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Psychiatr Serv. 2009 May;60(5):677-81. doi: 10.1176/appi.ps.60.5.677.

Provider attitudes toward evidence-based practices: are the concerns with the evidence or with the manuals?

Author information

1
Department of Psychology, University of Hawaii at Manoa, 2430 Campus Rd., Gartley 110, Honolulu, HI 96822, USA. cameob@hawaii.edu

Abstract

OBJECTIVE:

Studies examining therapists' attitudes toward evidence-based practices, which have at times become conflated with "manualized treatments," have indicated a number of concerns regarding perceived inflexibility, a lack of attention to the therapeutic alliance between provider and client, and a lack of emphasis on clinical judgment. This investigation examined the effect of training in two different formats of evidence-based treatments (standard treatment manuals versus modular assembly of treatment procedures) and with the use of two measures of attitudes.

METHODS:

As part of a randomized clinical effectiveness trial, the attitudes of 59 therapists were assessed before and after training for a standard evidence-based treatment protocol and for a modular evidence-based treatment protocol. Attitudes were also assessed across two attitude measures that differentially emphasize the use of treatment manuals.

RESULTS:

Results showed that compared with the standard condition, in the modular condition therapists' attitudes became significantly more favorable toward evidence-based practices but only on the attitude measure that did not refer specifically to the use of manuals.

CONCLUSIONS:

The findings of this investigation have implications for dissemination of evidence-based practices and policy change. Contextual adaptations in evidence-based practice design and training may result in wider adoption of innovative and efficacious treatment practices.

PMID:
19411357
DOI:
10.1176/ps.2009.60.5.677
[Indexed for MEDLINE]

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