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Changes in community clinicians’ attitudes and competence following a transdiagnostic Cognitive Behavioral Therapy training
Creed, Torrey A. Crane, Margaret E. Calloway, Amber Wiltsey Stirman, Shannon
Creed, Torrey A.
Crane, Margaret E.
Calloway, Amber
Wiltsey Stirman, Shannon
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Journal article
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2021-08-30
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Psychology and Neuroscience
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https://doi.org/10.1177/26334895211030220
Abstract
Background: 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.
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Creed, 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
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SAGE Publications
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Implementation Research and Practice, Vol. 2
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