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Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research 4/2011

01.07.2011 | Original Paper

Knowledge of and Attitudes Towards Evidence-Based Practices in Community Child Mental Health Practitioners

verfasst von: Brad J. Nakamura, Charmaine K. Higa-McMillan, Kelsie H. Okamura, Scott Shimabukuro

Erschienen in: Administration and Policy in Mental Health and Mental Health Services Research | Ausgabe 4/2011

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Abstract

Research in the dissemination of evidence-based practices (EBPs) suggests that practitioners’ knowledge of and attitudes towards EBPs influence their decisions to adopt such practices. This study investigated the relationships between practitioner background variables and EBP knowledge and attitudes, as well as the relationship between knowledge and attitudes among public sector youth direct service providers (n = 240). Findings suggest that knowledge and attitudes relate to practitioners’ most advanced degree, practice setting, and licensure status. Additionally, lack of knowledge in the form of EBP under-identification was related to negative attitudes. Findings are discussed as they relate to the dissemination of EBPs.
Fußnoten
1
Regarding outlier identification, standardized scores were calculated for relevant continuous data and responses in excess of 3.29 (p < .001, two-tailed test), were considered outliers (Tabachnick and Fidell 2007). The Shapiro–Wilk’s W statistic (Shapiro and Wilk 1965) was utilized for testing distribution normality, with p values <.001 indicating non-normality (Tabachnick and Fidell 2007).
 
2
Given that therapists were nested within 19 different mental health agencies (see “Participants” section), organizational effects may have been present for this and other dependent variables. Therefore, seven one-way ANOVAs were conducted in order to preliminarily examine whether agency accounted for significant variability on knowledge (KEBSQ total scores) and all attitudinal indices (all EBPAS scale scores, MPAS total scores). All ANOVAs were non-significant against an alpha level of .05, suggesting that agency did not account for significant variability on these indices. However, this study could have benefited from a larger sample size for examining such effects. This and other limitations are further explored in “Discussion” section.
 
