Examining Therapist-Level Predictors of Practices Derived from the Evidence-Base: A Theory of Planned Behavior Study
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2021
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University of Hawaii at Manoa
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Research on the dissemination and implementation of evidence-based practices (EBP) suggests that there are numerous factors that influence EBP utilization in community mental health settings. Consolidated frameworks and larger implementation theories posit that therapist level characteristics are important factors that may impact EBP use rates. However, with the exception of therapists’ EBP attitudes, research suggests that most therapist-level characteristics (e.g., knowledge, age, theoretical orientation, highest degree) vary in their ability to reliably predict therapist EBP use. Along these lines, the current study examined the extent to which 64 community care therapists’ EBP attitudes, subjective norms, perceived behavioral control, and behavioral intentions, all of which are central constructs in the Theory of Planned Behavior (TPB), predicted self-reported use of practices derived from the evidence-base (PDEB) with 264 treated youth. While multilevel modeling results did not support the TPB framework for the prediction of PDEB utilization in this context, considering the degree of methodological limitations and the large body of evidence surrounding the TPB, more TPB studies with community care therapists’ behaviors seems warranted. Consistencies and divergence from previous literature, interpretations, limitations, and implication for future research are also discussed.
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Clinical psychology
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