Advertisement

Predictors of the Decision to Adopt Motivational Interviewing in Community Health Settings

  • Jessica Roberts WilliamsEmail author
  • Marissa Puckett Blais
  • Duren Banks
  • Tracy Dusablon
  • Weston O. Williams
  • Kevin D. Hennessy
Article

Abstract

The purpose of this study is to concurrently examine the impact of individual and organizational characteristics on the decision to adopt the evidence-based practice (EBP) motivational interviewing (MI) among directors and staff (n = 311) in community health organizations (n = 92). Results from hierarchical linear modeling indicated that, at the individual level, attitudes toward EBPs and race each predicted directors’ decisions to adopt, while gender predicted staff’s decisionmaking. At the organizational level, organizational climate was inversely associated with both staff’s and directors’ decisions to adopt MI. Organizational barriers to implementing EBPs and use of reading materials and treatment manuals were related to directors’ decision to adopt. Type of organization and staff attributes were associated with staff’s decision to adopt. These findings underscore the need to tailor dissemination and implementation strategies to address differences between directors and staff in the adoption of EBPs.

Keywords

Behavioral Health Motivational Interview Organizational Climate Comparative Effectiveness Research Adoption Decision 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

We appreciate the generous support and participation of the community health organization directors and staff who participated in this study and the assistance provided by the National Council for Community Behavioral Healthcare and the National Association of Community Health Centers in recruitment, retention, and advice with overall study design. Special thanks to all study staff from MANILA Consulting Group, Inc., McLean, VA. This study was supported by SAMHSA Contract No. HHSS283200700040I/HHSS28342003T

Conflicts of interest

There are no conflicts of interest.

Disclaimers

This report was prepared under contract by MANILA Consulting Group, Inc., for SAMHSA. The content of this publication does not necessarily reflect the views or policies of SAMHSA or the U.S. Department of Health and Human Services.

