Clinician attitudes towards adoption of evidence‑based practice: A nationwide multiprofessional cross‑sectional study of child and adolescent mental health services in Sweden
Santesson, Anna LU ; Holmberg, Robert LU ; Bäckström, Martin LU ; Gustafsson, Peik LU
; Jarbin, Håkan
LU
and Perrin, Sean
LU
(2024)
In BMC Health Services Research
24(1432).
p.1-1
- Abstract
- Background Implementation of evidence-based practice (EBP) in child and adolescent mental health services (CAMHS) is a priority to improve service delivery and outcomes. Clinicians’ EBP attitudes are likely to play a crucial role in implementation but are poorly understood. This study aimed to assess variation in EBP attitudes in a large national sample of CAMHS clinicians in Sweden, and to compare these findings to findings from the United States of America (USA).
Methods CAMHS clinicians (n = 799; 60% response rate) completed the Evidence-Based Practice Attitude Scale (EBPAS) and items from the Organizational Readiness for Change Scale (ORC) ahead of an EBP for depression implementation effort across Sweden. EBPAS scores were... (More) - Background Implementation of evidence-based practice (EBP) in child and adolescent mental health services (CAMHS) is a priority to improve service delivery and outcomes. Clinicians’ EBP attitudes are likely to play a crucial role in implementation but are poorly understood. This study aimed to assess variation in EBP attitudes in a large national sample of CAMHS clinicians in Sweden, and to compare these findings to findings from the United States of America (USA).
Methods CAMHS clinicians (n = 799; 60% response rate) completed the Evidence-Based Practice Attitude Scale (EBPAS) and items from the Organizational Readiness for Change Scale (ORC) ahead of an EBP for depression implementation effort across Sweden. EBPAS scores were compared with the USA study. Predictors of global and specific attitudes (gender, age, working years, education, profession, perceived benefit of diagnosis and organizational readiness and type of service) were examined using simple and multiple linear regressions.
Results Clinicians had positive attitudes towards EBP on the four-dimensional subscales of the EBPAS, somewhat more so than their American counterparts. Clinician and organizational characteristics were related to at least one
attitudinal dimension in both models, with perceived utility of diagnosis being the strongest and most consistent predictor across dimensions and models.
Conclusions Results from this large-scale national study underscore the need to consider cultural, contextual, and individual variations in attitudes towards EBP when planning implementation efforts. Such efforts may need to be tailored to the working contexts, needs, and values of CAMHS clinicians, particularly their views on the utility of diagnosis. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/39e8f309-4d6d-4c7c-b8c9-7b4f47794d54
- author
- Santesson, Anna
LU
; Holmberg, Robert
LU
; Bäckström, Martin
LU
; Gustafsson, Peik
LU
; Jarbin, Håkan
LU
and Perrin, Sean
LU
- organization
- publishing date
- 2024-11-19
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- depression, Child and Adolescent, implementation, evidence based practice, attitudes, Evidence-Based Practice Attitude Scale, mental health
- in
- BMC Health Services Research
- volume
- 24
- issue
- 1432
- article number
- 1432
- pages
- 12 pages
- publisher
- BioMed Central (BMC)
- external identifiers
-
- pmid:39558358
- scopus:85209566227
- ISSN
- 1472-6963
- DOI
- 10.1186/s12913-024-11934-9
- project
- Implementering av klinisk riktlinje för depression inom Barn- och ungdomspsykiatrin – med vårdens kvalitet i fokus
- language
- English
- LU publication?
- yes
- id
- 39e8f309-4d6d-4c7c-b8c9-7b4f47794d54
- date added to LUP
- 2024-11-19 09:55:29
- date last changed
- 2025-04-04 14:21:21
@article{39e8f309-4d6d-4c7c-b8c9-7b4f47794d54,
abstract = {{Background Implementation of evidence-based practice (EBP) in child and adolescent mental health services (CAMHS) is a priority to improve service delivery and outcomes. Clinicians’ EBP attitudes are likely to play a crucial role in implementation but are poorly understood. This study aimed to assess variation in EBP attitudes in a large national sample of CAMHS clinicians in Sweden, and to compare these findings to findings from the United States of America (USA).<br/>Methods CAMHS clinicians (n = 799; 60% response rate) completed the Evidence-Based Practice Attitude Scale (EBPAS) and items from the Organizational Readiness for Change Scale (ORC) ahead of an EBP for depression implementation effort across Sweden. EBPAS scores were compared with the USA study. Predictors of global and specific attitudes (gender, age, working years, education, profession, perceived benefit of diagnosis and organizational readiness and type of service) were examined using simple and multiple linear regressions.<br/>Results Clinicians had positive attitudes towards EBP on the four-dimensional subscales of the EBPAS, somewhat more so than their American counterparts. Clinician and organizational characteristics were related to at least one<br/>attitudinal dimension in both models, with perceived utility of diagnosis being the strongest and most consistent predictor across dimensions and models.<br/>Conclusions Results from this large-scale national study underscore the need to consider cultural, contextual, and individual variations in attitudes towards EBP when planning implementation efforts. Such efforts may need to be tailored to the working contexts, needs, and values of CAMHS clinicians, particularly their views on the utility of diagnosis.}},
author = {{Santesson, Anna and Holmberg, Robert and Bäckström, Martin and Gustafsson, Peik and Jarbin, Håkan and Perrin, Sean}},
issn = {{1472-6963}},
keywords = {{depression; Child and Adolescent; implementation; evidence based practice; attitudes; Evidence-Based Practice Attitude Scale; mental health}},
language = {{eng}},
month = {{11}},
number = {{1432}},
pages = {{1--1}},
publisher = {{BioMed Central (BMC)}},
series = {{BMC Health Services Research}},
title = {{Clinician attitudes towards adoption of evidence‑based practice: A nationwide multiprofessional cross‑sectional study of child and adolescent mental health services in Sweden}},
url = {{https://lup.lub.lu.se/search/files/200144179/Santesson_et_al_2024_-_Clinician_attitudes_towards_EBP_adoption_-_BMC_Health_Srv_Res.pdf}},
doi = {{10.1186/s12913-024-11934-9}},
volume = {{24}},
year = {{2024}},
}