“…This framework illustrates that dissemination and implementation of new innovations (e.g., technology-based behavioral health interventions) is determined by the interactions between the outer context (e.g., political climate, incentive and mandates), system antecedents (e.g., organizational culture and climate), system readiness (e.g., tension for change, dedicated time and resources), and the innovation itself (e.g., relative advantage). A review by Emmons, Weiner, Fernandez, and Tu (2012) that identified measures of constructs within the Greenhalgh model found one study that explored the relationships between system antecedents, specifically absorptive capacity and organizational culture, on the dependent variable of information technology adoption (Caccia-Bava, Guimaraes, & Harrington, 2006). Greenhalgh et al (2004) specifically note that the interaction between technology-based innovations and adopters within the service sector is a “particularly fruitful area” of research (p. 617), indicating the need for adequate technical capability, adopter commitment, communication skills, and resources to support ongoing implementation issues.…”