Tuning in: A mixed methods study evaluating clinician perceptions of measurement-based care training and their...

Understanding clinician perspectives and preferences is critical to advancing measurement-based care (MBC) training and implementation efforts. Yet, clinician perceptions of these and how they relate to MBC uptake are understudied. This mixed methods study aimed to evaluate clinicians' MBC training perceptions, posttraining MBC use, and predictors of MBC uptake. Clinicians in Department of Defense settings completed surveys immediately (N = 366) and 1 month (n = 88) posttraining. Most viewed MBC training as relevant (89.5%) and useful (81.8%); similarly, most were confident using symptom (87.9%) and alliance measures (89.3%) posttraining. Whereas 65.9% consistently used symptom measures posttraining, only 26.2% consistently used alliance measures, and about half did not regularly discuss those completed measures with clients. Using Bayesian logistic regression models, MBC use was linked with higher training relevance and usefulness ratings, reporting that training materials were understood and facilitated learning, and greater knowledge and confidence using MBC. Discipline and theoretical orientation were not significantly linked. Using reflexive thematic analysis, qualitative themes included clinician feedback about MBC, using symptom and alliance measures for MBC, training and presenter characteristics, and organizational considerations. Taken together, quantitative and qualitative findings highlight a gap in using alliance measures for MBC in applied settings. This study is the first to document a link between training perceptions and MBC uptake, underscoring the need to integrate frontline clinician perspectives in MBC efforts. Quantitative and qualitative findings indicate key topics that may be important to consider to facilitate MBC training and implementation efforts. (PsycInfo Database Record (c) 2026 APA, all rights reserved).