title: What Predicts Clinician Dropout from State-Sponsored Managing and Adapting Practice Training.
abstract: Dropouts from system-wide evidence-based practice trainings are high; yet there are few studies on what predicts dropouts. This study examined multilevel predictors of clinician dropout from a statewide training on the Managing and Adapting Practice program. Extra-organizational structural variables, intra-organizational variables and clinician variables were examined. Using multivariable logistic regression analysis, state administrative data and prospectively collected clinician participation data were used to predict dropout. Two characteristics were predictive: younger clinicians and those practicing in upstate-rural areas compared to downstate-urban areas were less likely to drop out from training. Implications for research and policy are described.
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA. Serene.Olin@nyumc.org.
authors.forename: S Serene
authors.initials: SS
authors.lastname: Olin
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
authors.forename: Erum
authors.initials: E
authors.lastname: Nadeem
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
authors.forename: Alissa
authors.initials: A
authors.lastname: Gleacher
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
authors.forename: James
authors.initials: J
authors.lastname: Weaver
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
authors.forename: Dara
authors.initials: D
authors.lastname: Weiss
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA.|New York State Office of Mental Health, Albany, NY, USA.
authors.forename: Kimberly E
authors.initials: KE
authors.lastname: Hoagwood
authors.affiliation: Department of Child and Adolescent Psychiatry, New York University Langone Medical Center, One Park Avenue, 7th Floor, New York, NY, 10016, USA.
authors.forename: Sarah McCue
authors.initials: SM
authors.lastname: Horwitz
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D000328:Adult; D000367:Age Factors; D002648:Child; D002662:Child Health Services; D003695:Delivery of Health Care; D055317:Evidence-Based Practice / Q000193:education*; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D055361:Multilevel Analysis; D015999:Multivariate Analysis; D009518:New York; D012424:Rural Population; D014505:Urban Population
keywords: Children’s services; EBP training; Managing and adapting practice (MAP) system; Predictors of clinician dropouts