The Evidence-based Practice Attitude Scale-36 (EBPAS-36): a brief and pragmatic measure of attitudes to evidence-based practice validated in US and Norwegian samples
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BACKGROUND: Short and valid instruments for measuring factors facilitating or hindering implementation efforts are called for. This article describes (1) the adaptation of a shorter version of the Evidence-based Practice Attitude Scale (EBPAS-50 items), and (2) the psychometric properties of the shortened version in both US and Norwegian data. METHODS: The US participants were mental health service providers (N = 418) recruited from clinics providing mental health services in San Diego County, California. The Norwegian participants were psychologists, psychiatric nurses, and psychology students (N = 838) recruited from the Norwegian Psychological Association and the Norwegian Nurses Organization. A confirmatory factor analysis (CFA) approach was used. RESULTS: .047-.056, SRMR = .07). Incremental model fit was fair in the US (CFI = .93, TLI = .91) and in the Norwegian samples (CFI = .91, TLI = .89). The internal consistency (Cronbach's α) in the US and the Norwegian samples were good for the total EBPAS-36 score (.79 and .86, respectively) and were ranged from adequate to excellent for the subscales (US .60-.91 and Norway .61-.92). CONCLUSIONS: The EBPAS-36 has adequate psychometric properties both in US and Norwegian samples, hence indicating cross-cultural validity. It is a brief, pragmatic, and more user-friendly instrument than the EBPAS-50, yet maintains a broad scope by retaining the original 12 measurement domains.
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The used subscales of the German version of the Evidence-based Practice Attitude Scale-36 (EBPAS-D36) have a Cronbach's Alpha ranging between α = 0.60 and α = 0.90 for the English version.
“For the English version Cronbach's Alpha is reported to range between α = 0.60 and α = 0.90 for the used subscales (80).”
From Clinical and Cost-Effectiveness of PSYCHOnlineTHERAPY: Study Protocol of a Multicenter Blended Outpatient Psychotherapy Cluster Randomized Controlled Trial for Patients With Depressive and Anxiety Disorders (2021) · cites this paper as [80]
The Results (Internal consistency, Table 5) report Cronbach’s α values for the US EBPAS-36 subscales, supporting the lower bound of .60. The reported upper bound across those subscales is .91, not .90; the citing sentence may refer to a subset, but the source does not identify which subscales the citing authors used. (LLM, conf=0.88)
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- Authors
- Rye, M., Torres, E. M., Friborg, O., Skre, I., & Aarons, G. A.
- Affiliations
- University Hospital of North Norway (NO)
- University of California San Diego (US)
- UiT The Arctic University of Norway (NO)
- Corresponding author
- Rye, Marte
- Venue
- Implementation Science
- Published
- 2017-04-04
- Volume
- 12
- Issue
- 1
- Pages
- 44-44
- ISSN
- 1748-5908 (ISSN-L)
- PMC
- PMC5379724
- OpenAlex
- W2604717953
- Cited by
- 133
- References
- 43
- Citations by year
- 2026: 8 · 2025: 12 · 2024: 30 · 2023: 16 · 2022: 19 · 2021: 22 · 2020: 15 · 2019: 5 · 2018: 6
- FWCI
- 11.48
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Implementation Science (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Open Scholarship Institutional Repository (Washington University in St. Louis) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
- Funders
- National Institute of Mental Health (K01MH001695, R01MH072961, R01MH092950)
- The publication fund at the University of Tromsø (IN-1096130)
- 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, attitudes toward evidence-based practice, scale shortening, psychometric validation, cross-cultural validity, mental health service providers, psychologists, psychiatric nurses, psychology students, implementation barriers and facilitators
- MeSH terms
- Adult, Aged, Attitude of Health Personnel, California, Cross-Cultural Comparison, Factor Analysis, Statistical, Female, Humans, Male, Mental Health Services, Middle Aged, Norway, Nurses, Psychology, Psychometrics, Surveys and Questionnaires, Students, Medical, Reproducibility of Results, Evidence-Based Practice, Young Adult
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