Factors influencing consumer outcome monitoring in implementation of evidence-based practices: Results from the national EBP implementation project

Objective This study reports participating agencies use of a single fidelity dimension, Outcome Monitoring, during the 2-year National EBP Implementation Project. Method The study involved an emerging theme qualitative approach for analyzing the implementation of fidelity achieved for five EBPs in 49 sites across eight states. Results Twenty-seven percent of the sites reached a high level of implementation fidelity. Conclusion Results suggest that four interrelated factors contributed to whether agencies successfully implemented Outcome Monitoring-agency data collection methods, agency culture, practitioner skill, and how well "consumer outcomes" are defined.