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Predictors of Practitioner Self-reported Use of Evidence-Based Practices: Practitioner Training, Clinical Setting, and Attitudes Toward Research

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Abstract

In light of the recent movement toward evidence-based practice (EBP) in mental health services, practitioner adoption of EBPs in clinical settings has emerged as an important area for study. This paper reports on the results of a national online survey of mental health practitioners in an attempt to identify correlates of self-reported EBP use in practice. The survey consisted of 214 mental health practitioners from 15 states drawn from a diverse set of clinical settings and representing a variety of theoretical orientations. The results indicated that practitioner training (i.e., taking a class in EBPs), the perceived openness of the clinical setting toward EBPs, and the practitioner’s attitudes toward treatment research were significant predictors of self-reported EBP use. The relationship between clinical setting and EBP use was partially mediated by attitudes toward treatment research. Negative attitudes toward treatment research partially mediated the relationship between practitioner training and self-reported EBP use. The findings are presented within the context of efforts to increase EBP use in clinical settings and implications for clinical training, treatment research, and EBP dissemination efforts are discussed.

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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, 61–74.

    Article  PubMed  Google Scholar 

  • Addis, M. E., & Krasnow, A. D. (2000). A national survey of practicing psychologists’ attitudes toward psychotherapy treatment manuals. Journal of Consulting and Clinical Psychology, 68, 331–339.

    Article  PubMed  CAS  Google Scholar 

  • American Psychological Association (2002). Guidelines and procedures for accreditation of programs in professional psychology. Washington, DC: American Psychological Association.

    Google Scholar 

  • American Psychological Association (2005). Policy statement on evidence-based practice in psychology. Accessed at http://www.apa.org/practice/ebpstatement.pdf, 10 February 2006.

  • Balas, E. A., & Boren, S. A. (2000). Managing clinical knowledge for health care improvement. Yearbook of Medical Informatics 2000. Bethesda, MD: National Institute of Mental Health.

  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.

    Article  PubMed  CAS  Google Scholar 

  • Beutler, L. E., Williams, R. E., Wakefield, & P. J., Entwistle, S. R. (1995). Bridging scientist and practitioner perspectives in clinical psychology. American Psychologist, 50, 984–994.

    Article  PubMed  CAS  Google Scholar 

  • Brown, P. J., Read, J. P., & Kahler, C. W. (2003). Comorbid posttraumatic stress disorder and substance use disorders: Treatment outcomes and the role of coping. In P. Brown & P. Ouimette (Eds.), Trauma and substance abuse: Causes, consequences, and treatment of comorbid disorders. (pp. 171–188). Washington, DC, USA: American Psychological Association.

    Google Scholar 

  • Chambless, D. L., & Hollon, S. D. (1998). Defining empirically supported therapies. Journal of Consulting and Clinical Psychology, 66, 7–18.

    Article  PubMed  CAS  Google Scholar 

  • Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.

    Article  PubMed  CAS  Google Scholar 

  • Chambless, D. L., Sanderson, W. C., Shoham, V., Bennett-Johnson, S. B., Pope, K. S., Crits-Christoph, P., et al. (1996). An update on empirically validated therapies. The Clinical Psychologist, 49, 5–18.

    Google Scholar 

  • Flannery-Schroeder, E., Suveg, C., Safford, S., Kendall, P. C., & Webb, A. (2004). Comorbid externalising disorders and child anxiety treatment outcomes. Behaviour Change, 21, 14–25.

    Article  Google Scholar 

  • Glisson, C., & Schoenwald, S. K. (2005). The ARC organizational and community intervention strategy for implementing evidence-based children’s mental health treatments. Mental Health Services Research, 7, 243–259.

    Article  PubMed  Google Scholar 

  • Greenhalgh, T., Robert, G., MacFarlane, F., Bate, P., Kyriakidou, O. (2004). Diffusions of innovations in service organizations: Systematic review and recommendations. The Milbank Quarterly, 82, 581–629.

    Article  PubMed  Google Scholar 

  • Hoagwood, K., & Olin, S. (2002). The NIMH blueprint for change report: Research priorities in child and adolescent mental health. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 760–767.

    Article  PubMed  Google Scholar 

  • Institute of Medicine (2001). Crossing the quality chasm: A new health system for the century. Washington, DC: National Academy Press.

    Google Scholar 

  • Kazdin, A. E. (1997). A model for developing effective treatments: Progression and interplay of theory, research, and practice. Journal of Clinical Child Psychology, 26, 114–129.

