Introduction
Methods
Item Generation
Quantitative Analysis
Participants
Procedure
Measures
Evidence-Based Practice Attitude Scale (EBPAS)
Statistical Analyses
Results
Exploratory Factor Analysis
Factor label | Item | Factor | |||||||
---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | ||
1. Limitations | 1. EBP detracts from truly connecting with your clients |
.65
| .01 | .03 | .19 | .05 | .07 | −.13 | .08 |
2. EBP makes it harder to develop a strong working alliance |
.64
| −.03 | .10 | .05 | .06 | .07 | −.06 | .06 | |
3. EBP is too simplistic |
.69
| .01 | .09 | −.14 | .11 | −.03 | −.03 | .07 | |
4. EBP is not useful for clients with multiple problems |
.89
| −.02 | −.02 | .03 | −.06 | .02 | .09 | −.10 | |
5. EBP is not useful for families with multiple problems |
.91
| .02 | −.04 | −.06 | −.05 | −.03 | .09 | −.08 | |
6. EBP is not individualized treatment |
.90
| −.01 | −.02 | .03 | −.07 | −.02 | .02 | −.02 | |
7. EBP is too narrowly focused |
.79
| .04 | −.04 | .05 | .07 | −.02 | −.08 | .04 | |
2. Fit | 8. I would adopt an EBP if my clients wanted it | .09 |
.72
| −.03 | −.02 | −.02 | .00 | −.02 | .03 |
9. I would adopt an EBP if I knew more about how my clients liked it | .14 |
.65
| −.07 | −.34 | −.04 | −.01 | .10 | .00 | |
10. I would adopt an EBP if I knew it was right for my clients | −.09 |
.78
| −.05 | .24 | −.03 | .05 | −.09 | −.07 | |
11. I would adopt an EBP if I had a say in which EBP was used | .00 |
.81
| .05 | −.04 | .06 | .00 | −.05 | −.01 | |
12. I would adopt an EBP if I had a say in how I would use the EBP | −.03 |
.80
| .05 | −.01 | .01 | −.05 | −.02 | .05 | |
13. I would adopt an EBP if it fit with my clinical approach | −.03 |
.65
| .03 | −.07 | .04 | −.01 | .11 | .06 | |
14. I would adopt an EBP if it fit with my treatment philosophy | −.02 |
.58
| .05 | .21 | −.04 | .03 | .04 | .00 | |
3. Monitoring | 15. I prefer to work on my own without oversight | .08 | .01 |
.72
| −.13 | .00 | .00 | .02 | −.04 |
16. I do not want anyone looking over my shoulder while I provide services | −.01 | −.01 |
.78
| .11 | .02 | −.01 | .05 | −.03 | |
17. My work does not need to be monitored | .00 | .02 |
.90
| .01 | −.07 | −.02 | .06 | −.02 | |
18. I do not need to be monitored | .01 | .03 |
.71
| .22 | −.07 | −.04 | .00 | −.05 | |
4. Balance | 19. I am satisfied with my skills as a therapist/case manager | .01 | .00 | .03 |
.77
| −.13 | .05 | .01 | −.07 |
20. A positive outcome in therapy is an art more than a science | .05 | −.01 | .10 |
.60
| .15 | .03 | −.01 | .07 | |
21. Therapy is both an art and a science | .01 | .03 | −.07 |
.73
| −.03 | .01 | .01 | .05 | |
22. My competence as a therapist is more important than a particular approach | .12 | .01 | .14 |
.56
| .15 | −.09 | −.02 | .03 | |
5. Burden | 23. I don’t have time to learn anything new | −.02 | .08 | .04 | −.04 |
.51
| −.02 | .01 | −.11 |
24. I can’t meet my other obligations | −.01 | −.02 | −.03 | −.07 |
.72
| −.07 | .14 | −.14 | |
25. I don’t know how to fit EBP into my administrative work | .06 | .04 | −.08 | .06 |
.71
| −.10 | .04 | −.05 | |
26. EBP will cause too much paperwork | .19 | −.06 | −.12 | .23 |
.63
| .02 | .03 | −.03 | |
6. Job Security | 27. Learning an EBP will help me keep my job | .00 | −.02 | .00 | −.17 | .01 |
.81
| .05 | −.04 |
28. Learning an EBP will help me get a new job | .03 | .04 | −.03 | .05 | −.11 |
.89
| .01 | −.06 | |
29. Learning an EBP will make it easier to find work | .00 | .02 | −.02 | .16 | −.05 |
.61
| .05 | .00 | |
7. Organizational Support | 30. I would learn an EBP if continuing education credits were provided | −.03 | −.03 | .12 | −.12 | .09 | .02 |
.75
| .04 |
31. I would learn an EBP if training were provided | .00 | .03 | .01 | .15 | .02 | .05 |
.81
| .05 | |
32. I would learn an EBP if ongoing support was provided | .00 | .10 | −.01 | −.06 | .06 | .05 |
.68
| .09 | |
8. Feedback | 33. I enjoy getting feedback on my job performance | .07 | .05 | −.08 | −.0s4 | −.12 | −.08 | .08 |
