Table 3.

Models predicting clinicians’ maximum and average CBT adherence per session

	T2—maximum CBT adherence per session (N = 108)			T2—average CBT adherence per session (N = 103)
Predictor	B	SE	p	B	SE	p
Agency level (T1)
EBP implementation climate (1 SD)	0.63	0.11	0.000	0.23	0.05	0.000
Molar climate	0.00	0.02	0.927	− 0.01	0.00	0.088
Clinician level (T2)
Age in years	− 0.08	0.01	0.000	− 0.03	0.01	0.000
Gender = man (ref = woman)	− 0.07	0.46	0.876	− 0.05	0.26	0.856
Years of clinical experience	0.09	0.03	0.002	0.04	0.01	0.003
Tenure in organization (in years)	− 0.08	0.06	0.204	− 0.04	0.03	0.145
Full-time employee (ref = part-time)	0.51	0.22	0.021	0.17	0.11	0.102
Strength of CBT orientation	0.31	0.10	0.003	0.15	0.05	0.003
Participated in CBT initiative (ref = no)	− 0.33	0.37	0.374	− 0.12	0.14	0.395
Client level (T2)
Age in years	0.00	0.04	0.983	− 0.02	0.02	0.344
Gender = man (ref = woman)	0.38	0.35	0.283	0.19	0.18	0.279
Comorbid diagnosis (ref = no)	0.45	0.25	0.071	0.07	0.10	0.468
Primary diagnosis, ASD (ref = internalizing)	− 0.51	0.38	0.181	− 0.41	0.18	0.025
Primary diagnosis, externalizing (ref = internalizing)	0.11	0.25	0.648	− 0.11	0.10	0.301
Primary diagnosis, other (ref = internalizing)	− 0.38	0.45	0.403	− 0.33	0.22	0.143

Coefficients are estimated using 3-level, linear mixed effects regression models incorporating random intercepts for agencies (N = 10) and clinicians (N = 37). Each client was observed for only a single session. Maximum CBT adherence per session represents the highest adherence achieved (1-7) on any of 12 CBT elements for the session. Average CBT adherence per session represents the average adherence achieved across all elements scored > 1 for the session. The EBP implementation climate variable was standardized for analysis

ASD Autism spectrum disorder, CBT Cognitive behavioral therapy, EBP Evidence-based practice, SD Standard deviation