Predictors of Adopting Motivational Enhancement Therapy

Abstract

Substance abuse counselors have shown limited success in adopting evidence-based practices (EBPs). The purpose of this paper is to identify the barriers and facilitators of adopting an EBP called motivational enhancement therapy (MET). One hundred thirty-six predominantly female (60%) African American (68%) addiction counselors representing over 40 agencies completed surveys before and after participating in a 2-day MET training. Based on stepwise regressions, 10 variables predicted gains in MET knowledge, attitudes, and/or skills: high consistency of MET with organization's philosophy, being Caucasian, being younger, low self-efficacy, high practitioner self-perceived cultural competency, low adherence to the 12-step treatment philosophy, viewing MET as challenging to learn, high workload, fewer colleagues in same MET training, and working in a smaller organization. Implications for social work practice are discussed.

Provider self-efficacy in delivering evidence-based psychosocial interventions: A scoping review

“…Among the 15 studies examined, provider/therapist/student self-efficacy was noted as one variable of interest with regard to adoption, training, or implementation of an evidence-based psychosocial intervention. In describing self-efficacy within the identified studies, the most common definition included confidence in delivery of the EBI that was the focus of the study (12 of 15 studies examined: Ager et al, 2011 ; Brothers et al, 2015 ; Campbell et al., 2013 ; Currie & Davidson, 2015 ; Edmunds et al, 2013 ; Harned et al, 2014 ; Kerns et al, 2016 ; Kingston et al., 2014 ; Morgenstern et al, 2001 ; Pemberton et al, 2017 ; Ruzek et al, 2016 ; Sigel et al, 2013 ). One study used the term confidence along with knowledge ( Kim et al, 2018 ).…”

“…Each of the 15 studies used a different measure of self-efficacy. Five studies used short scales consisting of one to three questions each created for each study and that assessed confidence in delivery of the intervention that was the focus of the intervention ( Ager et al, 2011 ; Kerns et al, 2016 ; Kim et al, 2018 ; Kingston et al, 2014 ; Morgenstern et al, 2001 ). Of the nine studies that used a multi-item scale to measure self-efficacy, each used a different scale; one final study collected qualitative data only.…”

“…The specific interventions are listed in Table 1 . The five remaining studies explored self-efficacy in the implementation of Schema Therapy for the treatment of personality disorders ( Kingston et al, 2014 ), Motivation Enhancement Therapy ( Ager et al, 2011 ), Scottish Mental Health First Aid ( Currie & Davidson, 2015 ), an evidence-based biobehavioral intervention designed to alleviate stress and enhance coping among cancer patients ( Brothers et al, 2015 ), and an “emerging evidence-based treatment” of 12-step facilitation ( Campbell et al, 2013 ).…”

“…While self-efficacy was found to be predictive of implementation fidelity ( Brown & Nicholson Perry, 2018 ; Campbell et al., 2013 ), self-efficacy, assessed post-training, was found to be unrelated to post-training consultation activities (e.g., phone calls) meant to support implementation ( Edmunds et al, 2013 ; Pemberton et al, 2017 ). Furthermore, self-efficacy was found in one study to be inversely related to the adoption of motivational enhancement therapy among addictions counselors ( Ager et al, 2011 ) and was found in another study to mediate the relationship between training and implementation of applied behavioral analysis ( Runyon et al, 2018 ). Finally, self-efficacy was found to be protective for service providers in that greater self-efficacy was related to lower levels of emotional exhaustion ( Kim et al, 2018 ).…”

Brief Intervention for Illicit Drug Users

“…The definition of brief intervention varies throughout the literature and is often used as an overarching term to include related, but slightly different, types of interventions such as brief motivation and brief motivational enhancement (Ager et al 2011). Overall, the goals of brief intervention are to assess and identify substance use behavior in clients, provide advice on these behaviors, facilitate behavior change with regard to substance use, and motivate the client to receive further treatment if necessary (Bien et al 1993;Miller and Rollnick 2013).…”