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干预与实施特征如何与社区治疗师对循证实践的态度相关:一项混合方法研究。

How Intervention and Implementation Characteristics Relate to Community Therapists' Attitudes Toward Evidence-Based Practices: A Mixed Methods Study.

作者信息

Barnett Miya, Brookman-Frazee Lauren, Regan Jennifer, Saifan Dana, Stadnick Nicole, Lau Anna

机构信息

Department of Counseling, Clinical, & School Psychology, Gevirtz Graduate School of Education, University of California, Santa Barbara, Santa Barbara, CA, 93106-9490, USA.

Department of Psychiatry, University of California, San Diego, San Diego, CA, USA.

出版信息

Adm Policy Ment Health. 2017 Nov;44(6):824-837. doi: 10.1007/s10488-017-0795-0.

Abstract

Therapists' perceptions toward evidence-based practices (EBPs) are important in implementation efforts, however little is known about characteristics of EBPs associated with more positive attitudes. This mixed-methods study examined how intervention and implementation characteristics of six EBPs related to therapist attitudes. Quantitative analysis of 793 cross-sectional surveys revealed that therapists endorsed more positive attitudes toward EBPs with (1) prescribed session content and order and (2) required consultation. Associations between these intervention and implementation characteristics and attitudes were not moderated by therapist experience or emotional exhaustion. Qualitative analyses complemented quantitative findings, indicating that "structure" was appealing for interventions and that therapists felt supported by consultation.

摘要

治疗师对循证实践(EBPs)的看法在实施过程中很重要,然而,对于与更积极态度相关的循证实践特征却知之甚少。这项混合方法研究考察了六种循证实践的干预和实施特征与治疗师态度之间的关系。对793份横断面调查的定量分析表明,治疗师对具有以下特征的循证实践持更积极的态度:(1)规定的疗程内容和顺序;(2)要求进行咨询。这些干预和实施特征与态度之间的关联不受治疗师经验或情感耗竭的调节。定性分析对定量研究结果进行了补充,表明“结构化”对干预措施具有吸引力,并且治疗师感到咨询能提供支持。

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