Background
Organizational culture and climate
Implementation climate
Transformational leadership
Implementation leadership
Knowledge of and attitudes toward evidence-based practices
Study purpose and hypotheses
Methods
Setting
Agencies and participants
Procedure
Measures
Predictor variables
Dependent variables
Data analysis
Results
Descriptive statistics
Variable | Statistic |
---|---|
Race/ethnicity (n = 123 therapists) | |
Asian | 6 (5) |
African American | 27 (22) |
White | 67 (55) |
Hispanic | 13 (11) |
Multiracial | 5 (4) |
Other | 5 (4) |
Educational background (n = 124 therapists) | |
Bachelor’s degree | 5 (4) |
Master’s degree | 107 (86) |
Doctoral degree | 12 (10) |
Time at current organization, mean years (n = 124 therapists) | 2 (1–4) |
Sex (n = 129 therapists) | |
Male | 30 (23) |
Female | 99 (76) |
Age, mean years (n = 122 therapists) | 35 (29–47) |
Clinical experience, mean years (n = 122 therapists) | 5 (2–10) |
Employment status (n = 119 therapists) | |
Independent contractors | 67 (56) |
Salaried | 52 (44) |
Variable | Median (IQR) |
---|---|
Organizational characteristics | |
Cumulative years participating in EBP initiatives | 3.0 (0–5.0) |
Program size (number of therapists) | 9.5 (7.0–25.0) |
Proportion of staff that are independent contractors | 0.8 (0.4–0.9) |
Organizational social context | |
Proficient culture | 55.6 (45.8–59.4) |
Rigid culture | 58.0 (53.0–63.2) |
Resistant culture | 64.2 (56.8–74.7) |
Engaged climate | 54.2 (48.8–58.7) |
Functional climate | 62.1 (55.3–72.2) |
Stressful climate | 55.5 (51.8–59.2) |
Implementation climate | |
Focus on EBPs | 2.4 (1.8–2.9) |
Educational support | 1.6 (1.3–2.0) |
Recognition | 2.0 (1.7–2.6) |
Rewards | 0.4 (0.3–1.0) |
Staff selection | 2.3 (2.0–2.9) |
Openness | 2.9 (2.3–3.4) |
Transformational leadership | |
Idealized influence (attributed) | 3.0 (2.6–3.3) |
Idealized influence (behavior) | 2.8 (2.3–3.3) |
Inspirational motivation | 3.0 (2.6–3.5) |
Intellectual stimulation | 2.6 (2.3–3.1) |
Individualized consideration | 2.8 (2.3–3.8) |
Implementation leadership | |
Proactive | 2.1 (1.8–2.9) |
Knowledgeable | 2.9 (2.3–3.3) |
Supportive | 3.0 (2.7–3.4) |
Perseverant | 2.8 (2.4–3.3) |
Predictors of therapists’ knowledge of EBPs
KEBSQ 94.00 (89.50–101) | EBPAS Requirements 3.00 (2.00–3.67) | EBPAS Appeal 3.25 (2.67–3.75) | EBPAS Openness 3.00 (2.50–3.75) | EBPAS Divergence 1.25 (0.75–1.75) | EBPAS Total 3.00 (2.56–3.32) | |
---|---|---|---|---|---|---|
Parameter estimates | ||||||
General organizational factors | ||||||
Organizational characteristics | ||||||
Cumulative years in initiatives | 1.38 | 0.05 | 0.09 | −0.06 | −0.05 | 0.03 |
Program size | 0.14 | 0.00 | −0.00 | −0.00 | −0.00 | 0.00 |
Individual contractor ratio | −2.81 | −0.33 | −0.61 | 0.15 | 0.23 | −0.26 |
Organizational social context | ||||||
Proficient culture | 0.68* | −0.04 | 0.01 | −0.04 | −0.01 | −0.02 |
Rigid culture | 0.11 | 0.04 | 0.05* | −0.01 | 0.02 | 0.02 |
Resistant culture | −0.61* | −0.00 | −0.03 | 0.02 | 0.01 | −0.01 |
Engaged climate | −0.79 | 0.12 | 0.03 | 0.06 | −0.05 | 0.07* |
Functional climate | −1.10* | −0.00 | −0.10* | 0.04 | 0.05 | −0.03 |
Stressful climate | −0.15 | −0.10 | −0.10* | 0.00 | 0.00 | −0.05 |
Transformational leadership | ||||||
Idealized influence (attributed) | 10.23* | 0.36 | −0.16 | −0.11 | 0.51 | −0.10 |
Idealized influence (behavior) | −4.18 | 0.46 | 0.56 | −0.00 | 1.06 | −0.01 |
Inspirational motivation | −0.66 | 0.21 | 0.79 | 0.16 | −0.88* | 0.51 |
Intellectual stimulation | 1.74 | −0.40 | 0.03 | 0.19 | −0.50 | 0.08 |
Individual consideration | −1.41 | −1.33 | −0.99* | −0.53 | 0.30 | −0.79* |
Strategic organizational factors | ||||||
Implementation climate | ||||||
Focus on EBPs | 3.31 | −0.45 | 0.12 | 0.18 | 0.02 | −0.04 |
Educational support | 3.18 | 1.95** | 1.12* | 0.16 | −1.06* | 1.07** |
Recognition team | 7.90 | −0.38 | −0.34 | −0.10 | −0.25 | −0.14 |
Reward team | −8.51* | −0.32 | −0.23 | 0.12 | 0.63* | −0.27 |
Staff selection | 4.40 | −1.62 | −1.19 | −0.25 | 0.50 | −0.89 |
Selection openness | −3.77 | 0.60 | 1.05* | 0.06 | −0.38 | 0.52 |
Implementation leadership | ||||||
Proactive | −4.30 | 1.50 | 1.17* | 0.57 | 0.04 | 0.80* |
Knowledgeable | 3.68 | −0.17 | 0.38 | −0.01 | −0.59* | 0.20 |
Supportive | −3.01 | 0.90 | 0.32 | −0.29 | −0.60 | 0.38 |
Perseverant | 2.32 | −2.48** | −1.94* | −0.46 | 0.91 | −1.49** |