Aarons Gregory A
Departments of Psychiatry and Psychology, University of California, Child & Adolescent Services Research Center, San Diego, California, USA.
Ment Health Serv Res. 2004 Jun;6(2):61-74. doi: 10.1023/b:mhsr.0000024351.12294.65.
Mental health provider attitudes toward organizational change have not been well studied. Dissemination and implementation of evidence-based practices (EBPs) into real-world settings represent organizational change that may be limited or facilitated by provider attitudes toward adoption of new treatments, interventions, and practices. A brief measure of mental health provider attitudes toward adoption of EBPs was developed and attitudes were examined in relation to a set of provider individual difference and organizational characteristics.
Participants were 322 public sector clinical service workers from 51 programs providing mental health services to children and adolescents and their families.
Four dimensions of attitudes toward adoption of EBPs were identified: (1) intuitive Appeal of EBP, (2) likelihood of adopting EBP given Requirements to do so, (3) Openness to new practices, and (4) perceived Divergence of usual practice with research-based/academically developed interventions. Provider attitudes varied by education level, level of experience, and organizational context.
Attitudes toward adoption of EBPs can be reliably measured and vary in relation to individual differences and service context. EBP implementation plans should include consideration of mental health service provider attitudes as a potential aid to improve the process and effectiveness of dissemination efforts.
心理健康服务提供者对组织变革的态度尚未得到充分研究。将循证实践（EBPs）推广并应用于实际环境代表了一种组织变革，而提供者对采用新治疗方法、干预措施和实践的态度可能会限制或促进这种变革。我们开发了一种简短的衡量心理健康服务提供者对采用循证实践态度的方法，并研究了与一系列提供者个体差异和组织特征相关的态度。
参与者是来自51个为儿童、青少年及其家庭提供心理健康服务项目的322名公共部门临床服务工作者。
确定了对采用循证实践态度的四个维度：（1）循证实践的直观吸引力，（2）在有要求时采用循证实践的可能性，（3）对新实践的开放性，以及（4）感知到的常规实践与基于研究/学术开发的干预措施的差异。提供者的态度因教育水平、经验水平和组织背景而异。
对采用循证实践的态度可以可靠地衡量，并且因个体差异和服务背景而异。循证实践实施计划应考虑心理健康服务提供者的态度，将其作为改善推广工作过程和效果的潜在助力。
