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25-05-2019 | Original Paper | Uitgave 11/2019

Journal of Child and Family Studies 11/2019

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

Journal of Child and Family Studies > Uitgave 11/2019
Jaime P. Chang, Trina E. Orimoto, Alexandra Burgess, Spencer K. J. Choy, Brad J. Nakamura
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Supplementary information

The online version of this article (https://​doi.​org/​10.​1007/​s10826-019-01472-y) contains supplementary material, which is available to authorized users.
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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.


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.


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.


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

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