Literatur
Zurück zum Zitat Aarons, G. A., Glisson, C., Hoagwood, K., Kelleher, K., Landsverk, J., Cafri, G., et al. (2010). Psychometric properties and U.S. National norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment, 22(2), 356–365. doi:10.1037/a0019188.PubMedCrossRef Aarons, G. A., Glisson, C., Hoagwood, K., Kelleher, K., Landsverk, J., Cafri, G., et al. (2010). Psychometric properties and U.S. National norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment, 22(2), 356–365. doi:10.​1037/​a0019188.PubMedCrossRef
Zurück zum Zitat Aarons, G. A., & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 33(3), 61–72. doi:10.1007/s10488-006-0039-1.CrossRef Aarons, G. A., & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological Services, 33(3), 61–72. doi:10.​1007/​s10488-006-0039-1.CrossRef
Zurück zum Zitat Addis, M. E., Wade, W. A., & Hatgis, C. (1999). Barriers to dissemination of evidence-based practices: Addressing practitioners’ concerns about manual-based psychotherapies. Clinical Psychology: Science and Practice, 6(4), 430–441. doi:10.1093/clipsy/6.4.430.CrossRef Addis, M. E., Wade, W. A., & Hatgis, C. (1999). Barriers to dissemination of evidence-based practices: Addressing practitioners’ concerns about manual-based psychotherapies. Clinical Psychology: Science and Practice, 6(4), 430–441. doi:10.​1093/​clipsy/​6.​4.​430.CrossRef
Zurück zum Zitat Baumann, B. L., Kolko, D. J., Collins, K., & Herschell, A. D. (2006). Understanding practitioners’ characteristics and perspectives prior to the dissemination of an evidence-based intervention. Child Abuse and Neglect, 30(7), 771–787. doi:10.1016/j.chiabu.2006.01.002.PubMedCrossRef Baumann, B. L., Kolko, D. J., Collins, K., & Herschell, A. D. (2006). Understanding practitioners’ characteristics and perspectives prior to the dissemination of an evidence-based intervention. Child Abuse and Neglect, 30(7), 771–787. doi:10.​1016/​j.​chiabu.​2006.​01.​002.PubMedCrossRef
Zurück zum Zitat Borntrager, C. F., Chorpita, B. F., Higa-McMillan, C. K., Weisz, J. R., & the Network on Youth Mental Health. (2009). Provider attitudes toward evidence-based practices: Are the concerns with the evidence or with the manuals? Psychiatric Services, 60(5), 677–681. doi:10.1176/appi.ps.60.5.677.PubMedCrossRef Borntrager, C. F., Chorpita, B. F., Higa-McMillan, C. K., Weisz, J. R., & the Network on Youth Mental Health. (2009). Provider attitudes toward evidence-based practices: Are the concerns with the evidence or with the manuals? Psychiatric Services, 60(5), 677–681. doi:10.​1176/​appi.​ps.​60.​5.​677.PubMedCrossRef
Zurück zum Zitat Brookman-Frazee, L., Garland, A. F., Taylor, R., & Zoffness, R. (2009). Therapists’ attitudes towards psychotherapeutic strategies in community-based psychotherapy with children with disruptive behavior problems. Administration and Policy in Mental Health and Mental Health Services, 36(1), 1–12. doi:10.1007/s10488-008-0195-6.CrossRef Brookman-Frazee, L., Garland, A. F., Taylor, R., & Zoffness, R. (2009). Therapists’ attitudes towards psychotherapeutic strategies in community-based psychotherapy with children with disruptive behavior problems. Administration and Policy in Mental Health and Mental Health Services, 36(1), 1–12. doi:10.​1007/​s10488-008-0195-6.CrossRef
Zurück zum Zitat Child and Adolescent Mental Health Division. (2004). Evidence-based services committee: Biennial report, summary of effective interventions for youth with behavioral and emotional needs. Honolulu, HI: Hawaii Department of Health, Child and Adolescent Mental Health Division. Child and Adolescent Mental Health Division. (2004). Evidence-based services committee: Biennial report, summary of effective interventions for youth with behavioral and emotional needs. Honolulu, HI: Hawaii Department of Health, Child and Adolescent Mental Health Division.
Zurück zum Zitat Chorpita, B. F., Becker, K. D., & Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice: Misconceptions and clinical examples. Journal of the American Academy of Child and Adolescent Psychiatry, 46(5), 647–652. doi:10.1097/chi.0b013e318033ff71.PubMedCrossRef Chorpita, B. F., Becker, K. D., & Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice: Misconceptions and clinical examples. Journal of the American Academy of Child and Adolescent Psychiatry, 46(5), 647–652. doi:10.​1097/​chi.​0b013e318033ff71​.PubMedCrossRef
Zurück zum Zitat Chorpita, B. F., & Daleiden, E. L. (2007). Evidence-based services committee—Biennial report—Effective psychological interventions for youth with behavioral and emotional needs. Honolulu, HI: Hawaii Department of Health Child and Adolescent Mental Health Division. Chorpita, B. F., & Daleiden, E. L. (2007). Evidence-based services committee—Biennial report—Effective psychological interventions for youth with behavioral and emotional needs. Honolulu, HI: Hawaii Department of Health Child and Adolescent Mental Health Division.
Zurück zum Zitat Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77(3), 566–579. doi:10.1037/a0014565.PubMedCrossRef Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77(3), 566–579. doi:10.​1037/​a0014565.PubMedCrossRef
