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Characteristics of Community Health Organizations and Decision-Makers Considering the Adoption of Motivational Interviewing

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Abstract

Research related to the adoption of comparative effectiveness research (CER) in mental health practice is limited. This study explores the factors that influence decisions to adopt motivational interviewing (MI)—an evidence-based practice (EBP) grounded in CER—among decision-makers (n = 311) in community health organizations (n = 92). Descriptive analyses focus on organization and decision-maker characteristics and processes that may influence the decision to adopt an EBP, including demographics, structure and operations, readiness, attitudes, barriers, and facilitators. Within-group agreement is examined to determine the degree to which participants within each organization gave similar responses. Results show characteristics differed according to type of organization (community health versus community behavioral health) and position (directors versus staff). Within-group agreement was also influenced by position. These findings indicate different strategies may be needed to best disseminate CER to the two groups.

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Acknowledgments

We appreciate the generous support and participation of the community health organization directors and staff who participated in this study and 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.

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 US Department of Health and Human Services.

Credits:

This study was supported by the Substance Abuse and Mental Health Services Administration (SAMHSA) contract no. HHSS283200700040I/HHSS28342003T.

Conflicts of Interest Statement

There are no conflicts of interest.

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Authors and Affiliations

  1. University of Miami School of Nursing and Health Studies, P.O. Box 248153, Coral Gables, FL, 33124-3850, USA

    Jessica Roberts Williams PhD, MPH, RN

  2. MANILA Consulting Group, Inc., 1420 Beverly Road, Suite 220, McLean, VA, 22101, USA

    Jessica Roberts Williams PhD, MPH, RN, Tracy Dusablon PhD, Weston O. Williams MHS & Marissa Puckett Blais PhD

  3. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality, One Choke Cherry Road, Room 2-1055, Rockville, MD, 20857, USA

    Kevin D. Hennessy PhD

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  1. Jessica Roberts Williams PhD, MPH, RN
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Correspondence to Jessica Roberts Williams PhD, MPH, RN.

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Williams, J.R., Dusablon, T., Williams, W.O. et al. Characteristics of Community Health Organizations and Decision-Makers Considering the Adoption of Motivational Interviewing. J Behav Health Serv Res 41, 276–293 (2014). https://doi.org/10.1007/s11414-013-9380-9

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