References

  1. 1.
    Owen N, Glanz K, Sallis JF, et al. Evidence-based approaches to dissemination and diffusion of physical activity interventions. American Journal of Preventive Medicine 2006;31(4 Suppl):S35–44.PubMedCrossRefGoogle Scholar
  2. 2.
    McHugh RK, Barlow DH. The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. The American Psychologist 2010;65(2):73–84.PubMedCrossRefGoogle Scholar
  3. 3.
    Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research 2011;38(1):4–23.PubMedCentralPubMedCrossRefGoogle Scholar
  4. 4.
    Ducharme LJ, Knudsen HK, Roman PM, et al. Innovation adoption in substance abuse treatment: Exposure, trialability, and the Clinical Trials Network. Journal of Substance Abuse Treatment 2007;32(4):321–329.PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Aarons GA. Measuring provider attitudes toward evidence-based practice: Organizational context and individual differences. Child and Adolescent Psychiatric Clinics of North America 2005;14:255–271.PubMedCentralPubMedCrossRefGoogle Scholar
  6. 6.
    Aarons GA, Sawitzky AC. Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services 2006;3(1):61–72.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Taxman FS, Belenko S. Organizational change — technology transfer processes: A review of the literature. In Implementing evidence-based practices in community corrections and addiction treatment. Springer Series on Evidence-Based Crime Policy 2012;91–128.Google Scholar
  8. 8.
    Haug NA, Shopshire M, Tajima B, Gruber V, Guydish J. Adoption of evidence-based practices among substance abuse treatment providers. Journal of Drug Education 2008;38(2):181–192.PubMedCentralPubMedCrossRefGoogle Scholar
  9. 9.
    Gallo KP, Barlow DH. Factors involved in clinician adoption and nonadoption of evidence-based interventions in mental health. Clinical Psychology: Science and Practice 2012;19:93–106.Google Scholar
  10. 10.
    Majid S, Foo S, Luyt B, et al. Adopting evidence-based practice in clinical decision making: Nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association 2011; 99(3):229–236; doi: 10.3163/1536-5050.99.3.010.PubMedCentralPubMedCrossRefGoogle Scholar
  11. 11.
    Williams JR, Dusablon T, Williams WO, et al. Characteristics of community health organizations and decisionmakers considering the adoption of comparative-effectiveness research. Journal of Behavioral Health Services and Research. In review.Google Scholar
  12. 12.
    Biller-Andorno N, Lie RK, ter Meulen R. (2002). Evidence-based medicine as an instrument for rational health policy. Health Care Analysis 2002;10:261–275.PubMedCrossRefGoogle Scholar
  13. 13.
    Torrey WC, Drake RE, Dixon L, et al. Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services 2001;52(1):45–50.PubMedCrossRefGoogle Scholar
  14. 14.
    Saldana L, Chapman JE, Henggeler SW, et al. The organizational readiness for change scale in adolescent programs: Criterion validity. Journal of Substance Abuse Treatment 2007;33:159–169.PubMedCentralPubMedCrossRefGoogle Scholar
  15. 15.
    McCormick LK, Steckler AB, McLeroy KR. Diffusion of innovations in schools: A study of adoption and implementation of school-based tobacco prevention curricula. American Journal of Health Promotion 1995;9(3):210–219.PubMedCrossRefGoogle Scholar
  16. 16.
    Parcel GS, O’Hara-Tomkins NM, Harris RB, et al. Diffusion of an effective tobacco prevention program: Part II. Evaluation of the adoption phase. Health Education Research 1995;10:297–307.PubMedCrossRefGoogle Scholar
  17. 17.
    Wang W, Saldana L, Brown CH, et al. Factors that influenced county system leaders to implement an evidence-based program: A baseline survey within a randomized controlled trial. Implementation Science 2010;5(72).Google Scholar
  18. 18.
    Knudsen HK, Ducharme LJ, Roman PM. Early adoption of buprenorphine in substance abuse treatment centers: data from the private and public sectors. Journal of Substance Abuse Treatment 2006;30(4):363–73.PubMedCrossRefGoogle Scholar
  19. 19.
    Friedmann PD, Taxman FS, Henderson CE. Evidence-based treatment practices for drug-involved adults in the criminal justice system. Journal of Substance Abuse Treatment 2007;32(3):267–77.PubMedCentralPubMedCrossRefGoogle Scholar
  20. 20.
