Evidence-based Practice Knowledge, Use, and Factors that Influence Decisions: Results from an Evidence-based Practice Surbey of Providers in American Indian/Alaska Native Communities

Abstract

Hard copies of monographs and back issues (Volume 1, Issue 1 through Volume 8, Issue 3) are available for purchase. Prices and ordering information can be found at http://www. uchsc.edu/ai/ncaianmhr/journal/pdf_fi les/Journal_Order_Form.pdf. American Indian/Alaska Native (AI/AN) populations are affl icted disproportionately with a number of chronic illnesses (Indian Health Service [IHS], 2001). Specifi cally, the rates of Type 2 Diabetes, alcohol abuse, and suicide have consistently been higher in these populations for many years (IHS). To date the majority of research has focused on these three disorders alone or in dyads; little attention has been given to the co-occurrence of all three simultaneously in AI/AN populations. The Behavioral Risk Factor Surveillance System (BRFSS) provides annual data on estimates of risk factors and health-related behavior in state populations across the nation. This article reports an analysis of the prevalence and correlates of diabetes and associated risk factors for depression and alcohol abuse in AI/AN adults sampled in the fi fty states as part of the 2003 BRFSS survey.

Change What? Identifying Quality Improvement Targets by Investigating Usual Mental Health Care

“…Over the past decade, there have been several surveys and/or qualitative studies examining mental health care providers’ attitudes about evidence-based, and/or manualized treatment, to elucidate potential barriers to implementation and to inform training efforts (e.g., Aarons 2004; Addis and Krasnow 2000; Baumann et al 2006; Borntrager et al 2009; Brookman-Frazee et al 2008; Essock et al 2003; Rubin and Parrish 2007; Sheehan et al 2007). Some common themes emerge across diverse studies.…”

Methodological Challenges of Characterizing Usual Care Psychotherapeutic Practice

“…Therapist self-report has been the most common method for assessing practice patterns and therapist attitudes/preferences in practice (Aarons 2004; Addis and Krasnow 2000; Baumann et al 2006; Kazdin et al 1990; Nelson et al 2006; Sheehan et al 2007; Weersing et al 2002). The Therapy Process Checklist (TPC; Weersing et al 2002) and its adapted version that includes family interventions (Baumann et al 2006) relied on rigorous psychometric testing and development.…”

Therapists’ Attitudes Towards Psychotherapeutic Strategies in Community-Based Psychotherapy with Children with Disruptive Behavior Problems

“…Several studies report response rates of less than 35% (Addis and Krasnow 2000; Rubin and Parrish 2007; Stewart and Chambless 2007; Weersing et al 2002). Some of these studies do report on impressively large samples (e.g., Addis and Krasnow 2000: n = 891; Sheehan et al 2007: n = 446; Stewart and Chambless 2007: n = 591), but, as the authors note, the extent to which the respondents' attitudes are representative of the larger population of therapists is questionable. Similarly, with the exception of studies by Aarons (2004), Baumann et al (2006), Sheehan et al (2007) most research in this area reports therapist attitudes for only one professional discipline.…”

“…There are several informative studies examining psychotherapists' attitudes towards empirically-supported treatment manuals and EBPs (Aarons 2004; Addis and Krasnow 2000; Baumann et al 2006; Essock et al 2003; Rubin and Parrish 2007; Sheehan et al 2007), as well as studies of psychotherapists' preferred treatment approaches and decision-making more generally (Kazdin et al 1990; Koocher and Pedulla 1977; Stewart and Chambless 2007; Weersing et al 2002). Results of studies of psychotherapists' attitudes towards EBPs and manualized treatment generally report ambivalent attitudes.…”

“…While significantly less positive than cognitive-behaviorally identified therapists, Eclectic therapists were significantly more positive than Dynamic therapists (Stewart and Chambless 2007). Other therapist demographic characteristics (e.g., gender, race/ethnicity) have been shown to be unrelated to attitudes about EBP (Addis and Krasnow 2000; Sheehan et al 2007; Kazdin et al 1990; Stewart and Chambless 2007). …”