Integrity of evidence-based practice: are providers modifying practice content or practice sequencing?
This study examined patterns of evidence-based treatment (EBT) implementation within community settings by evaluating integrity along separate dimensions of practice content (PC; a session included the prescribed procedure) and practice sequencing (a session occurred in the prescribed sequence) within a recent randomized effectiveness trial. We measured whether sessions showed integrity to PC and to flexible or linear practice sequences. Findings revealed that providers tended to incorporate content from the EBT protocol in most treatment sessions, but that the sequencing of the sessions was often modified, suggesting that providers are amenable to evidence-based procedures, but not necessarily their prescribed arrangement.
Department of Psychology, University of California, Los Angeles, 1285 Franz Hall, Box 951563, Los Angeles, CA, 90095, USA, alaynapark@ucla.edu.
Alayna L
AL
Park
Bruce F
BF
Chorpita
Jennifer
J
Regan
John R
JR
Weisz
D000328:Adult; D001008:Anxiety Disorders / Q000628:therapy; D002648:Child; D002985:Clinical Protocols; D015928:Cognitive Behavioral Therapy / Q000592:standards*; D019955:Conduct Disorder / Q000628:therapy; D003866:Depressive Disorder / Q000628:therapy; D055317:Evidence-Based Practice; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D011570:Psychiatry / Q000592:standards; D011584:Psychology / Q000592:standards; D012949:Social Work, Psychiatric / Q000592:standards