Keywords
depression, anxiety/depression, anxiety

Various implementation strategies have been shown to promote implementation efforts, but the optimal combination and dose of implementation strategies is not well researchedThis study sought to determine the optimal dose of implementation effort (Core versus Enhanced) required to achieve adherence to an anxiety/depression clinical pathway (ADAPT CP).Enhanced implementation effort assisted services in responding to patients with moderate levels of anxiety and/or depression.Data suggests that sufficient staff and resources are required to enable successful implementation.These results provide some of the first empirical data on the extent and duration of implementation effort required to support health service change.