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dc.creatorCreed, Torrey A.
dc.creatorCrane, Margaret E.
dc.creatorCalloway, Amber
dc.creatorOlino, Thomas
dc.creatorKendall, Philip C.
dc.creatorWiltsey Stirman, Shannon
dc.date.accessioned2022-07-27T14:59:50Z
dc.date.available2022-07-27T14:59:50Z
dc.date.issued2021-08-30
dc.identifier.citationCreed, T. A., Crane, M. E., Calloway, A., Olino, T. M., Kendall, P. C., & Wiltsey Stirman, S. (2021). Changes in community clinicians’ attitudes and competence following a transdiagnostic Cognitive Behavioral Therapy training. Implementation Research and Practice, 2. https://doi.org/10.1177/26334895211030220
dc.identifier.issn2633-4895
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/7923
dc.identifier.urihttp://hdl.handle.net/20.500.12613/7951
dc.description.abstractBackground: Although the literature suggests that attitudes toward evidence-based practices (EBPs) are associated with provider use of EBPs, less is known about the association between attitudes and how competently EBPs are delivered. This study examined how initial attitudes and competence relate to improvements in attitudes and competence following EBP training. Methods: Community clinicians (N = 891) received intensive training in cognitive behavioral therapy skills followed by 6 months of consultation. Clinician attitudes were assessed using the Evidence-Based Practice Attitude Scale, and competence was assessed using the Cognitive Therapy Rating Scale. Data were analyzed by fitting three latent change score models to examine the relationship between changes in attitudes and competence across the training and within its two phases (workshop phase, consultation phase). Results: Latent change models identified significant improvement in attitudes (Mslatent change ⩾ 1.07, SEs ⩽ 0.19, zs ⩾ 6.85, ps < .001) and competence (Mslatent change ⩾ 13.13, SEs ⩽ 3.53, zs ⩾ 2.30, ps < .001) across the full training and in each phase. Higher pre-workshop attitudes predicted significantly greater change in competence in the workshop phase and across the full training (bs ⩾ 1.58, SEs ⩽ 1.13, z ⩾ 1.89, p < .048, β ⩾ .09); however, contrary to our hypothesis, post-workshop attitudes did not significantly predict change in competence in the consultation phase (b = 1.40, SE = 1.07, z = 1.31, p = .19, β = .08). Change in attitudes and change in competence in the training period, the workshop phase, and the consultation phase were not significantly correlated. Conclusions: Results indicate that pre-training attitudes about EBPs present a target for implementation interventions, given their relation to changes in both attitudes and competence throughout training. Following participation in initial training workshops, other factors such as subjective norms, implementation culture, or system-level policy shifts may be more predictive of change in competence throughout consultation.
dc.format.extent12 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartImplementation Research and Practice, Vol. 2
dc.relation.isreferencedbySAGE Publications
dc.rightsAttribution-NonCommercial CC BY-NC
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectEvidence-based practices
dc.subjectCommunity mental health
dc.subjectImplementation
dc.subjectCompetence
dc.subjectAttitudes
dc.subjectCognitive behavioral therapy
dc.titleChanges in community clinicians’ attitudes and competence following a transdiagnostic Cognitive Behavioral Therapy training
dc.typeText
dc.type.genreJournal article
dc.description.departmentPsychology and Neuroscience
dc.relation.doihttps://doi.org/10.1177/26334895211030220
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeTemple University. College of Liberal Arts
dc.creator.orcidOlino|0000-0001-5139-8571
dc.creator.orcidKendall|0000-0001-7034-6961
dc.temple.creatorOlino, Thomas M.
dc.temple.creatorKendall, Philip C.
refterms.dateFOA2022-07-27T14:59:50Z


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