Zurück zum Zitat Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005a). Identifying and selecting the common elements of evidence-based interventions: A distillation and matching model. Mental Health Services Research, 7(1), 5–20. doi:10.1007/s11020-005-1962-6.PubMedCrossRef Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005a). Identifying and selecting the common elements of evidence-based interventions: A distillation and matching model. Mental Health Services Research, 7(1), 5–20. doi:10.​1007/​s11020-005-1962-6.PubMedCrossRef
Zurück zum Zitat Ebesutani, C., Bernstein, A., Nakamura, B., Chorpita, B. F., & Weisz, J. (2010). A psychometric analysis of the revised child anxiety and depression scale–parent version in a clinical sample. Journal of Abnormal Child Psychology, 38(2), 249–260. doi:10.1007/s10802-009-9363-8.PubMedCrossRef Ebesutani, C., Bernstein, A., Nakamura, B., Chorpita, B. F., & Weisz, J. (2010). A psychometric analysis of the revised child anxiety and depression scale–parent version in a clinical sample. Journal of Abnormal Child Psychology, 38(2), 249–260. doi:10.​1007/​s10802-009-9363-8.PubMedCrossRef
Zurück zum Zitat Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. A., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Research Institute, The National Implementation Research Network (FMHI Publication #231). Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. A., & Wallace, F. (2005). Implementation research: A synthesis of the literature. Tampa, FL: University of South Florida, Louis de la Parte Florida Mental Health Research Institute, The National Implementation Research Network (FMHI Publication #231).
Zurück zum Zitat Garland, A. F., Hawley, K. M., Brookman-Frazee, L., & Hurlburt, M. S. (2008). Identifying common elements of evidence-based psychosocial treatments for children’s disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 47(5), 505–514. doi:10.1097/CHI.0b013e31816765c2.PubMedCrossRef Garland, A. F., Hawley, K. M., Brookman-Frazee, L., & Hurlburt, M. S. (2008). Identifying common elements of evidence-based psychosocial treatments for children’s disruptive behavior problems. Journal of the American Academy of Child and Adolescent Psychiatry, 47(5), 505–514. doi:10.​1097/​CHI.​0b013e31816765c2​.PubMedCrossRef
Zurück zum Zitat Green, S. B., & Salkind, N. J. (2005). Using SPSS for windows and macintosh: Analyzing and understanding data (4th ed.). New Jersey: Pearson Education Inc. Green, S. B., & Salkind, N. J. (2005). Using SPSS for windows and macintosh: Analyzing and understanding data (4th ed.). New Jersey: Pearson Education Inc.
Zurück zum Zitat Higa, C. K., & Chorpita, B. F. (2007). Evidence-based therapies: Translating research into practice. In R. G. Steele, T. D. Elkin, & M. C. Roberts (Eds.), Handbook of evidence-based therapies for children and adolescents: Bridging science and practice (pp. 45–61). New York: Springer. Higa, C. K., & Chorpita, B. F. (2007). Evidence-based therapies: Translating research into practice. In R. G. Steele, T. D. Elkin, & M. C. Roberts (Eds.), Handbook of evidence-based therapies for children and adolescents: Bridging science and practice (pp. 45–61). New York: Springer.
Zurück zum Zitat SPSS, Inc. (2009). S.P.S.S. 18.0 Base user’s guide: Upper Saddle River, NJ: Prentice Hall. SPSS, Inc. (2009). S.P.S.S. 18.0 Base user’s guide: Upper Saddle River, NJ: Prentice Hall.
Zurück zum Zitat Jensen-Doss, A., Hawley, K. H., Lopez, M., & Osterberg, L. D. (2009). Using evidence-based treatments: The experiences of youth providers working under a mandate. Professional Psychology: Science and Practice, 40(4), 417–424. doi:10.1037/a0014690.CrossRef Jensen-Doss, A., Hawley, K. H., Lopez, M., & Osterberg, L. D. (2009). Using evidence-based treatments: The experiences of youth providers working under a mandate. Professional Psychology: Science and Practice, 40(4), 417–424. doi:10.​1037/​a0014690.CrossRef
Zurück zum Zitat Little, R. J. A., & Rubin, D. B. (1987). Statistical analysis with missing data. New York: Wiley. Little, R. J. A., & Rubin, D. B. (1987). Statistical analysis with missing data. New York: Wiley.
Zurück zum Zitat Nelson, T. D., & Steele, R. G. (2007). 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, 34(4), 319–330. doi:10.1007/s10488-006-0111-x.PubMedCrossRef Nelson, T. D., & Steele, R. G. (2007). 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, 34(4), 319–330. doi:10.​1007/​s10488-006-0111-x.PubMedCrossRef
Zurück zum Zitat Nelson, T. D., & Steele, R. G. (2008). Influences on practitioner treatment selection: Best research evidence and other considerations. Journal of Behavioral Health Services & Research, 35(2), 170–178. doi:10.1007/s11414-007-9089-8.CrossRef Nelson, T. D., & Steele, R. G. (2008). Influences on practitioner treatment selection: Best research evidence and other considerations. Journal of Behavioral Health Services & Research, 35(2), 170–178. doi:10.​1007/​s11414-007-9089-8.CrossRef
Zurück zum Zitat Nelson, T. D., Steele, R. G., & Mize, J. A. (2006). Practitioners attitudes toward evidence-based practice: Themes and challenges. Administration and Policy in Mental Health and Mental Health Services Research, 33, 398–409. doi:10.1007/s10488-006-0044-4.PubMedCrossRef Nelson, T. D., Steele, R. G., & Mize, J. A. (2006). Practitioners attitudes toward evidence-based practice: Themes and challenges. Administration and Policy in Mental Health and Mental Health Services Research, 33, 398–409. doi:10.​1007/​s10488-006-0044-4.PubMedCrossRef
