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Therapist Attitudes Towards Evidence-Based Practice: A Joint Factor Analysis

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Abstract

Despite the accumulated research support for the use of evidence-based practices (EBPs) with youth, these treatment approaches remain underutilized in community settings. Therapist attitudes towards EBPs play a pivotal role in their adoption and implementation of these practices. The present investigation employs joint exploratory factor analysis to evaluate the structure of two measures of therapist attitudes, the Evidence-Based Practices Attitudes Scale and the Modified Practice Attitude Scale. Results suggest three factors including (a) importance of clinical experience over EBPs, (b) clinician openness to change, and (c) problems with EBPs. Recommendations are provided for future evaluation of therapist attitudes and associated characteristics.

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References

  1. McHugh R, Barlow DH. The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist 2010; 65(2): 73–84.

  2. Weisz J, Jensen-Doss A, Hawley K. Evidence-based youth psychotherapies versus usual clinical care: a meta-analysis of direct comparisons. American Psychologist 2006; 61(7): 671–689.

    Article  PubMed  Google Scholar 

  3. 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 

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

  5. Silverman WK, Hinshaw SP. The second special issue on evidence-based psychosocial treatments for children and adolescents: A 10-year update. Journal of Clinical Child and Adolescent Psychology 2008; 37(1): 1–7.

  6. Hoagwood K, Olin S. The NIMH blueprint for change report: Research priorities in child and adolescent mental health. Journal of the American Academy of Child & Adolescent Psychiatry 2002; 41(7): 760–767.

  7. Sheehan AK, Walrath CM, Holden EW, et al. Evidence-based practice use, training, and implementation in the community-based service setting: A survey of children’s mental health service providers. Journal of Child and Family Studies 2007; 16: 169–182.

  8. Becker KD, Nakamura BJ, Young J, et al. What better place than here? What better time than now? ABCT’s burgeoning role in the dissemination and implementation of evidence-based practices. The Behavior Therapist 2009; 32: 89–96.

    Google Scholar 

  9. Chorpita BF, Regan J. Dissemination of effective mental health treatment procedures: maximizing the return on a significant investment. Behaviour Research & Therapy 2009; 47: 990–993.

    Article  Google Scholar 

  10. Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science 2009; 4: 50.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Greenhalgh T, Robert G, MacFarlane F, et al. Diffusion of innovations in service organizations: Systematic review and recommendations. Milbank Quarterly [serial online]. 2004; 82(4): 581–629.

  12. 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: 61–74.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Nakamura BJ, Higa-McMillan CK, Okamura KH, et al. Knowledge of and attitudes towards evidence-based practices in community child mental health practitioners. Administration and Policy in Mental Health and Mental Health Services Research 2011; 38(4): 287–300.

    Article  PubMed  Google Scholar 

  14. Armitage CJ, Conner M. Efficacy of the theory of planned behaviour: A meta-analytic review. British Journal of Social Psychology 2001; 40(4): 471–499.

  15. Glasman LR, Albarracín D. Forming attitudes that predict future behavior: a meta-analysis of the attitude-behavior relation. Psychological Bulletin 2006; 132(5): 778–822.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Jensen-Doss A, Hawley KM, Lopez M, et al. Using evidence-based treatments: The experiences of youth providers working under a mandate. Professional Psychology: Research And Practice 2009; 40(4): 417–424.

  17. Nelson TD, Steele RG. Predictors of practitioner self-reported use of evidence-based practices: practitioner training, clinical setting, and attitudes toward research. Administration and Policy in Mental Health and Mental Health Services Research 2007; 34(4): 319–330.

    Article  PubMed  Google Scholar 

  18. Becker EM, Smith AM, Jensen-Doss A. Who’s using treatment manuals? A national survey of practicing therapists. Behaviour Research and Therapy 2013; 51: 706–710.

    Article  PubMed  Google Scholar 

  19. Leathers SJ, Strand TC. Increasing access to evidence-based practices and knowledge and attitudes: A pilot study. Research on Social Work Practice 2013; 23: 669–679.

  20. Borntrager CF, Chorpita BF, Higa-McMillan CK, et al. Provider attitudes toward evidence-based practices: Are the concerns with the evidence or with the manuals? Psychiatric Services 2009; 60: 677–681.

  21. Chorpita, B. Modular Cognitive-Behavioral Therapy for Childhood Anxiety Disorders. New York, Guilford, 2007.

  22. Aarons GA, Glisson C, Hoagwood K, et al. Psychometric properties and U.S. National norms of the Evidence‐Based Practice Attitude Scale (EBPAS). Psychological Assessment 2010; 22(2): 356–365.

