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Attitudes Towards Evidence-Based Practice in Substance Use Treatment Programs Serving American Indian Native Communities

The Journal of Behavioral Health Services & Research volume 46, pages 509–520 (2019)Cite this article

Abstract

The objective of this paper was to compare attitudes towards evidence-based practice (EBP) of substance use disorder treatment (SUDT) center employees’ serving American Indian and Alaskan Native (AIAN) populations to those serving non-AIAN populations. Survey data on the openness and divergence subscales of the Evidence-Based Practice Attitude Scale (EBPAS) were collected and analyzed. Independent samples T tests were performed to compare the two samples. For all comparisons, except the divergence subscale between counselors, the SUDT employees serving AIANs had significantly lower mean openness scores and higher mean divergence scores than those serving non-AIANs. This study suggests that employees of SUDT centers serving AIAN population hold less positive attitudes towards the adoption and use of EBP than non-AIAN.

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References

  1. SAMHSA. Screening, Brief Intervention, and Referral to Treatment. Substance Abuse and Mental Health Services Administration Rockville; 2015.

    Google Scholar 

  2. Los Angeles County Substance Abuse Prevention and Control. Transformation of the Los Angeles County Substance Use Disorder System of Care. Los Angeles County Department of Public Health Los Angeles; 2016.

    Google Scholar 

  3. Proctor EK, Landsverk J, Aarons GA, et al. Implementation research in mental health services: An emerging science with conceptual, methodological, and training challenges. Administration and Policy in Mental Health and Mental Health Services Research 2009; 36(1): 24–34.

    Article  PubMed  Google Scholar 

  4. 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.

  5. Straussner SLA. Ethnocultural factors in substance abuse treatment. Guilford Press New York City; 2012.

    Google Scholar 

  6. Novins DK, Aarons GA, Conti SG, et al. Use of the evidence base in substance abuse treatment programs for American Indians and Alaska natives: pursuing quality in the crucible of practice and policy. Implementation Science 2011; 6(1): 63.

    Article  PubMed  Google Scholar 

  7. Evidence Based Medicine Working Group. Evidence based medicine: a new approach to teaching the practice of medicine. The Journal of the American Medical Association 1992; 268: 2420–2425.

    Article  Google Scholar 

  8. Greenhalgh T, Howick J, Maskrey N. Evidence based medicine: a movement in crisis? British Medical Journal 2014; 348: g3725.

    Article  PubMed  Google Scholar 

  9. Cabassa LJ, Baumann AA. A two-way street: Bridging implementation science and cultural adaptations of mental health treatments. Implementation Science. 2013; 8(1): 90.

    Article  PubMed  Google Scholar 

  10. Substance Abuse and Mental Health Services Administration [SAMHSA]. SAMHSA’s national registry of evidence-based programs and practices. 2010; http://www.nrepp.samhsa.gov/. Accessed May 4, 2010.

  11. Melas CD, Zampetakis LA, Dimopoulou A, et al. Evaluating the properties of the Evidence-Based Practice Attitude Scale (EBPAS) in health care. Psychological Assessment 2012; 24(4):867–76.

  12. Pignotti M, Thyer BA. Use of novel unsupported and empirically supported therapies by licensed clinical social workers: An exploratory study. Social Work Research. 2009;33(1):5–17.

    Article  Google Scholar 

  13. Gioia D. Using an organizational change model to qualitatively understand practitioner adoption of evidence-based practice in community mental health. Best Practices in Mental Health: An International Journal 2007;3(1):1–15.

    Google Scholar 

  14. Anderson JM. National Institutes of Health, Tribal Health Research Office Director’s Announcement. 2017.

  15. Moore LA, Aarons GA, Davis JH, et al. How do providers serving American Indians and Alaska Natives with substance abuse problems define evidence-based treatment? Psychological Services. 2015;12(2):92–100.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Novins DK. R01DA022239 Evidence-Based Practices And Substance Abuse Treatment For Native Americans.

  17. Rieckmann T, Moore LA, Croy CD, et al. A national study of American Indian and Alaska Native substance abuse treatment: provider and program characteristics. Journal of Substance Abuse Treatment. 2016; 68:46–56.

  18. Novins DK, Moore LA, Beals J, et al. A framework for conducting a national study of substance abuse treatment programs serving American Indian and Alaska Native communities. The American Journal of Drug and Alcohol Abuse. 2012; 38(5): 518–22.

  19. Aarons GA, Ehrhart MG, Torres EM, et al. Validation of the Implementation Leadership Scale (ILS) in substance use disorder treatment organizations. Journal of Substance Abuse Treatment. 2016;68:31–35.

    Article  PubMed  PubMed Central  Google Scholar 

  20. 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.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Aarons GA, Glisson C, Hoagwood K, et al. Psychometric properties and United States national norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment 2010;22(2):356–365.

    Article  PubMed  Google Scholar 

  22. Aarons GA, McDonald EJ, Sheehan AK, et al. Confirmatory factor analysis of the evidence-based practice attitude scale (EBPAS) in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Services Research 2007; 34: 465–469.

