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A cluster-randomised controlled trial of values-based training to promote autonomously held recovery values in mental
Virginia Williams1, Frank P Deane2, Lindsay G Oades3
1School of Psychology, University of Wollongong, Wollongong, Australia. vcw961@uow.edu.au.
Background:
The implementation and use of evidence-based practices is a key priority for recovery-oriented mental health service provision. Training and development programmes for employees continue to be a key method of knowledge and skill development, despite acknowledged difficulties with uptake and maintenance of behaviour change. Self-determination theory suggests that autonomy, or a sense that behaviour is self-generated, is a key motivator to sustained behaviour change, in this case practices in mental health services. This study examined the utility of values-focused staff intervention as a specific, reproducible method of autonomy support.
Methods:
Mental health workers (n = 146) were assigned via cluster randomisation to either a values clarification condition or an active problem-solving control condition.
Results:
Results demonstrated that a structured values clarification exercise was useful in promoting integrated motivation for the changed practice and resulted in increased implementation planning.
Conclusions:
Structured values clarification intervention demonstrates utility as a reproducible means of autonomy support within the workplace. We discuss future directions for the study of autonomous motivation in the field of implementation science.
Trial Registration:
ACTRN12613000353796.
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