    Article  PubMed  Google Scholar 

  23. SPSS, Inc. PASW® Statistics 18 Core System User’s Guide. New Jersey: Prentice Hall, 2010.

  24. Stark K, Laurent J. Joint factor analysis of the Children’s Depression Inventory and the Revised Children’s Manifest Anxiety Scale. Journal Of Clinical Child Psychology 2001; 30(4): 552–567.

    Article  CAS  PubMed  Google Scholar 

  25. Cattell RB. The scree test for the number of factors. Multivariate Behavioral Research 1966; 1: 245–276.

    Article  CAS  PubMed  Google Scholar 

  26. Nunnally JC. Psychometric Theory. 2nd ed. New York: McGraw Hill, 1978.

  27. Little RJA, Rubin DB. Statistical Analysis with Missing Data. New York: John Wiley & Sons, 1987.

  28. Gorsuch RL. Factor Analysis. 2nd Edition. New Jersey: Lawrence Erlbaum Associates, 1983.

  29. Cohen J. Quantitative methods in psychology: a power primer. Psychological Bulletin 1992; 112: 155–159.

    Article  CAS  PubMed  Google Scholar 

  30. Schriesheim C, Eisenbach R. An exploratory and confirmatory factor-analytic investigation of item wording effects on the obtained factor structures of survey questionnaire measures. Journal Of Management [serial online]. 1995; 21(6): 1177–1193.

  31. Weisz J, Chorpita B, Gibbons R, et al. Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: a randomized effectiveness trial. Archives of General Psychiatry [serial online]. March 2012; 69(3): 274–282.

  32. Lim A, Nakamura BJ, Higa-McMillan CK, et al. Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers. Behaviour Research And Therapy 2012; 50(6): 397–406.

    Article  PubMed  Google Scholar 

  33. Aarons GA, Cafri G, Lugo L, et al. Expanding the domains of attitudes towards evidence-based practice: The evidence based practice attitude scale-50. Administration and Policy in Mental Health 2012; 39: 331–340.

  34. Nakamura BJ, Mueller CW, Higa-McMillan CK, et al. Engineering youth service system infrastructure: Hawaii’s continued efforts at large-scale implementation through knowledge management strategies. Journal of Clinical Child And Adolescent Psychology 2014; 43(2), 179–189.

    Article  PubMed  Google Scholar 

  35. Ghazanfari Z, Niknami S, Ghofranipour F, et al. Development and psychometric properties of a belief-based Physical Activity Questionnaire for Diabetic Patents (PAQ-DP). BMC Medical Research Methodology 2010; 10: (104).

  36. Zemore SE, Kaskutas LA. Development and validation of the Alcoholics Anonymous Intention Measure (AAIM). Drug and Alcohol Dependence 2009; 104(3): 204–211.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Bearman SK, Weisz JR, Chorpita BF, et al. More practice, less preach? The role of supervision processes and therapist characteristics in EBP implementation. Administration and Policy in Mental Health 2013; 40: 518–529.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Nakamura, B. J., Selbo-Bruns, A., Okamura, K., et al. Developing a systematic evaluation approach for training programs within a train-the-trainer model for youth cognitive behavior therapy. Behaviour Research And Therapy 2014; 53: 10–19. doi:10.1016/j.brat.2013.12.001

    Article  PubMed  Google Scholar 

  39. Ward A, Regan J, Chorpita B, et al. Tracking evidence-based practice with youth: Validity of the MATCH and standard manual consultation records. Journal of Clinical Child and Adolescent Psychology [serial online] January 2013; 42(1): 44–55.

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Author information

Authors and Affiliations

  1. Smith College, Northampton, USA

    Alexandra M. Burgess

  2. University of Hawaii at Manoa, Honolulu, USA

    Kelsie H. Okamura, Sonia C. Izmirian & Brad J. Nakamura

  3. University of Hawaii at Hilo, Hilo, USA

    Charmaine K. Higa-McMillan

  4. Child and Adolescent Mental Health Division, State of Hawaii Department of Health, Honolulu, USA

    Scott Shimabukuro

Authors
  1. Alexandra M. Burgess
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  2. Kelsie H. Okamura
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  3. Sonia C. Izmirian
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  4. Charmaine K. Higa-McMillan
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  5. Scott Shimabukuro
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  6. Brad J. Nakamura
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Correspondence to Alexandra M. Burgess.

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Cite this article

Burgess, A.M., Okamura, K.H., Izmirian, S.C. et al. Therapist Attitudes Towards Evidence-Based Practice: A Joint Factor Analysis. J Behav Health Serv Res 44, 414–427 (2017). https://doi.org/10.1007/s11414-016-9517-8

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  • DOI: https://doi.org/10.1007/s11414-016-9517-8

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