Effects of workshop trainings on evidence-based practice knowledge and attitudes among youth community mental health providers

• Published in: Behaviour research and therapy 2012-06, Vol.50 (6), p.397-406
• Main Authors: Lim, Ahnate, Nakamura, Brad J., Higa-McMillan, Charmaine K., Shimabukuro, Scott, Slavin, Lesley
• Format: Article
• Language: English
• Subjects: Adult; Aged; Anxiety; Attitudes; Biological and medical sciences; Children & youth; Clinical Competence - standards; Community Mental Health Services; Conferences; Data processing; Diffusion of Innovation; Dissemination; Educational Status; Evidence based medicine; Evidence-Based Medicine - education; Evidence-based practices; Female; Health Knowledge, Attitudes, Practice; Health Personnel - education; Health staff related problems. Vocational training; Humans; Implementation; Inservice Training - methods; Knowledge; Male; Medical sciences; Mental disorders; Mental health care; Middle Aged; Psychiatry - education; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; Public health; Social psychiatry. Ethnopsychiatry; Surveys and Questionnaires; Training; Workshops; Young people
• ISSN: 0005-7967; 1873-622X
• DOI: 10.1016/j.brat.2012.03.008

Enhancing the public health impact of evidence-based practices (EBPs) in usual care settings is a key priority of the National Institute of Mental Health. Longitudinal data from community mental health providers (N = 268) participating in a series of state-sponsored workshops in modular approaches to EBPs for youth are presented. EBP workshop attendance for youth anxiety resulted in increased knowledge for EBPs for anxiety (and not other conditions) and EBP workshop attendance for youth disruptive behaviors resulted in increased knowledge for EBPs for disruptive behaviors (and not other conditions). Providers' tendencies toward incorrectly classifying non-EBP therapies as evidence-based increased over time, suggesting that providers over-generalize the EBP label as a result of attending these types of workshops. Regarding EBP attitudes, most measures of attitudes improved when providers attended a workshop. Additionally, an overly inclusive view of what constitutes an EBP at intake was related to significant decreases in openness to trying EBPs over time, whereas more positive attitudes at intake was related to achieving a more refined view of what constitutes an EBP over the course of attending trainings. Study limitations and implications for implementation of EBPs in usual care settings are discussed. ► Examined workshop effects on evidence-based practice (EBP) knowledge and attitudes. ► Knowledge differentially increased as a function of workshop attendance. ► Workshop attendance was also associated with EBP over-identification tendencies. ► Some types of EBP attitudes improved after workshop attendance.