 4.30 (0.95)  
 38. The Online Therapy Unit developed adequate policies and procedures for delivering ICBT 4.18 (1.00) 4.82 (0.41) 4.39 (0.90)  
 39. The Online Therapy Unit website is adequate for delivery of ICBT 4.45 (0.80) 4.36 (1.03) 4.42 (0.87)  
 40. The advertising materials developed by the Online Therapy Unit were adequate 4.09 (0.87) 4.09 (1.04) 4.09 (0.91)  
 41. The Online Therapy Unit did an adequate job screening clients for ICBT 3.95 (1.00) 4.00 (0.89) 3.97 (0.95)  
 42. The Online Therapy Unit did an adequate job matching therapists and clients 3.77 (0.92) 4.18 (0.75) 3.91 (0.88)  
 43. The Online Therapy Unit did an adequate job providing technical assistance 4.45 (0.74) 4.36 (0.81) 4.42 (0.75)  
 44. The Online Therapy Unit did an adequate job providing clinical assistance to therapists when needed 4.36 (0.85) 4.27 (0.91) 4.33 (0.85)  
 45. The Online Therapy Unit did an adequate job of treating additional clients from our health region 3.68 (0.95) 4.82 (0.41) 4.06 (0.97)  
 46. The Online Therapy Unit did an adequate job of keeping our health region informed of client utilization of ICBT 4.05 (1.13) 4.82 (0.41) 4.30 (1.02)  
 47. The Online Therapy Unit did an adequate job of keeping our health region informed of ICBT client outcomes 4.09 (1.02) 4.73 (0.47) 4.30 (0.92)  
  1. CFIR Consolidated Framework for Implementation Research, ICBT internet-delivered cognitive behaviour therapy