Associations between cultural identity and attitudes toward routine progress monitoring in a sample of ethnically diverse community therapists.

Rodríguez, Adriana; Terrones, Laura; Brookman‐Frazee, Lauren; Regan, Jennifer; Smith, Ashley M.; Lau, Anna S.

doi:10.1037/ser0000327

Cited by 7 publications

(6 citation statements)

References 34 publications

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“…Finally, Rodriguez et al (2020) move us to consider MBC implementation from diverse populations, calling us to look at adaptations that may be needed dependent upon the population we serve. They conducted a study of ethnic minority community therapists who were implementing evidence-based psychothera-pies and focused upon assessing therapists' cultural identity and the association of this identity with attitudes toward routine progress monitoring in treatment.…”

Section: Practical Implementation Of Measurement-based Carementioning

confidence: 99%

Measurement-based care and psychological assessment: Using measurement to enhance psychological treatment.

Resnick¹,

Oehlert

Hoff³

et al. 2020

Psychological Services

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This special issue highlights new research in psychological assessment and measurement-based care. Psychological assessment has historically been central to the field of psychology. Measurement-based care, considered an evidence-based practice, is a special type of applied psychological assessment in which patient-reported outcome measures are used to track progress in care as part of a clinical process. We discuss how the knowledge from these two distinct but related fields can synergistically advance mental health treatment. The articles in this special issue demonstrate ways to practically implement measurement-based care, the application of measurement-based care in special populations, as well as feature advances in psychological assessment that support the practice of measurement-based care.

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Section: Practical Implementation Of Measurement-based Carementioning

confidence: 99%

Measurement-based care and psychological assessment: Using measurement to enhance psychological treatment.

Resnick¹,

Oehlert

Hoff³

et al. 2020

Psychological Services

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“…This study additionally found that identifying as Hispanic/Latinx as compared to Non-Hispanic white significantly predicted less positive attitudes towards measures. A previous study of perceptions of progress monitoring among ethnic minority community therapists who were 69.9% Hispanic found that therapist cultural identity (affiliation to culture of origin) predicted less positive attitudes on the ASA-MF (Rodriguez et al, 2019 ). The present study did not include a measure of cultural identity, but further research should investigate attitudes of ethnic minority therapists towards measures.…”

Section: Discussionmentioning

confidence: 99%

“…In accordance with the aims of implementation science, which seeks to evaluate the community provision of evidence-based practices, interviews were only conducted with clinicians providing services in community-based settings. Additionally, due to the dearth of information on cultural considerations as they relate to progress monitoring (Rodriguez et al, 2019 ), therapists who provide services in more than one language were oversampled. Twelve participants reported providing services in both English and another language (52.1%), the majority of whom delivered services in both English and Spanish ( n = 9).…”

Section: Methodsmentioning

confidence: 99%

Improving the Quality of Children’s Mental Health Care with Progress Measures: A Mixed-Methods Study of PCIT Therapist Attitudes

Klein

Sanchez

Barnett

2021

Adm Policy Ment Health

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Progress measures are an evidence-based technique for improving the quality of mental health care, however, clinicians rarely incorporate them into treatment. Research into how measure type impacts clinician preference has been recommended to help improve measure implementation. Parent–Child Interaction Therapy (PCIT) is an assessment-driven treatment that serves as an ideal intervention through which to investigate measure preferences given its routine use of two types of assessments, a behavioral observation (the Dyadic Parent–Child Interaction Coding System) and a parent-report measure (the Eyberg Child Behavior Inventory). This study investigated PCIT therapist attitudes towards progress measures used within PCIT and children’s mental health treatment generally. A mixed-method (QUAN + QUAL) study design examined PCIT therapist attitudes towards two types of progress measures and measures used in two contexts (PCIT and general practice). Multi-level modeling of a survey distributed to 324 PCIT therapists identified predictors of therapist attitudes towards measures, while qualitative interviews with 23 therapists expanded and clarified the rationale for differing perceptions. PCIT therapists reported more positive attitudes towards a behavioral observation measure, the DPICS, than a parent-report measure, the ECBI, and towards measures used in PCIT than in general practice. Clinician race/ethnicity was significantly related to measure-specific attitudes. Qualitative interviews highlighted how perceptions of measure reliability, type of data offered, ease of use, utility in guiding sessions and motivating clients, and embeddedness in treatment protocol impact therapist preferences. Efforts to implement progress monitoring should consider preferences for particular types of measures, as well as how therapists are trained to embed measures in treatment.

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“…Department of Health & Human Services, 2015). Including ethnic minority therapists in the decision-making processes in planning RPM processes and tools can promote both the cultural competence of systems and provider buy-in and adherence to implementation efforts (Clauss-Ehlers et al, 2019; Rodriguez et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Implementation facilitation strategies to promote routine progress monitoring among community therapists.

Lui¹,

Brookman‐Frazee²,

Smith³

et al. 2022

Psychological Services

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Despite substantial support for the importance of routine progress monitoring (RPM) as part of evidencebased practice, few providers utilize measurement-based care. This study sought to identify the relative importance of facilitation strategies viewed as most helpful for increasing intention to use RPM among 388 ethnically diverse community therapists serving children and families. Four types of facilitation strategies were examined: language/interpretability, automation, staffing/access, and requirements. Mixed analyses of variance found that therapists' reported intentions to use RPM were more influenced by strategies of automating assessment administration, provision of clerical assistance, and agency requirements than by making linguistically appropriate measures available. However, the importance of strategies differed depending on therapist race/ethnicity and current RPM use. Language/interpretability of RPM assessments was less emphasized for non-Hispanic White therapists and therapists who have not yet or only minimally adopted RPM compared with ethnic minority therapists and therapists who regularly use RPM, respectively. Furthermore, therapists who were not current RPM users emphasized automation more than staffing/access. Results may inform prioritization of implementation facilitation strategies for agencies to encourage RPM. Impact StatementTherapists reported higher intention to use routine progress monitoring (RPM) if facilitation strategies automated administration and scoring, provided clerical assistance, and mandated its use, more so than if strategies provided linguistically appropriate measures. Linguistically appropriate tools were equally emphasized as other types of facilitation strategies by ethnic minority therapists compared with non-Hispanic White therapists. For therapists who were not current RPM users, facilitation strategies that reduce time and automate the RPM process were emphasized more than providing administrative or staff support. When staffed by a diverse workforce, attention to linguistically appropriate tools is important to increase therapist uptake of RPM.

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Associations between cultural identity and attitudes toward routine progress monitoring in a sample of ethnically diverse community therapists.

Cited by 7 publications

References 34 publications

Measurement-based care and psychological assessment: Using measurement to enhance psychological treatment.

Measurement-based care and psychological assessment: Using measurement to enhance psychological treatment.

Improving the Quality of Children’s Mental Health Care with Progress Measures: A Mixed-Methods Study of PCIT Therapist Attitudes

Implementation facilitation strategies to promote routine progress monitoring among community therapists.

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