Furthering Our Understanding of Therapist Knowledge and Attitudinal Measurement in Youth Community Mental Health

Okamura, Kelsie H.; Hee, Puanani J.; Jackson, David S.; Nakamura, Brad J.

doi:10.1007/s10488-018-0854-1

Cited by 15 publications

(13 citation statements)

References 31 publications

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“…EBP attitudes was not correlated with, or predictive of residualized change scores in this study. This finding somewhat disagrees with previous research suggesting that there may be a relationship between therapist knowledge and attitudes (Nakamura et al, 2011;Okamura et al, 2018). However, these results may align with certain findings from Nakamura et al (2011), which found that EBP knowledge accuracy did not significantly relate to attitudes towards EBP.…”

Section: Discussioncontrasting

confidence: 99%

“…However, its utility is constrained to the construct of awareness knowledge, or the ability to merely classify a particular technique as being derived or not derived from the evidence-base. The relationship between awareness knowledge and higher order behaviors like procedural knowledge or competence with techniques remains largely unknown (Okamura et al, 2018;Stumpf et al, 2009). A second assessment strategy centered at the practice element metric level is the PETT-T TPOCS (Nakamura & McLeod, 2011;.…”

Section: Therapist Assessment Strategies At the Practice Element Metric Levelmentioning

confidence: 99%

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An Evaluation of the Practice Element Response Form in a Sample of Preservice Trainees

Maesaka

Shernoff

Nakamura

2021

Evidence-Based Practice in Child and Adolescent Mental Health

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Section: Discussioncontrasting

confidence: 99%

Section: Therapist Assessment Strategies At the Practice Element Metric Levelmentioning

confidence: 99%

An Evaluation of the Practice Element Response Form in a Sample of Preservice Trainees

Maesaka

Shernoff

Nakamura

2021

Evidence-Based Practice in Child and Adolescent Mental Health

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“…Specifically, attitudes can influence the initial decision to consider EBP, how it is implemented and whether it is sustained beyond the implementation phase [ 24 , 26 – 28 ]. Demographic factors seem inconsistently related to attitudes toward EBP among mental health care providers [ 21 , 29 – 33 ]: Higher age was associated with more positive attitudes in [ 34 – 37 ], with less positive ones in [ 38 – 41 ]; women were reported to show more positive attitudes in [ 34 , 36 – 38 ], whereas other studies found no sex differences [ 26 , 39 , 40 ].…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)

Szota

Thielemann

Christiansen

et al. 2021

Health Res Policy Sys

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Background The implementation of evidence-based practice (EBP) in mental health care confers many benefits to patients, and research into factors facilitating the implementation of EBP is needed. As an important factor affecting the implementation of EBP, service providers’ attitudes toward EBP emerged. The Evidence-Based Practice Attitude Scale (EBPAS-36) is an instrument with good psychometric characteristics that measures positive and ambivalent attitudes toward EBP. However, a German version is missing. The present study therefore aims to provide a validated German translation of the EBPAS-36. Methods The scale was translated and back-translated as recommended by standard procedures. German psychotherapists were recruited to participate in an online survey. They provided demographic and professional information, completed the EBPAS-36, the Implementation Climate Scale (ICS) and the Intention Scale for Providers (ISP). Standard item and reliability analyses were conducted. Construct validity was evaluated with exploratory (EFA) and confirmatory factor analyses (CFA) in two subsamples (random split). Convergent validity was tested by predicting a high positive correlation of the EBPAS-36D with two scores of attitudes of the ISP and an interest in EBP score. It was tested whether the EBPAS-36D predicts the intention to use EBP. Results N = 599 psychotherapists participated in the study. The item analyses showed a mean item difficulty of pi = 0.64, a mean inter-item correlation of r = 0.18, and a mean item-total correlation of ritc = 0.40. The internal consistency was very good for the total scale (α = 0.89) and ranged from adequate to very good for the subscales (0.65–0.89), indicating high reliability. The original factor structure showed an acceptable model fit (RMSEA = 0.064 (90% CI = 0.059–0.068); SRMR = 0.0922; AIC = 1400.77), confirming the 12-factor structure of the EBPAS-36. However, a second-order factor structure derived by the EFA had an even better model fit (RMSEA = 0.057 (90% CI = 0.052–0.062); SRMR = 0.0822; AIC = 1274.56). When the EBPAS-36D was entered in a hierarchical regression model with the criterion Intention to use EBP, the EBPAS-36D contributed significantly to the prediction (Change in R2 = 0.28, p < 0.001) over and above gender, age and participants’ report of ever having worked in a university context. Conclusions The present study confirms good psychometric properties and validity of a German version of the EBPAS-36 in a sample of psychotherapists.

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“…According to several implementation strategy theories, e.g. Rogers theory Diffusion of innovations [43] and research within EBP [44], providers must not only have favorable attitudes towards it, they also need to have knowledge about the new technique, before successfully adopted into clinical practice. In a recent study of clinicians training in cognitive behavioral therapy with a strong focus on SA tools, the researchers used the ASA questionnaire to investigate the change in attitudes and use of SA before and after training and found that the clinicians developed a more positive attitude towards psychometric quality and feasibility of SA in clinical practices with training [45].…”

Section: Discussionmentioning

confidence: 99%

Clinicians’ attitudes toward standardized assessment and diagnosis within child and adolescent psychiatry

Danielson¹,

Månsdotter²,

Fransson³

et al. 2019

Child Adolesc Psychiatry Ment Health

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BackgroundThere is a strong call for clinically useful standardized assessment tools in everyday child and adolescent psychiatric practice. The attitudes of clinicians have been raised as a key-facilitating factor when implementing new methods. An explorative study was conducted aimed to investigate the clinicians’ attitudes regarding standardized assessments and usefulness of diagnoses in treatment planning.Methods411 mental health service personnel working with outpatient and inpatient assessment and treatment within the specialist child and adolescent mental health services, Stockholm County Council were asked to participate in the study, of which 345 (84%) agreed answer a questionnaire. The questionnaire included questions regarding Attitudes toward Standardized Assessment and Utility of Diagnosis. Descriptive analyses were performed and four subscales were compared with information from a similar study in US using the same instruments. The demographic and professional characteristics (age, working years, gender, education, profession, management position, involvement in assessment, level of service) in terms of prediction of attitudes were studied by univariate and multivariate linear regressions.ResultsOverall, the clinicians had quite positive attitudes and were more positive compared to a similar study conducted in the US earlier. There were differences in attitudes due to several characteristics but the only characteristic predicting all subscales was type of profession (counselor, nurse, psychiatrist, psychologist, other), with counselors being less positive than other groups.ConclusionThe overall positive attitudes toward standard assessment are of importance in the development of evidence-based practice and our study implies that clinicians in general value and are willing to use standardized assessment. Nevertheless, there are specific issues such as adequate training and available translated assessment instrument that need to be addressed. When implementing new methods in practice, there are general as well as specific resistances that need to be overcome. Studies in different cultural settings are of importance to further extend the knowledge of what is general and what is specific barriers.

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Furthering Our Understanding of Therapist Knowledge and Attitudinal Measurement in Youth Community Mental Health

Cited by 15 publications

References 31 publications

An Evaluation of the Practice Element Response Form in a Sample of Preservice Trainees

An Evaluation of the Practice Element Response Form in a Sample of Preservice Trainees

Cross-cultural adaption and psychometric investigation of the German version of the Evidence Based Practice Attitude Scale (EBPAS-36D)

Clinicians’ attitudes toward standardized assessment and diagnosis within child and adolescent psychiatry

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