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Providers’ Attitudes Toward Evidence-Based Practices: Is it Just About Providers, or Do Practices Matter, Too?

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Administration and Policy in Mental Health and Mental Health Services Research Aims and scope Submit manuscript

Abstract

Evidence-based practice (EBP) attitudes were measured in a sample of Los Angeles County mental health service providers. Three types of data were collected: provider demographic characteristics, attitudes toward EBP in general, and attitudes toward specific EBPs being implemented in the county. Providers could reliably rate characteristics of specific EBPs, and these ratings differed across interventions. Preliminary implementation data indicate that appealing features of an EBP relate to the degree to which providers use it. These findings suggest that assessing EBP-specific attitudes is feasible and may offer implementation-relevant information beyond that gained solely from providers’ general attitudes toward EBP.

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References

  • Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74. doi:10.1023/B:MHSR.0000024351.12294.65.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aarons, G. A., & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 3(1), 61–72. doi:10.1037/1541-1559.3.1.61.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aarons, G. A., McDonald, E. J., Sheehan, A. K., & Walrath-Greene, C. M. (2007). Confirmatory factor analysis of the Evidence-Based Practice Attitude Scale in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health, 34(5), 465–469. doi:10.1007/s10488-007-0127-x.

    Article  PubMed  Google Scholar 

  • Aarons, G. A., & Palinkas, L. A. (2007). Implementation of evidence-based practice in child welfare: Service provider perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 34(4), 411–419. doi:10.1007/s10488-007-0121-3.

    Article  PubMed  Google Scholar 

  • Aarons, G. A., Fettes, D. L., Flores, L. E., & Sommerfeld, D. H. (2009a). Evidence-based practice implementation and staff emotional exhaustion in children’s services. Behavior Research and Therapy, 47(11), 954–960. doi:10.1016/j.brat.2009.07.006.

    Article  Google Scholar 

  • Aarons, G. A., Wells, R. S., Zagursky, K., Fettes, D. L., & Palinkas, L. A. (2009b). Implementing evidence-based practice in community mental health agencies: A multiple stakeholder analysis. American Journal of Public Health, 99(11), 2087–2095. doi:10.2105/AJPH.2009.161711.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aarons, G. A., Glisson, C., Hoagwood, K., Kelleher, K., Landsverk, J., & Cafri, G. (2010). Psychometric properties and U.S. National norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment, 22(2), 356–365. doi:10.1037/a0019188.

    Article  PubMed  Google Scholar 

  • Aarons, G. A., Hurlburt, M. S., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health, 38(1), 4–23. doi:10.1007/s10488-010-0327-7.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aarons, G. A., & Sommerfeld, D. H. (2012). Leadership, innovation climate, and attitudes toward evidence-based practice during a statewide implementation. Journal of the American Academy of Child and Adolescent Psychology, 51(4), 423–431. doi:10.1016/j.jaac.2012.01.018.

    Article  Google Scholar 

  • Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A. (2012a). Expanding the domains of attitudes towards evidence-based practice: The Evidence Based Practice Attitude Scale-50. Administration and Policy in Mental Health, 39(5), 331–340. doi:10.1007/s10488-010-0302-3.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aarons, G. A., Glisson, C., Green, P. D., Hoagwood, K., Kelleher, K. J., Landsverk, J., et al. (2012b). The organizational social context of mental health services and clinician attitudes toward evidence-based practice: A United States national study. Implementation Science, 7, 56. doi:10.1186/1748-5908-7-56.

    Article  PubMed  PubMed Central  Google Scholar 

  • Bickman, L. (2008). A measurement feedback system (MFS) is necessary to improve mental health outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 47(10), 1114–1119. doi:10.1097/CHI.0b013e3181825af8.

    Article  PubMed  PubMed Central  Google Scholar 

  • Borntrager, C. F., Chorpita, B. F., Higa-McMillan, C., & Weisz, J. R. (2009). Provider attitudes toward evidence-based practices: Are the concerns with the evidence or with the manuals? Psychiatric Services (Washington, D.C.), 60(5), 677–681. doi:10.1176/appi.ps.60.5.677.

    Article  Google Scholar 

  • Brookman-Frazee, L., Haine, R. A., Baker-Ericzén, M., Zoffness, R., & Garland, A. F. (2010). Factors associated with use of evidence-based practice strategies in usual care youth psychotherapy. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 254–269. doi:10.1007/s10488-009-0244-9.

    Article  PubMed  PubMed Central  Google Scholar 

  • Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77, 566–579. doi:10.1037/a0014565.

    Article  PubMed  Google Scholar 

  • Chorpita, B. F., & Daleiden, E. L. (2013). Structuring the collaboration of science and service in pursuit of a shared vision. Journal of Clinical Child & Adolescent Psychology. doi:10.1080/15374416.2013.828297.

  • Chorpita, B. F., Rotheram-Borus, M. J., Daleiden, E. L., Bernstein, A., Cromley, T., Swendeman, D., et al. (2011). The old solutions are the new problem: How do we better use what we already know about reducing the burden of mental illness? Perspectives on Psychological Science, 6(5), 493–497. doi:10.1177/1745691611418240.

