University of Pennsylvania Perelman School of Medicine, 3535 Market Street, 3rd Floor, Philadelphia, PA, 19104, USA.
New York University School of Social Work, 1 Washington Square East, New York, NY, 10003, USA.
Adm Policy Ment Health. 2019 May;46(3):411-424. doi: 10.1007/s10488-019-00923-4.
Mental health clinicians do not consistently use evidence-based assessment (EBA), a critical component of accurate case conceptualization and treatment planning. The present study used the Unified Theory of Behavior to examine determinants of intentions to use EBA in clinical practice among a sample of Masters' level social work trainees (N = 241). Social norms had the largest effect on intentions to use EBA. Injunctive norms in reference to respected colleagues accounted for the most variance in EBA intentions. Findings differed for respondents over 29 years of age versus younger respondents. Implications for implementation strategies and further research are discussed.
心理健康临床医生并非始终一致地使用基于证据的评估 (EBA),而 EBA 是准确的病例概念化和治疗计划的关键组成部分。本研究使用行为统一理论来检验在硕士水平的社会工作实习生样本中(N=241),临床实践中使用 EBA 的意图的决定因素。社会规范对使用 EBA 的意图影响最大。参考受尊敬的同事的规范性规范解释了 EBA 意图的最大差异。对于 29 岁以上的受访者与年轻受访者的调查结果存在差异。讨论了实施策略和进一步研究的影响。