Zurück zum Zitat New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final Report. DHHS Publication No. SMA-03-3832. Rockville, MD. New Freedom Commission on Mental Health. (2003). Achieving the promise: Transforming mental health care in America. Final Report. DHHS Publication No. SMA-03-3832. Rockville, MD.
Zurück zum Zitat Rim, S. H., Zittleman, L., Westfall, J. M., Overholser, L., Froshaug, D., & Coughlin, S. S. (2009). Knowledge, attitudes, beliefs, and personal practices regarding colorectal cancer screening among health care professionals in rural Colorado: A pilot survey. The Journal of Rural Health, 25(3), 303–308. doi:10.1111/j.1748-0361.2009.00234.x.PubMedCrossRef Rim, S. H., Zittleman, L., Westfall, J. M., Overholser, L., Froshaug, D., & Coughlin, S. S. (2009). Knowledge, attitudes, beliefs, and personal practices regarding colorectal cancer screening among health care professionals in rural Colorado: A pilot survey. The Journal of Rural Health, 25(3), 303–308. doi:10.​1111/​j.​1748-0361.​2009.​00234.​x.PubMedCrossRef
Zurück zum Zitat Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press. Rogers, E. M. (2003). Diffusion of innovations (5th ed.). New York: Free Press.
Zurück zum Zitat Sanders, M., Prinz, R., & Shapiro, C. (2009). Predicting utilization of evidence-based parenting interventions with organizational, service-provider and client variables. Administrative Policy and Mental Health, 36(2), 133–143. doi:10.1007/s10488-009-0205-3.CrossRef Sanders, M., Prinz, R., & Shapiro, C. (2009). Predicting utilization of evidence-based parenting interventions with organizational, service-provider and client variables. Administrative Policy and Mental Health, 36(2), 133–143. doi:10.​1007/​s10488-009-0205-3.CrossRef
Zurück zum Zitat Seng, A., Prinz, R., & Sanders, M. (2006). The role of training variables in effective dissemination of evidence-based parenting interventions. International Journal of Mental Health Promotion, 8(4), 19–27. Seng, A., Prinz, R., & Sanders, M. (2006). The role of training variables in effective dissemination of evidence-based parenting interventions. International Journal of Mental Health Promotion, 8(4), 19–27.
Zurück zum Zitat Shapiro, S. S., & Wilk, M. B. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52(3), 591–611. Shapiro, S. S., & Wilk, M. B. (1965). An analysis of variance test for normality (complete samples). Biometrika, 52(3), 591–611.
Zurück zum Zitat Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., & Nuro, K. F. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106–115. doi:10.1037/0022-006X.73.1.106.PubMedCrossRef Sholomskas, D. E., Syracuse-Siewert, G., Rounsaville, B. J., Ball, S. A., & Nuro, K. F. (2005). We don’t train in vain: A dissemination trial of three strategies of training clinicians in cognitive behavioral therapy. Journal of Consulting and Clinical Psychology, 73(1), 106–115. doi:10.​1037/​0022-006X.​73.​1.​106.PubMedCrossRef
Zurück zum Zitat Silverman, W. K., & Hinshaw, S. P. (2008). The second special issue on evidence-based psychosocial treatments for children and adolescents: A 10-year update. Journal of Clinical Child and Adolescent Psychology, 37(1), 1–7. doi:10.1080/15374410701817725.CrossRef Silverman, W. K., & Hinshaw, S. P. (2008). The second special issue on evidence-based psychosocial treatments for children and adolescents: A 10-year update. Journal of Clinical Child and Adolescent Psychology, 37(1), 1–7. doi:10.​1080/​1537441070181772​5.CrossRef
Zurück zum Zitat Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Upper Saddle River, NJ: Allyn & Bacon. Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Upper Saddle River, NJ: Allyn & Bacon.
Zurück zum Zitat Walrath, C., Sheehan, A., Holden, E., Hernandez, M., & Blau, G. (2006). Evidence-based treatments in the field: A brief report on provider knowledge, implementation, and practice. Journal of Behavioral Health Services and Research, 33(2), 244–253. doi:10.1007/s11414-005-9008-9.PubMedCrossRef Walrath, C., Sheehan, A., Holden, E., Hernandez, M., & Blau, G. (2006). Evidence-based treatments in the field: A brief report on provider knowledge, implementation, and practice. Journal of Behavioral Health Services and Research, 33(2), 244–253. doi:10.​1007/​s11414-005-9008-9.PubMedCrossRef
Zurück zum Zitat Weist, M., Lever, N., Stephan, S., Youngstrom, E., Moore, E., Harrison, B., et al. (2009). Formative evaluation of a framework for high quality, evidence-based services in school mental health. School Mental Health, 1(4), 196–211. doi:10.1007/s12310-009-9018-5.CrossRef Weist, M., Lever, N., Stephan, S., Youngstrom, E., Moore, E., Harrison, B., et al. (2009). Formative evaluation of a framework for high quality, evidence-based services in school mental health. School Mental Health, 1(4), 196–211. doi:10.​1007/​s12310-009-9018-5.CrossRef
Metadaten
Titel
Knowledge of and Attitudes Towards Evidence-Based Practices in Community Child Mental Health Practitioners
verfasst von
Brad J. Nakamura
Charmaine K. Higa-McMillan
Kelsie H. Okamura
Scott Shimabukuro
Publikationsdatum
01.07.2011
Verlag
Springer US
Erschienen in
Administration and Policy in Mental Health and Mental Health Services Research / Ausgabe 4/2011
Print ISSN: 0894-587X
Elektronische ISSN: 1573-3289
DOI
https://doi.org/10.1007/s10488-011-0351-2

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