    Article  PubMed  Google Scholar 

  23. Henggeler SW, Chapman JE, Rowland MD, et al. Statewide adoption and initial implementation of contingency management for substance abusing adolescents. Journal of Consulting and Clinical Psychology 2008; 76(4): 556–567.

    Article  PubMed  PubMed Central  Google Scholar 

  24. 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(2): 159–169.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Guerrero EG, He A, Kim A, Aarons GA. Organizational Implementation of Evidence-Based Substance Abuse Treatment in Racial and Ethnic Minority Communities. Administration and Policy in Mental Health and Mental Health Services Research 2014; 41(6):737–749.

    Article  PubMed  Google Scholar 

  26. DiMeo MA, Moore GK, Lichtenstein C. Relationship of evidence-based practice and treatments: A survey of community mental health providers. Journal of Community Psychology 2012; 40(3): 341–357.

    Article  Google Scholar 

  27. APA Presidential Task Force on Evidence-Based Practice. Evidence-Based Practice in Psychology. American Psychologist 2006; 61(4): 271–285.

    Article  Google Scholar 

  28. Whaley AL, Davis KE. Cultural competence and evidence-based practice in mental health services: A complementary perspective. American Psychologist 2007; 62(6): 563–574.

    Article  PubMed  Google Scholar 

  29. Hoagwood K, Burns BJ, Kiser L, et al. Evidence-based practice in child and adolescent mental health services. Psychiatric Services 2001; 52(9): 1179–1189.

    Article  CAS  PubMed  Google Scholar 

  30. Hoagwood K, Burns BJ, Kiser L, et al. Evidence-based practice in child and adolescent mental health services. Psychiatric Services 2001; 52(9): 1179–1189.

  31. Biesta G. Why “what works” won’t work: Evidence-based practice and the democratic deficit in educational research. Educational theory 2007; 57(1): 1–22.

    Article  Google Scholar 

  32. Aarons GA, Ehrhart MG, Farahnak LR, et al. Aligning leadership across systems and organizations to develop a strategic climate for evidence-based practice implementation. Annual Review of Public Health,. 2014; 35: 255–274.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Reding ME, Chorpita BF, Lau AS, et al. Providers’ attitudes toward evidence-based practices: is it just about providers, or do practices matter, too? Administration and Policy in Mental Health and Mental Health Services Research 2014; 41(6): 767–776.

    Article  PubMed  Google Scholar 

  34. Stewart RES, S W, Chambless DL. A qualitative investigation of practicing psychologists’ attitudes toward research-informed practice: Implications for dissemination strategies. . Professional Psychology, Research and Practice 2012; 43(2): 100.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Institute of Medicine [IOM]. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.

    Google Scholar 

  36. APA. Report of the 2005 Presidential Task Force on evidence-based practice. 2005: 1–28.

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Acknowledgments

The authors thank the communities, agencies, supervisors, and service providers that made these studies possible.

Funding

The AI/AN data collection was funded by the National Institute on Drug Abuse (R01DA022239) and the non-AI/AN data by National Institute of Mental Health (R21MH098124, R21MH082731, R01MH072961, and R01MH092950), and National Institute on Drug Abuse (R01DA038466).

Author information

Affiliations

  1. Curtin University, GPO Box U1987, Perth, WA, 6845, Australia

    Joanna C. Moullin PhD

  2. Child and Adolescent Research Centre, San Diego, USA

    Joanna C. Moullin PhD & Gregory A. Aarons PhD

  3. Centers for American Indian and Alaska Native Health, University of Colorado Denver, Denver, CO, USA

    Laurie A. Moore MPH & Douglas K. Novins MD

  4. University of California San Diego, La Jolla, CA, USA

    Gregory A. Aarons PhD

Authors
  1. Joanna C. Moullin PhD
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  2. Laurie A. Moore MPH
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  3. Douglas K. Novins MD
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  4. Gregory A. Aarons PhD
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Corresponding author

Correspondence to Joanna C. Moullin PhD.

Ethics declarations

The AI/AN study was approved by the Colorado Multiple Institutional Review Board and the Oregon Health and Science University’s Institutional Review Board. The Indian Health Service Institutional Review Board (IHS-IRB) classified the study as not human subjects’ research. The non-AI/AN study was approved by the Institutional Review Board of San Diego State University.

Conflict of Interest

The authors declare that they have no conflicts of interest.

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Cite this article

Moullin, J.C., Moore, L.A., Novins, D.K. et al. Attitudes Towards Evidence-Based Practice in Substance Use Treatment Programs Serving American Indian Native Communities. J Behav Health Serv Res 46, 509–520 (2019). https://doi.org/10.1007/s11414-018-9643-6

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  • DOI: https://doi.org/10.1007/s11414-018-9643-6

Keywords

  • Evidence-based practice
  • Attitudes
  • American Indian/Alaskan Native
  • Substance use disorder treatment
  • Implementation