Illawarra Institute for Mental Health, School of Psychology, University of Wollongong, Wollongong, NSW, Australia.
Psychol Addict Behav. 2012 Sep;26(3):661-4. doi: 10.1037/a0027887. Epub 2012 Jun 11.
There is considerable discrepancy between what is considered evidence-based practice (EBP) and what is actually delivered in substance abuse treatment settings. The Theory of Planned Behavior (TpB) is a well-established model that may assist in better understanding clinician's intentions to use EBPs. A total of 106 residential substance abuse workers employed by The Salvation Army participated in the current study. The workers completed an anonymous survey that assessed attitudes toward EBP and examined the constructs within the TpB. A linear regression analysis was used to predict clinicians' intentions to use EBPs. Overall, the model accounted for 41% of the variance in intentions, with attitudes, subjective norms, and perceived behavioral control all significant predictors. The discussion highlights the potential for social reinforcement in the workplace to promote the implementation of EBPs.
在药物滥用治疗环境中,被认为是基于证据的实践(EBP)的内容与实际提供的内容之间存在相当大的差异。计划行为理论(TpB)是一个成熟的模型,它可以帮助更好地理解临床医生使用 EBP 的意图。救世军雇佣的 106 名住院药物滥用工作者参加了目前的研究。工作人员完成了一项匿名调查,评估了对 EBP 的态度,并检查了 TpB 中的结构。线性回归分析用于预测临床医生使用 EBP 的意图。总体而言,该模型解释了意图 41%的差异,态度、主观规范和感知行为控制都是显著的预测因素。讨论强调了工作场所的社会强化潜力,以促进 EBP 的实施。