Olin S Serene, Nadeem Erum, Gleacher Alissa, Weaver James, Weiss Dara, Hoagwood Kimberly E, Horwitz Sarah McCue
Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
New York State Office of Mental Health, Albany, NY, USA.
Adm Policy Ment Health. 2016 Nov;43(6):945-956. doi: 10.1007/s10488-015-0709-y.
Dropouts from system-wide evidence-based practice trainings are high; yet there are few studies on what predicts dropouts. This study examined multilevel predictors of clinician dropout from a statewide training on the Managing and Adapting Practice program. Extra-organizational structural variables, intra-organizational variables and clinician variables were examined. Using multivariable logistic regression analysis, state administrative data and prospectively collected clinician participation data were used to predict dropout. Two characteristics were predictive: younger clinicians and those practicing in upstate-rural areas compared to downstate-urban areas were less likely to drop out from training. Implications for research and policy are described.
全系统循证实践培训的辍学率很高；然而，关于预测辍学因素的研究却很少。本研究考察了全州范围内“管理与适应实践”项目培训中临床医生辍学的多层次预测因素。研究考察了组织外结构变量、组织内变量和临床医生变量。使用多变量逻辑回归分析，利用州行政数据和前瞻性收集的临床医生参与数据来预测辍学情况。有两个特征具有预测性：与纽约州南部城市地区相比，年轻的临床医生以及在纽约州北部农村地区执业的临床医生退出培训的可能性较小。文中描述了该研究对研究和政策的启示。