    Knudsen HK, Roman PM. Modeling the use of innovations in private treatment organizations: the role of absorptive capacity. Journal of Substance Abuse Treatment 2004;26(1):353–61PubMedCrossRefGoogle Scholar
  21. 21.
    Panzano PC, Seffrin BA, Chaney-Jones S, et al. The innovation diffusion and adoption research project (IDARP): Moving from the diffusion of research results to promoting the adoption of evidence-based innovations in the Ohio mental health system. New Research in Mental Health 2004;16.Google Scholar
  22. 22.
    Bride BE, Abraham AJ, Roman, PM. Organizational factors associated with the use of contingency management in publicly funded substance abuse treatment centers. Journal of Substance Abuse Treatment 2011;40(1):87–94.PubMedCentralPubMedCrossRefGoogle Scholar
  23. 23.
    Gagnon M, Labarthe J, Legare F, et al. Measuring organizational readiness for knowledge translation in chronic care. Implementation Science 2011;6(72):1–10.Google Scholar
  24. 24.
    Meijers JM, Janssen M, Cummings GG, et al. Assessing the relationships between contextual factors and research utilization in nursing: Systematic literature review. Journal of Advanced Nursing 2006;55(5):622–635.PubMedCrossRefGoogle Scholar
  25. 25.
    Rogers EM. Diffusion of preventive innovations. Addictive Behaviors 2002;27(6):989–993.PubMedCrossRefGoogle Scholar
  26. 26.
    Aarons GA, Horowitz JD, Dlugosz LR, et al. The role of organizational processes in dissemination and implementation research (Chapter 7). In RC Brownson, GA Colditz, & EK. Proctor (Eds.), Dissemination and Implementation Research in Health: Translating Science to Practice. New York: Oxford University Press Inc., 2012.Google Scholar
  27. 27.
    Gold RS, Parcel GS, Walberg HJ, et al. Summary and conclusions of the THTM evaluation: The expert workgroup perspective. Journal of School Health 1991;6:39–42.CrossRefGoogle Scholar
  28. 28.
    Smith DW, McCormick LK, Steckler AB, et al. Teachers’ use of health curricula: Implementation of Growing Healthy, Project SMART and Teenage Health Teaching Modules. Journal of School Health 1993;63:349–354.PubMedCrossRefGoogle Scholar
  29. 29.
    Becan JE, Knight DK, Flynn PM. Innovation adoption as facilitated by a change-oriented workplace. Journal of Substance Abuse Treatment 2012;42(2):179–190.PubMedCentralPubMedCrossRefGoogle Scholar
  30. 30.
    Lehman WEK, Becan JE, Joe GW, Knight DK, Flynn PM. Resources and training in outpatient substance abuse treatment facilities. Journal of Substance Abuse Treatment 2012;42(2):169–178.PubMedCentralPubMedCrossRefGoogle Scholar
  31. 31.
    Corrigan PW, Steiner L, McCracken SG, et al. Strategies for disseminating evidence-based practices to staff who treat people with serious mental illness. Psychiatric Services 2001;52(12):1598–1606.PubMedCrossRefGoogle Scholar
  32. 32.
    Schoenbaum M, Kelleher K, Lave JR, et al. Exploratory evidence on the market for effective depression care in Pittsburgh. Psychiatric Services 2004;55:392–395.PubMedCrossRefGoogle Scholar
  33. 33.
    Leatherman S, Berwick D, Iles D, et al. The business case for quality: Case studies and an analysis. Health Affairs 2003;22:17–30.PubMedCrossRefGoogle Scholar
  34. 34.
    Goff V, Pittman P. Making the Business Case for Improving Mental Health Care: How to Maximize Corporate Resources. Washington, DC: Academy Health: National Health Care Purchasing Institute, 2002.Google Scholar
  35. 35.
    Williams JR, Tregear SJ, Dusablon T, et al. Increasing adoption of comparative effectiveness research in community behavioral health: Methodology. Journal of Behavioral Health Services and Research. In review.Google Scholar
  36. 36.
    McGovern MP, Fox TS, Xiew H, et al. A survey of clinical practices and readiness to adopt evidence based practices: Dissemination research in an addiction treatment system. Journal of Substance Abuse Treatment 2004;26:305–312.PubMedCrossRefGoogle Scholar
  37. 37.
    Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology 1983;51:390–395.PubMedCrossRefGoogle Scholar
  38. 38.
    Cheong YF, Fotiu RP, Raudenbush SW. Efficiency and robustness of alternative estimators for 2- and 3-level models: The case of NAEP. Journal of Educational and Behavioral Statistics 2001;26:411–429.CrossRefGoogle Scholar
  39. 39.
