Leathers Sonya J, Melka-Kaffer Catherine, Spielfogel Jill E, Atkins Marc S
University of Illinois at Chicago, United States.
Child Youth Serv Rev. 2016 Nov;70:375-382. doi: 10.1016/j.childyouth.2016.10.022. Epub 2016 Oct 14.
Implementation of evidence-based programs in progressed slowly, with the majority of services in child welfare settings lacking empirical evidence for effectiveness. In other settings, research has identified providers' attitudes about evidence-based practices (EBPs) as a potential barrier to adoption of EBPs. As little research has focused on the role of attitudes in influencing use after training in an EBP in child welfare, the potential for attitudes to impede implementation efforts in child welfare is unclear. This study addressed this question in a sample of 55 caseworkers and therapists randomly assigned to enhanced support to use an EBP following training or a training-only condition. Information on providers' use of the intervention after training and their attitudes about EBPs were measured for up to five time points. Results indicate that attitudes did not predict providers' use of the EBP, and attitudes did not change overall or in the enhanced condition that provided greater exposure to the intervention. Providers perceived of requirements to use a practice as more influential in their use than their openness to EBPs. However, those who were more open to EBPs were more likely to participate in implementation support after the training, suggesting that openness facilitates participation in activities that support use of a new intervention.
循证项目的实施进展缓慢，儿童福利机构中的大多数服务缺乏有效性的实证依据。在其他环境中，研究发现提供者对循证实践（EBPs）的态度是采用循证实践的潜在障碍。由于很少有研究关注态度在儿童福利循证实践培训后对其使用的影响作用，因此态度阻碍儿童福利实施工作的可能性尚不清楚。本研究以55名个案工作者和治疗师为样本，随机分配到在培训后获得强化支持以使用循证实践或仅接受培训的条件下，探讨了这个问题。在多达五个时间点测量了提供者在培训后对干预措施的使用情况以及他们对循证实践的态度。结果表明，态度并不能预测提供者对循证实践的使用，而且态度在总体上或在更多接触干预措施的强化条件下并没有改变。提供者认为使用某种实践的要求比他们对循证实践的接受程度对其使用的影响更大。然而，那些对循证实践更开放的人在培训后更有可能参与实施支持，这表明开放性有助于参与支持新干预措施使用的活动。
