Understanding practitioners’ characteristics and perspectives prior to the dissemination of an evidence-based intervention

Baumann, Barbara; Kolko, David J.; Collins, Kathryn S.; Herschell, Amy D.

doi:10.1016/j.chiabu.2006.01.002

Cited by 63 publications

(75 citation statements)

References 36 publications

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“…We achieved adequate inter-rater reliability on our observational measure (PRAC-TPOCS-S), which also benefited from collaborative input from practicing therapists to assure ecological validity and comprehensiveness (29). Use of such qualitative methodology to support the validity of practice measures has been strongly reinforced in previous studies (10). Despite these strengths, the resulting measure did not capture all possible therapeutic interventions.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Care for Children With Disruptive Behavior Problems: A View Inside Therapists' Offices

Garland¹,

Brookman‐Frazee²,

Hurlburt³

et al. 2010

Psychiatric Services

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Objectives-In the United States, more money is spent on treatment for children's mental health problems than for any other childhood medical condition, yet little is known about usual care (UC) treatment for children. Objectives of this study were to a) characterize UC out-patient psychotherapy for children with disruptive behavior problems, and b) identify consistencies and inconsistencies between UC and common elements of evidence-based practices to inform efforts to implement evidence-based practices in UC.Methods-Participants included 96 psychotherapists and 191 children ages 4-13 presenting for treatment for disruptive behavior to one of six UC clinics. An adapted version of the Therapy Process Observational Coding System for Child Psychotherapy -Strategies scale (TPOCS-S) was used to assess psychotherapy processes in 1215 randomly selected (out of 3241 collected) videotaped treatment sessions for up to 16 months.Results-Most children received a lot of treatment (mean number of sessions=22, plus other auxiliary services), and there was great variability in amount and type of care received. Therapists employed a wide array of treatment strategies directed to children and parents within and across sessions, but all strategies were delivered at low average intensity. Several strategies conceptually consistent with evidence-based practices were observed frequently (e.g., affect education, positive reinforcement); however, others were observed rarely (e.g., assigning/reviewing homework, roleplaying).Conclusion-UC treatment for these youths reflected great breadth but not depth. The results highlight specific discrepancies between evidence-based care and UC, thus identifying potentially potent targets for improving the effectiveness of UC.

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Section: Discussionmentioning

confidence: 99%

Mental Health Care for Children With Disruptive Behavior Problems: A View Inside Therapists' Offices

Garland¹,

Brookman‐Frazee²,

Hurlburt³

et al. 2010

Psychiatric Services

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“…This is important because it is believed that providers' attitudes towards and knowledge of EBPs will predict the likelihood of adopting such practices (e.g., Nelson and Steele 2007;Rogers 2003). Some common negative attitudes towards EBPs and manualized treatments are that they do not allow providers to flexibly tailor individual interventions and they are not able to fully address the complexity of every day treatment cases (Addis and Krasnow 2000;Addis et al 1999;Baumann et al 2006;Nelson and Steele 2008;Nelson et al 2006;Walrath et al 2006). The method of breaking evidence-based protocols down into manageable parts that function independently addresses both of these concerns because it allows providers to tailor their interventions to meet the needs of their individual clients as well as mix and match EBP elements for complex cases (Chorpita et al 2005bHiga and Chorpita 2007).…”

Section: Attitude Towards Ebpsmentioning

confidence: 99%

Knowledge of and Attitudes Towards Evidence-Based Practices in Community Child Mental Health Practitioners

Nakamura

Higa-McMillan

Okamura

et al. 2011

Adm Policy Ment Health

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Research in the dissemination of evidence-based practices (EBPs) suggests that practitioners' knowledge of and attitudes towards EBPs influence their decisions to adopt such practices. This study investigated the relationships between practitioner background variables and EBP knowledge and attitudes, as well as the relationship between knowledge and attitudes among public sector youth direct service providers (n = 240). Findings suggest that knowledge and attitudes relate to practitioners' most advanced degree, practice setting, and licensure status. Additionally, lack of knowledge in the form of EBP under-identification was related to negative attitudes. Findings are discussed as they relate to the dissemination of EBPs.

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“…The training process, including practitioners' perception that trainers had little experience delivering the intervention in everyday practice settings, was one barrier identified in this research; limited access to or lack of effective model-based supervision was another (Aarons and Palinkas 2007;Baumann et al 2006). Additional identified barriers include practitioners' lack of experience with clinical techniques central to child mental health EBTs (e.g., behavioral procedures), practitioners' belief that the intervention was not well suited to the needs of some families served, and concerns that aspects of the intervention (e.g., requirements for increased documentation) would decrease providers' efficiency (Baumann et al 2006;Aarons and Palinkas 2007). Support for the evidence-based practice model from leadership of the organization and buy-in from leadership at relevant partner organizations were identified as critical facilitative factors for successful implementation (Aarons and Palinkas 2007).…”

Section: Introductionmentioning

confidence: 96%

Use of the Breakthrough Series Collaborative to Support Broad and Sustained Use of Evidence-Based Trauma Treatment for Children in Community Practice Settings

Ebert

Amaya-Jackson

Markiewicz

et al. 2011

Adm Policy Ment Health

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Empirically supported treatments for posttraumatic stress reactions in children are not widely available. This observational study evaluates the feasibility and utility of adapting the Institute for Healthcare's Breakthrough Series Collaborative (BSC) to support the broad implementation and sustained use of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in community practice settings. Study findings indicated that agency staff in diverse roles viewed the BSC methodology as a valuable and practicable approach for facilitating skillful delivery of TF-CBT with fidelity. Use of TF-CBT increased over the course of the collaborative and findings from a survey conducted one year later indicated that participating agencies were able to sustain and spread the practice.

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Understanding practitioners’ characteristics and perspectives prior to the dissemination of an evidence-based intervention

Cited by 63 publications

References 36 publications

Mental Health Care for Children With Disruptive Behavior Problems: A View Inside Therapists' Offices

Mental Health Care for Children With Disruptive Behavior Problems: A View Inside Therapists' Offices

Knowledge of and Attitudes Towards Evidence-Based Practices in Community Child Mental Health Practitioners

Use of the Breakthrough Series Collaborative to Support Broad and Sustained Use of Evidence-Based Trauma Treatment for Children in Community Practice Settings

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