    Hox JJ, Maas CJM. The accuracy of multilevel structural equation modeling with pseudobalanced groups and small samples. Structural Equation Modeling 2001;8(2):157–174.CrossRefGoogle Scholar
  40. 40.
    Addis ME, Wade WA, Hatgis C. Barriers to dissemination of evidence-based practices: Addressing practitioners; concerns about manual-based psychotherapies. Clinical Psychology: Science and Practice 1999;6:430–441.Google Scholar
  41. 41.
    Backer TE, Liberman RP, Kuehnel TG. Dissemination and adoption of innovative psychosocial interventions. Journal of Consulting and Clinical Psychology 1986;5:111–118.CrossRefGoogle Scholar
  42. 42.
    Ball S, Bachrach K, DeCarlo J, et al. Characteristics, beliefs, and practices of community clinicians trained to provide manual-guided therapy for substance abusers. Journal of Substance Abuse Treatment 2002;23:309–318.PubMedCrossRefGoogle Scholar
  43. 43.
    Foreman RF, Bovasso G, Woody G. (2001). Staff beliefs about addiction treatment. Journal of Substance Abuse Treatment 2001;21:1–9.CrossRefGoogle Scholar
  44. 44.
    Simpson DW. A conceptual framework for transferring research to practice. Journal of Substance Abuse Treatment 2002;22:171–182.PubMedCrossRefGoogle Scholar
  45. 45.
    James LA, James LR. Integrating work environment perceptions: Explorations into the measurement of meaning. Journal of Applied Psychology 1989;74:739–751.CrossRefGoogle Scholar
  46. 46.
    James LR, James LA, Ashe DK. The meaning of organizations: The role of cognition and values. In B Schneider, ed. Organizational Climate and Culture. San Francisco, CA: Jossey-Bass, 1990.Google Scholar
  47. 47.
    James LR, Jones AP. Organizational climate: A review of theory and research. Psychological Bulletin 1974;81:1096–1112.CrossRefGoogle Scholar
  48. 48.
    Glisson C, James LR. The cross-level effects of culture and climate in human service teams. Journal of Organizational Behavior 2002;23:767–794.CrossRefGoogle Scholar
  49. 49.
    Hemmelgarn AL, Glisson C, James LR. Organizational culture and climate: Implications for services and interventions research. Clinical Psychology: Science and Practice 2006;13:73–89.Google Scholar
  50. 50.
    Patterson-Silver Wolf DA, Dulmus CN, Maguin E. Empirically supported treatment’s impact on organizational culture and climate. Research on Social Work Practice 2012;22(6):665–671.PubMedCentralPubMedCrossRefGoogle Scholar
  51. 51.
    Leonard-Barton DA. (1992). Core capabilities and core rigidities: A paradox in managing new product development. Strategic Management Journal 1992;13:111–125.CrossRefGoogle Scholar
  52. 52.
    Panzano PC, Roth D. The decision to adopt evidence-based and other innovative mental health practices: Risky business? Psychiatric Services 2006;57(8):1153–1161.PubMedCrossRefGoogle Scholar
  53. 53.
    Miller WR. Motivational interviewing with problem drinkers. Behavioural Psychotherapy 1983;11:147–172.CrossRefGoogle Scholar
  54. 54.
    Texas Christian University, Institute of Behavioral Research. Survey of Structure and Operations (TCU SSO); 2006. Available at www.ibr.tcu.edu Accessed November 3, 2010.
  55. 55.
    Texas Christian University, Institute of Behavioral Research. The Organizational Readiness for Change: Treatment Director Version (TCU ORC-D); 2002. Available at: www.ibr.tcu.edu Accessed November 3, 2010.
  56. 56.
    Texas Christian University, Institute of Behavioral Research. The Organizational Readiness for Change: Treatment Staff Version (TCU ORC-S); 2005. Available at: www.ibr.tcu.edu Accessed November 3, 2010.
  57. 57.
    Aarons GA. Mental health provider attitudes toward adoption of evidence-based practice: The evidence-based practice attitude scale (EBPAS). Mental Health Services Research 2004;6(2):61–74.PubMedCentralPubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC (outside the USA) 2013

Authors and Affiliations

  • Jessica Roberts Williams
    • 1
    • 2
    Email author
  • Marissa Puckett Blais
    • 2
  • Duren Banks
    • 2
  • Tracy Dusablon
    • 2
  • Weston O. Williams
    • 2
  • Kevin D. Hennessy
    • 3
  1. 1.University of Miami School of Nursing and Health StudiesCoral GablesUSA
  2. 2.MANILA Consulting Group, Inc.McLeanUSA
  3. 3.Center for Behavioral Health Statistics and Quality, Substance Abuse and Mental Health Services Administration (SAMHSA)RockvilleUSA

Personalised recommendations