    Article  Google Scholar 

  • Cooper, J. L., Aratani, Y., Knitzer, J., Rachel, A. D., Patti, M., & Sarah, B. (2008). Unclaimed children revisited: The status of children’s mental health policy in the United States (November). Retrieved October 22, 2012, from http://academiccommons.columbia.edu/catalog/ac:126417.

  • Cooper, J. L., & Aratani, Y. (2009). The status of states’ policies to support evidence-based practices in children’s mental health. Psychiatric Services, 60(12), 1672–1675. doi:10.1176/appi.ps.60.12.1672.

    Article  PubMed  Google Scholar 

  • Daleiden, E. L., Chorpita, B. F., Donkervoet, C. M., Arensdorf, A. A., & Brogan, M. (2006). Getting better at getting them better: Health outcomes and evidence-based practice within a system of care. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 749–756. doi:10.1097/01.chi.0000215154.07142.63.

    Article  PubMed  Google Scholar 

  • Garland, A. F., Bickman, L., & Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by investigating usual mental health care. Administration and Policy in Mental Health, 37, 15–26. doi:10.1007/s10488-010-0279-y.

    Article  PubMed  PubMed Central  Google Scholar 

  • Isett, K. R., Burnam, M. A., Coleman-Beattie, B., Hyde, P. S., Morrissey, J. P., Magnabosco, J., et al. (2007). The state policy context of implementation issues for evidence-based practices in mental health. Psychiatric Services, 58(7), 914–921. doi:10.1176/appi.ps.58.7.914.

    Article  PubMed  Google Scholar 

  • Jensen-Doss, A., Cusack, K. J., & de Arellano, M. A. (2008). Workshop-based training in trauma-focused CBT: An in-depth analysis of impact on provider practices. Community Mental Health Journal, 44, 227–244. doi:10.1007/s10597-007-9121-8.

    Article  PubMed  Google Scholar 

  • Jensen-Doss, A., Hawley, K. M., Lopez, M., & Osterberg, L. D. (2009). Using evidence-based treatments: The experiences of youth providers working under a mandate. Professional Psychology: Research and Practice, 40(4), 417–424. doi:10.1037/a0014690.

    Article  Google Scholar 

  • Kazdin, A. E. (2008). Evidence-based treatment and practice: New opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. American Psychologist, 63(3), 146–159. doi:10.1037/0003-066X.63.3.146.

    Article  PubMed  Google Scholar 

  • Lim, A., Nakamura, B. J., Higa-McMillan, C. K., Shimabukuro, S., & Slavin, L. (2012). Effects of workshop trainings on evidence-based practice attitudes among youth community mental health providers. Behavior Research and Therapy, 50(6), 397–406. doi:10.1016/j.brat.2012.03.008.

    Article  Google Scholar 

  • McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments. A review of current efforts. The American psychologist, 65(2), 73–84. doi:10.1037/a0018121.

    Article  PubMed  Google Scholar 

  • Nelson, T. D., & Steele, R. G. (2007). Predictors of practitioner self-reported use of evidence-based practices: Practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health, 34(4), 319–330. doi:10.1007/s10488-006-0111-x.

    Article  PubMed  Google Scholar 

  • Norcross, J. C., Hedges, M., & Prochaska, J. O. (2002). The face of 2010: A Delphi poll on the future of psychotherapy. Professional Psychology: Research and Practice, 33(3), 316–322. doi:10.1037//0735-7028.33.3.316.

    Article  Google Scholar 

  • Southam-Gerow, M. A., Daleiden, E. L., Chorpita, B. F., Bae, C., Mitchell, C., Faye, M., et al. (2013). MAPping Los Angeles County: Taking an evidence-informed model of mental health care to scale. Journal of Clinical Child & Adolescent Psychology. doi:10.1080/15374416.2013.833098.

  • Southam-Gerow, M. A., Hourigan, S. E., & Allin, R. B. (2009). Adapting evidence-based mental health treatments in community settings: Preliminary results from a partnership approach. Behavior Modification, 33, 82–103. doi:10.1177/0145445508322624.

    Article  PubMed  PubMed Central  Google Scholar 

  • Torrey, W. C., Bond, G. R., McHugo, G. J., & Swain, K. (2012). Evidence-based practice implementation in community mental health settings: The relative importance of key domains of implementation activity. Administration and Policy in Mental Health, 39, 353–364. doi:10.1007/s10488-011-0357-9.

    Article  PubMed  Google Scholar 

  • Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. K., Miranda, J., Bearman, S. K., et al. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69(3), 1–9. doi:10.1001/archgenpsychiatry.2011.147.

    Article  Google Scholar 

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Correspondence to Michael E. J. Reding.

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Reding, M.E.J., Chorpita, B.F., Lau, A.S. et al. Providers’ Attitudes Toward Evidence-Based Practices: Is it Just About Providers, or Do Practices Matter, Too?. Adm Policy Ment Health 41, 767–776 (2014). https://doi.org/10.1007/s10488-013-0525-1

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