ORCID
https://orcid.org/0000-0003-3411-5837
Date of Award
Fall 2024
Language
English
Embargo Period
12-2-2024
Document Type
Master's Thesis
Degree Name
Master of Arts (MA)
College/School/Department
Department of Psychology
Program
Clinical Psychology
First Advisor
James Boswell
Committee Members
James Boswell, Sarah Domoff
Keywords
evidence-based practice, implementation, scientist-practitioner
Subject Categories
Clinical Psychology
Abstract
Background. Implementation science aims to identify methods that support the adoption of evidence-based practices (EBPs), including measurement-based care (MBC) and MBC-informed patient-therapist matching. Examining clinician attitudes can elucidate potential barriers to implementing EBPs, and attitudinal differences may exist across groups of therapists. In the context of a patient-therapist matching implementation project, this multi-method study investigated the relationship between clinician characteristics, attitudes toward EBPs/MBC, and implementation climate. Method. A sample of N = 72 therapists completed measures of demographic and clinical characteristics, attitudes toward EBPs, perceptions of implementation climate, and attitudes toward monitoring and feedback. A subset of N = 15 therapists participated in supplemental semi-structured interviews. Results. EBP attitude scores were positively correlated with measurement-feedback attitude scores and implementation climate perception scores. An overall effect of demographic variables was not observed. However, between-group correlation results indicated the relationship between measurement-feedback and EBP attitudes was stronger for clinicians identifying as cisgender men and the association between implementation climate and EBP attitudes was moderated by education level. Interview findings revealed clinicians hold generally positive views toward MBC and matching yet have concerns about the implications of outcome data and matching for professional development. Discussion. Clinician perceptions of implementation climate and attitudes toward monitoring and feedback are significantly associated with attitudes toward EBPs across demographic groups. However, our findings suggest clinician gender and education level may influence the degree of receptiveness to implementation in clinical settings. These results have implications for tailoring implementation strategies to facilitate MBC use and MBC-informed clinical decision making.
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Smith, Ashleigh, "Outcome-Based Patient-Therapist Matching Implementation: A Study of Clinician Beliefs and Attitudes" (2024). Electronic Theses & Dissertations (2024 - present). 83.
https://scholarsarchive.library.albany.edu/etd/83