.62
|
34. Getting feedback helps me to be a better therapist/case manager | −.05 | .03 | −.11 | .16 | −.12 | −.09 | .07 |
.74
| |
35. Getting supervision helps me to be a better therapist/case manager | .01 | .01 | −.05 | .03 | −.15 | −.01 | .16 |
.68
|
EBP factors | EV | PVE | Mean | SD | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1. Limitations | 6.95 | .32 | 1.28 | .91 |
.92
| |||||||
2. Fit | 5.76 | .26 | 2.90 | .75 | .09 |
.88
| ||||||
3. Monitoring | 2.63 | .12 | 1.35 | 1.06 | .37* | .11* |
.87
| |||||
4. Balance | 1.89 | .09 | 1.59 | 1.01 | .28* | .15* | .34* |
.79
| ||||
5. Burden | 1.45 | .07 | 1.02 | .81 | .45* | .14* | .28* | .20* |
.77
| |||
6. Job Security | 1.22 | .06 | 1.78 | 1.11 | −.08 | .31* | −.06 | −.03 | .01 |
.82
| ||
7. Organizational Support | 1.13 | .05 | 3.07 | .82 | −.07 | .42* | −.07 | −.08 | .08 | .35* |
.85
| |
8. Feedback | .90 | .04 | 3.19 | .75 | −.04 | .36* | −.24* | −.05 | −.10* | .17* | .36* |
.82
|
Original EBPAS scales | ||||
---|---|---|---|---|
Requirements | Appeal | Openness | Divergence | |
EBPAS-50 new scales | ||||
Limitations | −.018* | −.11* | −.14* | .39* |
Fit | .17* | .43* | .35* | .01 |
Monitoring | −.10 | −.12* | −.10 | .37* |
Balance | −.09 | .01 | −.02 | .28* |
Burden | −.18* | .05 | −.09 | .25* |
Job Security | .17* | .22* | .35* | −.08 |
Organizational Support | .34* | .56 | .43 | −.08 |
Feedback | .17* | .36 | .33 | −.08 |
Variable | Limitations | Fit | Monitoring | Balance | Burden | Job Security | Org. Support | Feedback | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Est. | SE | Est. | SE | Est. | SE | Est. | SE | Est. | SE | Est. | SE | Est. | SE | Est. | SE | |
Age | −.026 | .033 | −.001 | .026 | −.011 | .036 | −.009 | .022 | −.036 | .029 | −.041 | .040 | .002 | .029 | −.054 | .026 |
Gender | −.108 | .138 | .226* | .097 | −.222 | .134 | −.150 | .083 | −.237* | .107 | .031 | .150 | −.093 | .109 | .260* | .095 |
Experience | .055 | .049 | .042 | .042 | .089 | .054 | .090* | .033 | .081 | .043 | .060 | .066 | −.035 | .043 | .015 | .038 |
Caseload | −.004 | .003 | .000 | .002 | .011 | .014 | .016 | .011 | .038* | .016 | .004 | .011 | −.002 | .002 | −.001 | .006 |
Program | −.044 | .173 | −.324* | .144 | .383 | .216 | −.137 | .109 | −.097 | .213 | −.220 | .260 | −.021 | .160 | −.260 | .143 |
Race/ethnicity | ||||||||||||||||
African American | −.538* | .226 | −.235 | .176 | .013 | .263 | −.326* | .152 | .057 | .209 | .104 | .284 | .135 | .208 | .020 | .176 |
Asian American | −.001 | .239 | .214 | .186 | .480 | .274 | .151 | .161 | .048 | .217 | .299 | .297 | .174 | .218 | −.018 | .186 |
Hispanic | −.015 | .123 | −.238* | .096 | −.045 | .149 | −.127 | .082 | −.249* | .117 | −.111 | .159 | −.012 | .117 | −.106 | .095 |
Other ethnicity | −.249 | .162 | −.052 | .127 | .056 | .193 | −.103 | .110 | −.287 | .150 | .302 | .206 | −.044 | .153 | −.061 | .126 |
Discipline | ||||||||||||||||
MFT | .255 | .178 | .088 | .138 | .273 | .211 | .102 | .120 | .230 | .162 | .262 | .232 | .094 | .159 | .257 | .145 |
Social work | .173 | .182 | .060 | .141 | .219 | .214 | −.036 | .122 | .116 | .164 | .052 | .235 | .242 | .162 | .299 | .147 |
Other | .160 | .241 | .051 | .188 | −.136 | .283 | −.065 | .164 | .153 | .216 | −.245 | .310 | .134 | .216 | .231 | .196 |
Education | ||||||||||||||||
College degree | .088 | .304 | .122 | .229 | .193 | .390 | .089 | .208 | .014 | .286 | −.468 | .375 | .439 | .299 | .405 | .241 |
Some graduate | −.164 | .334 | .198 | .251 | −.342 | .420 | .361 | .228 | −.366 | .309 | −.605 | .408 | .812* | .323 | .345 | .263 |
Masters degree | −.388 | .305 | .132 | .228 | −.312 | .383 | .275 | .205 | −.135 | .292 | −.662 | .379 | .713* | .293 | .250 | .243 |
Ph.D./M.D. | −.446 | .369 | .201 | .285 | .310 | .450 | .381 | .250 | −.375 | .344 | −.547 | .463 | .847* | .348 | .388 | .293 |
Other | −.455 | .715 | .518 | .569 | −.423 | .822 | .633 | .483 | −.658 | .627 | −.780 | .886 | .631 | .653 | −.301 | .555 |