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How Intervention and Implementation Characteristics Relate to Community Therapists' Attitudes Toward Evidence-Based
Miya Barnett1, Lauren Brookman-Frazee2,3, Jennifer Regan4
1Department of Counseling, Clinical, & School Psychology, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA, 93106-9490, USA. mbarnett@ucsb.edu.
Therapists favor evidence-based practices (EBPs) with clear structure and consultation support. These characteristics positively influence therapist attitudes toward implementing EBPs in clinical settings.
Area of Science:
- Psychology
- Clinical Psychology
- Implementation Science
Background:
- Therapist attitudes towards evidence-based practices (EBPs) are crucial for successful implementation.
- Understanding which characteristics of EBPs influence these attitudes is vital for improving adoption rates.
- Limited research exists on the specific intervention and implementation factors associated with positive therapist perceptions of EBPs.
Purpose of the Study:
- To investigate the relationship between intervention and implementation characteristics of EBPs and therapist attitudes.
- To identify specific EBP features that foster more positive therapist perceptions.
- To explore how therapist experience and emotional exhaustion might moderate these relationships.
Main Methods:
- A mixed-methods approach was employed, combining quantitative and qualitative data.
- Quantitative analysis involved 793 cross-sectional surveys assessing therapist attitudes toward six EBPs.
- Qualitative analysis provided deeper insights into the reasons behind therapist perceptions.
Main Results:
- Therapists reported more positive attitudes towards EBPs with prescribed session content and order.
- Required consultation was also associated with more favorable therapist attitudes.
- These associations were not significantly moderated by therapist experience or emotional exhaustion.
Conclusions:
- Prescribed structure (session content/order) and consultation are key characteristics that enhance therapist acceptance of EBPs.
- Implementation strategies should consider incorporating these supportive elements to improve therapist buy-in.
- Further research can explore the nuances of how these characteristics impact long-term EBP fidelity and effectiveness.
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