Predictors of the Decision to Adopt Motivational I

Authors: Jessica Roberts Williams Marissa Puckett Blais Duren Banks Tracy Dusablon Weston O Williams Kevin D Hennessy

Publish Date: 2013/07/27

Volume: 41, Issue: 3, Pages: 294-307

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Abstract

The purpose of this study is to concurrently examine the impact of individual and organizational characteristics on the decision to adopt the evidencebased practice EBP motivational interviewing MI among directors and staff n = 311 in community health organizations n = 92 Results from hierarchical linear modeling indicated that at the individual level attitudes toward EBPs and race each predicted directors’ decisions to adopt while gender predicted staff’s decisionmaking At the organizational level organizational climate was inversely associated with both staff’s and directors’ decisions to adopt MI Organizational barriers to implementing EBPs and use of reading materials and treatment manuals were related to directors’ decision to adopt Type of organization and staff attributes were associated with staff’s decision to adopt These findings underscore the need to tailor dissemination and implementation strategies to address differences between directors and staff in the adoption of EBPsWe appreciate the generous support and participation of the community health organization directors and staff who participated in this study and the assistance provided by the National Council for Community Behavioral Healthcare and the National Association of Community Health Centers in recruitment retention and advice with overall study design Special thanks to all study staff from MANILA Consulting Group Inc McLean VA This study was supported by SAMHSA Contract No HHSS283200700040I/HHSS28342003T

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