title: A cluster-randomised controlled trial of values-based training to promote autonomously held recovery values in mental health workers.
abstract: BACKGROUND
  The implementation and use of evidence-based practices is a key priority for recovery-oriented mental health service provision. Training and development programmes for employees continue to be a key method of knowledge and skill development, despite acknowledged difficulties with uptake and maintenance of behaviour change. Self-determination theory suggests that autonomy, or a sense that behaviour is self-generated, is a key motivator to sustained behaviour change, in this case practices in mental health services. This study examined the utility of values-focused staff intervention as a specific, reproducible method of autonomy support.
  
  
  METHODS
  Mental health workers (n = 146) were assigned via cluster randomisation to either a values clarification condition or an active problem-solving control condition.
  
  
  RESULTS
  Results demonstrated that a structured values clarification exercise was useful in promoting integrated motivation for the changed practice and resulted in increased implementation planning.
  
  
  CONCLUSIONS
  Structured values clarification intervention demonstrates utility as a reproducible means of autonomy support within the workplace. We discuss future directions for the study of autonomous motivation in the field of implementation science.
  
  
  BACKGROUND
  ACTRN12613000353796.
authors.affiliation: School of Psychology, University of Wollongong, Wollongong, Australia. vcw961@uow.edu.au.
authors.forename: Virginia
authors.initials: V
authors.lastname: Williams
authors.affiliation: Illawarra Institute for Mental Health, University of Wollongong, Wollongong, Australia. fdeane@uow.edu.au.
authors.forename: Frank P
authors.initials: FP
authors.lastname: Deane
authors.affiliation: Australian Institute of Business Wellbeing, University of Wollongong, Wollongong, Australia. loades@uow.edu.au.
authors.forename: Lindsay G
authors.initials: LG
authors.lastname: Oades
authors.affiliation: School of Psychology, University of Wollongong, Wollongong, Australia. tcrowe@uow.edu.au.
authors.forename: Trevor P
authors.initials: TP
authors.lastname: Crowe
authors.affiliation: Institute of Positive Psychology and Education, Australian Catholic University, Sydney, Australia. jciarrochi@gmail.com.
authors.forename: Joseph
authors.initials: J
authors.lastname: Ciarrochi
authors.affiliation: Illawarra Institute for Mental Health, University of Wollongong, Wollongong, Australia. retta@uow.edu.au.
authors.forename: Retta
authors.initials: R
authors.lastname: Andresen
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D001315:Australia; D002983:Clinical Competence; D003657:Decision Making; D055317:Evidence-Based Practice / Q000458:organization & administration*; D005260:Female; D006282:Health Personnel / Q000193:education* / Q000523:psychology*; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D017009:Professional Autonomy; D012945:Social Values; D055815:Young Adult
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