Expanding the Domains of Attitudes Towards Evidence-Based Practice: The Evidence Based Practice Attitude Scale-50

Aarons, Gregory A.; Cafri, Guy; Lugo, Lindsay; Sawitzky, Angelina

doi:10.1007/s10488-010-0302-3

Cited by 225Health Sciences Research and EducationHealth Policy Implementation SciencePsychotherapy Techniques and Applications

Expanding the Domains of Attitudes Towards Evidence-Based Practice: The Evidence Based Practice Attitude Scale-50

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Aarons, Gregory A., Cafri, Guy, Lugo, Lindsay, Sawitzky, Angelina·2012·Administration and Policy in Mental Health and Mental Health Services Research

DOI 10.1007/s10488-010-0302-3PMC PMC3411301

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Abstract

Mental health and social service provider attitudes toward evidence-based practice have been measured through the development and validation of the Evidence-Based Practice Attitude Scale (EBPAS; Aarons, Ment Health Serv Res 6(2):61-74, 2004). Scores on the EBPAS scales are related to provider demographic characteristics, organizational characteristics, and leadership. However, the EBPAS assesses only four domains of attitudes toward EBP. The current study expands and further identifies additional domains of attitudes towards evidence-based practice. A qualitative and quantitative mixed-methods approach was used to: (1) generate items from multiples sources (researcher, mental health program manager, clinician/therapist), (2) identify potential content domains, and (3) examine the preliminary domains and factor structure through exploratory factor analysis. Participants for item generation included the investigative team, a group of mental health program managers (n = 6), and a group of clinicians/therapists (n = 8). For quantitative analyses a sample of 422 mental health service providers from 65 outpatient programs in San Diego County completed a survey that included the new items. Eight new EBPAS factors comprised of 35 items were identified. Factor loadings were moderate to large and internal consistency reliabilities were fair to excellent. We found that the convergence of these factors with the four previously identified evidence-based practice attitude factors (15 items) was small to moderate suggesting that the newly identified factors represent distinct dimensions of mental health and social service provider attitudes toward adopting EBP. Combining the original 15 items with the 35 new items comprises the EBPAS 50-item version (EBPAS-50) that adds to our understanding of provider attitudes toward adopting EBPs. Directions for future research are discussed.

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Other approaches to assessing readiness have focused on organizational culture, climate, and work attitudes, and on providers' attitudes towards evidence-based practices.
“Other approaches to assessing readiness have focused on organizational culture, climate, and work attitudes [73], and on providers’ attitudes towards evidence-based practices [21,22,74].”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [22]
Few providers adopt evidence-based treatments.
“Investigators can also document that few providers adopt evidence-based treatments [21,22], that evidence-based treatments or programs have limited reach [23], or that penetration [24] into a system of care can be addressed by the implementation study.”
From Writing implementation research grant proposals: ten key ingredients (2012) · cites this paper as [22]

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Based Practice Attitude Scale (EBPAS; Aarons, Ment
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Authors: Aarons, G. A., Cafri, G., Lugo, L., & Sawitzky, A.
Affiliations: University of California San Diego (US)
Rady Children's Hospital-San Diego (US)
Corresponding author: Aarons, Gregory A.
ORCID: Aarons, Gregory A.
Cafri, Guy
Venue: Administration and Policy in Mental Health and Mental Health Services Research
Publisher: Springer Science and Business Media LLC
Published: 2010-07-07
Volume: 39
Issue: 5
Pages: 331-340
ISSN: 0894-587X (ISSN-L)
1573-3289
DOI: 10.1007/s10488-010-0302-3
PMC: PMC3411301
OpenAlex: W2148396898
Cited by: 225
References: 40
Citations by year: 2026: 6 · 2025: 10 · 2024: 16 · 2023: 23 · 2022: 19 · 2021: 33 · 2020: 12 · 2019: 20 · 2018: 12 · 2017: 14 · 2016: 12 · 2015: 22 · 2014: 12 · 2013: 7 · 2012: 4
FWCI: 7.95
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc
Locations: Administration and Policy in Mental Health and Mental Health Services Research (publishedVersion, cc-by-nc)
Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
PubMed Central (publishedVersion, cc-by-nc)
PubMed (publishedVersion)
Funders: National Institute of Mental Health (P30MH074678, R01MH072961)
Topics: Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: evidence-based practice, provider attitudes, scale development, factor structure, mental health service providers, social service providers, item generation
MeSH terms: Adult, Aged, Attitude of Health Personnel, Factor Analysis, Statistical, Female, Humans, Male, Mental Health Services, Middle Aged, Psychometrics, Surveys and Questionnaires, Focus Groups, Evidence-Based Practice

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Expanding the Domains of Attitudes Towards Evidence-Based Practice: The Evidence Based Practice Attitude Scale-50

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