Katharina Szota1, Jonathan F B Thielemann2, Hanna Christiansen3, Marte Rye4, Gregory A Aarons5, Antonia Barke2. 1. Department of Psychology, Philipps-University of Marburg, Gutenbergstr. 18, 35032, Marburg, Germany. szota@staff.uni-marburg.de. 2. Department of Clinical and Biological Psychology, Catholic University of Eichstätt-Ingolstadt, Levelingstr. 7, 85049, Ingolstadt, Germany. 3. Department of Psychology, Philipps-University of Marburg, Gutenbergstr. 18, 35032, Marburg, Germany. 4. Faculty of Health Sciences, UiT The Arctic University of Norway, Regional Centre for Child and Youth Mental Health and Child Welfare, 9037, Tromsø, Norway. 5. Department of Psychiatry, University of California, 9500 Gilman Drive (0812), La Jolla, San Diego, CA, 92093-0812, USA.
Abstract
BACKGROUND: The implementation of evidence-based practice (EBP) in mental health care confers many benefits to patients, and research into factors facilitating the implementation of EBP is needed. As an important factor affecting the implementation of EBP, service providers' attitudes toward EBP emerged. The Evidence-Based Practice Attitude Scale (EBPAS-36) is an instrument with good psychometric characteristics that measures positive and ambivalent attitudes toward EBP. However, a German version is missing. The present study therefore aims to provide a validated German translation of the EBPAS-36. METHODS: The scale was translated and back-translated as recommended by standard procedures. German psychotherapists were recruited to participate in an online survey. They provided demographic and professional information, completed the EBPAS-36, the Implementation Climate Scale (ICS) and the Intention Scale for Providers (ISP). Standard item and reliability analyses were conducted. Construct validity was evaluated with exploratory (EFA) and confirmatory factor analyses (CFA) in two subsamples (random split). Convergent validity was tested by predicting a high positive correlation of the EBPAS-36D with two scores of attitudes of the ISP and an interest in EBP score. It was tested whether the EBPAS-36D predicts the intention to use EBP. RESULTS: N = 599 psychotherapists participated in the study. The item analyses showed a mean item difficulty of pi = 0.64, a mean inter-item correlation of r = 0.18, and a mean item-total correlation of ritc = 0.40. The internal consistency was very good for the total scale (α = 0.89) and ranged from adequate to very good for the subscales (0.65-0.89), indicating high reliability. The original factor structure showed an acceptable model fit (RMSEA = 0.064 (90% CI = 0.059-0.068); SRMR = 0.0922; AIC = 1400.77), confirming the 12-factor structure of the EBPAS-36. However, a second-order factor structure derived by the EFA had an even better model fit (RMSEA = 0.057 (90% CI = 0.052-0.062); SRMR = 0.0822; AIC = 1274.56). When the EBPAS-36D was entered in a hierarchical regression model with the criterion Intention to use EBP, the EBPAS-36D contributed significantly to the prediction (Change in R2 = 0.28, p < 0.001) over and above gender, age and participants' report of ever having worked in a university context. CONCLUSIONS: The present study confirms good psychometric properties and validity of a German version of the EBPAS-36 in a sample of psychotherapists.
BACKGROUND: The implementation of evidence-based practice (EBP) in mental health care confers many benefits to patients, and research into factors facilitating the implementation of EBP is needed. As an important factor affecting the implementation of EBP, service providers' attitudes toward EBP emerged. The Evidence-Based Practice Attitude Scale (EBPAS-36) is an instrument with good psychometric characteristics that measures positive and ambivalent attitudes toward EBP. However, a German version is missing. The present study therefore aims to provide a validated German translation of the EBPAS-36. METHODS: The scale was translated and back-translated as recommended by standard procedures. German psychotherapists were recruited to participate in an online survey. They provided demographic and professional information, completed the EBPAS-36, the Implementation Climate Scale (ICS) and the Intention Scale for Providers (ISP). Standard item and reliability analyses were conducted. Construct validity was evaluated with exploratory (EFA) and confirmatory factor analyses (CFA) in two subsamples (random split). Convergent validity was tested by predicting a high positive correlation of the EBPAS-36D with two scores of attitudes of the ISP and an interest in EBP score. It was tested whether the EBPAS-36D predicts the intention to use EBP. RESULTS: N = 599 psychotherapists participated in the study. The item analyses showed a mean item difficulty of pi = 0.64, a mean inter-item correlation of r = 0.18, and a mean item-total correlation of ritc = 0.40. The internal consistency was very good for the total scale (α = 0.89) and ranged from adequate to very good for the subscales (0.65-0.89), indicating high reliability. The original factor structure showed an acceptable model fit (RMSEA = 0.064 (90% CI = 0.059-0.068); SRMR = 0.0922; AIC = 1400.77), confirming the 12-factor structure of the EBPAS-36. However, a second-order factor structure derived by the EFA had an even better model fit (RMSEA = 0.057 (90% CI = 0.052-0.062); SRMR = 0.0822; AIC = 1274.56). When the EBPAS-36D was entered in a hierarchical regression model with the criterion Intention to use EBP, the EBPAS-36D contributed significantly to the prediction (Change in R2 = 0.28, p < 0.001) over and above gender, age and participants' report of ever having worked in a university context. CONCLUSIONS: The present study confirms good psychometric properties and validity of a German version of the EBPAS-36 in a sample of psychotherapists.
Authors: Annika Münzer; Rita Rosner; Helene Gertrud Ganser; Alexander Naumann; Paul L. Plener; Andreas Witt; Lutz Goldbeck Journal: Z Kinder Jugendpsychiatr Psychother Date: 2017-10-16
Authors: Kimberly Eaton Hoagwood; S Serene Olin; Sarah Horwitz; Mary McKay; Andrew Cleek; Alissa Gleacher; Eric Lewandowski; Erum Nadeem; Mary Acri; Ka Ho Brian Chor; Anne Kuppinger; Geraldine Burton; Dara Weiss; Samantha Frank; Molly Finnerty; Donna M Bradbury; Kristin M Woodlock; Michael Hogan Journal: J Clin Child Adolesc Psychol Date: 2014-01-24
Authors: Rinad S Beidas; Nathaniel J Williams; Emily M Becker-Haimes; Gregory A Aarons; Frances K Barg; Arthur C Evans; Kamilah Jackson; David Jones; Trevor Hadley; Kimberly Hoagwood; Steven C Marcus; Geoffrey Neimark; Ronnie M Rubin; Sonja K Schoenwald; Danielle R Adams; Lucia M Walsh; Kelly Zentgraf; David S Mandell Journal: Implement Sci Date: 2019-06-21 Impact factor: 7.327
Authors: B Nussbaumer-Streit; A Jesser; E Humer; A Barke; B K Doering; B Haid; W Schimböck; A Reisinger; M Gasser; H Eichberger-Heckmann; P Stippl; G Gartlehner; C Pieh; T Probst Journal: Sci Rep Date: 2022-06-07 Impact factor: 4.996