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


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.


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.



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.


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.


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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

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