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The Theory of Planned Behavior Applied to Consumer Engagement in Evidence-Based Services

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Abstract

Objectives

Despite extensive research supporting the efficacy of certain youth mental health treatments over others, actual use of these interventions in clinical practice continues to be low. Efforts focused on the dissemination and implementation of evidence-based services (EBS) may be aided by utilization of the theory of planned behavior (TPB) to explore behavioral change related to parents’ treatment-related decision-making.

Methods

The current study describes the investigation of consumer perspectives on EBS within a TPB framework through a content validation process (interviews with caregivers, theme generation through template analysis, item modification and evaluation) that sought collaboration with multiple stakeholders (caregivers, a university panel, mental health workers, parent advocates) for connecting research with practice.

Results

Such detailed efforts resulted in the development of the Parent Engagement in Evidence-Based Services (PEEBS) survey questionnaire, consisting of 66 consumer-centric statements that were guided by the TPB and evidenced adequate language appropriateness, content validity, and readability scores. Survey items organized into five domains both consistent with (attitudes, perceived behavioral control, subjective norms, behavioral intention) the TPB in addition to general treatment factors that parents cited towards seeking EBS. Pilot data from a small sample (n = 30) of parents indicated preliminary and acceptable feasibility, interpretability, and varying levels of internal consistency for the PEEBS.

Conclusions

Following the development and refinement of items, future studies focused on the psychometric properties of the measure are warranted.

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Author Contributions:

J.P.C. executed the study, analyzed the data, wrote a thesis on which the paper is based and collaborated with the writing. T.O. collaborated with the conceptualization and writing of the manuscript. All authors critically revised the manuscript for intellectual content and have read and approved the final manuscript.

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  1. University of Hawai’i at Mānoa, Honolulu, HI, USA

    Jaime P. Chang, Trina E. Orimoto, Spencer K. J. Choy & Brad J. Nakamura

  2. Worcester State University, Worcester, MA, USA

    Alexandra Burgess

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Correspondence to Jaime P. Chang.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This study was approved by the University of Hawai’i at Mānoa’s Institutional Review Board.

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Chang, J.P., Orimoto, T.E., Burgess, A. et al. The Theory of Planned Behavior Applied to Consumer Engagement in Evidence-Based Services. J Child Fam Stud 28, 2963–2976 (2019). https://doi.org/10.1007/s10826-019-01472-y

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