Psychometric properties and U.S. National norms of the Evidence-Based Practice Attitude Scale (EBPAS).
The Evidence-Based Practice Attitude Scale (EBPAS) assesses mental health and social service provider attitudes toward adopting evidence-based practices. Scores on the EBPAS derive from 4 subscales (i.e., Appeal, Requirements, Openness, and Divergence) as well as the total scale, and preliminary studies have linked EBPAS scores to clinic structure and policies, organizational culture and climate, and first-level leadership. EBPAS scores are also related to service provider characteristics, including age, education level, and level of professional development. The present study examined the factor structure, reliability, and norms of EBPAS scores in a sample of 1,089 mental health service providers from a nationwide sample drawn from 100 service institutions in 26 states in the United States. The study also examined associations of provider demographic characteristics with EBPAS subscale and total scores. Confirmatory factor analysis supported a second-order factor model, and reliability coefficients for the subscales ranged from .91 to .67 (total scale = .74). The study establishes national norms for the EBPAS so that comparisons can be drawn for U.S. local as well as international studies of attitudes toward evidence-based practices. The results suggest that the factor structure and reliability are likely generalizable to a variety of service provider contexts and different service settings and that the EBPAS subscales are associated with provider characteristics. Directions for future research are discussed.
Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0812, USA. gaarons@ucsd.edu
Gregory A
GA
Aarons
Charles
C
Glisson
Kimberly
K
Hoagwood
Kelly
K
Kelleher
John
J
Landsverk
Guy
G
Cafri
D000328:Adult; D001291:Attitude of Health Personnel; D019317:Evidence-Based Medicine; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000592:standards*; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011594:Psychometrics; D011795:Surveys and Questionnaires / Q000592:standards*; D014481:United States