    Article  PubMed  CAS  Google Scholar 

  • Kazdin, A. E., Siegel. T. C., & Bass, D. (1990). Drawing upon clinical practice to inform research on child and adolescent psychotherapy: A survey of practitioners. Professional Psychology: Research and Practice, 21, 189–198.

    Article  Google Scholar 

  • Lenze, E. J., Mulsant, B. H., Dew, M. A., Shear, M., Houck, P., Pollock, B. G., et al. (2003). Good treatment outcomes in late-life depression with comorbid anxiety. Journal of Affective Disorders, 77, 247–254.

    Article  PubMed  Google Scholar 

  • National Institute of Mental Health (1998). Bridging science and service: A report by the National Advisory Mental Health Council’s Clinical Treatment and Services Research Workgroup. Bethesda, MD: National Institutes of Health.

    Google Scholar 

  • Nelson, T. D., & Steele, R. G. (2006). Beyond efficacy and effectiveness: A multifaceted approach to treatment evaluation. Professional Psychology: Research and Practice, 37, 389–397.

    Article  Google Scholar 

  • Nelson, T. D., Steele, R. G., & Mize, J. A. (2006). Practitioner attitudes toward evidence-based practice: Themes and challenges. Administrative Policy in Mental Health and Mental Health Services Research, 33, 398–409.

    Article  Google Scholar 

  • New Freedom Commission on Mental Health (2003). Achieving the promise: Transforming mental health care in America. Final Report. DHHS Pub. No. SMA-03-3832. Rockville, MD.

  • Ollendick, T. H., & Davis, T. E. (2004). Empirically supported treatments for children and adolescents: Where to from here? Clinical Psychology: Science and Practice, 11, 289–294.

    Article  Google Scholar 

  • Persons, J. B., & Silberschatz, G. (1998). Are results of randomized controlled trials useful to psychotherapists? Journal of Consulting and Clinical Psychology, 66, 126–135.

    Article  PubMed  CAS  Google Scholar 

  • Preacher, K. J., & Leonardelli, G. J. (2003). Calculation for the Sobel test. Accessed at: http://www.unc.edu/∼preacher/sobel/sobel.htm, 17 April 2006.

  • Schoenwald S. K, & Hoagwood K. (2001). Effectiveness, transportability, and dissemination of interventions: What matters when? Psychiatric Services, 52, 1190–1197.

    Article  PubMed  CAS  Google Scholar 

  • Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A, Nuro, K. F., & Carroll, K. M. (2005). We don’t train in vain: A dissemination trail of three strategies of training clinicians in cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 73, 106–115.

    Article  PubMed  Google Scholar 

  • Smith-Boydston, J. M., & Nelson, T. D. (in press). Adoption of EBTs in community settings: Obstacles and opportunities. In R. G. Steele, D. Elkin, & M. C. Roberts (Eds.), Handbook of evidence based therapies for children and adolescents..

  • Stirman, S. W., Crits-Christoph, P., & DeRubeis, R. J. (2004). Achieving successful dissemination of empirically supported psychotherapies: A synthesis of dissemination theory. Clinical Psychology: Science and Practice, 11, 343–359.

    Article  Google Scholar 

  • Substance Abuse and Mental Health Services Administration (n.d.) (2005). Mental health services locator. Retrieved 10 December 2005, from http://www.mentalhealth.samhsa.gov/databases.

  • Woody, S. R., Weisz, J., & McLean, C. (2005). Empirically supported treatments: 10 years later. The Clinical Psychologist, 58, 5–11.

    Google Scholar 

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Authors and Affiliations

  1. 2006 Dole Human Development Center, University of Kansas, 1000 Sunnyside Avenue, Lawrence, KS, 66045, USA

    Timothy D. Nelson & Ric G. Steele

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  1. Timothy D. Nelson
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  2. Ric G. Steele
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Correspondence to Timothy D. Nelson.

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At the time of this submission, this paper has not been presented at a professional meeting.

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Nelson, T.D., Steele, R.G. Predictors of Practitioner Self-reported Use of Evidence-Based Practices: Practitioner Training, Clinical Setting, and Attitudes Toward Research. Adm Policy Ment Health 34, 319–330 (2007). https://doi.org/10.1007/s10488-006-0111-x

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  • DOI: https://doi.org/10.1007/s10488-006-0111-x

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