Predictors of Adopting Motivational Enhancement Therapy

被引:8
作者
Ager, Richard [1 ]
Roahen-Harrison, Stephanie [1 ]
Toriello, Paul J. [2 ]
Kissinger, Patricia [1 ]
Morse, Patricia [3 ]
Morse, Edward [1 ]
Carney, Linton [4 ]
Rice, Janet [1 ]
机构
[1] Tulane Univ, New Orleans, LA 70118 USA
[2] E Carolina Univ, Greenville, NC USA
[3] Western Carolina Univ, Cullowhee, NC 28723 USA
[4] AIDS Law Louisiana Inc, New Orleans, LA USA
关键词
clinical practice; evidence based practice; drug rehabilitation; drug therapy; SUBSTANCE-ABUSE TREATMENT; TECHNOLOGY-TRANSFER; CHANGE CLINICIAN; DIFFUSION; PREVENTION; READINESS; IMPLEMENTATION; ATTITUDES; EDUCATION; PROGRAM;
D O I
10.1177/1049731509353170
中图分类号
C916 [社会工作、社会管理、社会规划];
学科分类号
1204 ;
摘要
Substance abuse counselors have shown limited success in adopting evidence-based practices (EBPs). The purpose of this paper is to identify the barriers and facilitators of adopting an EBP called motivational enhancement therapy (MET). One hundred thirty-six predominantly female (60%) African American (68%) addiction counselors representing over 40 agencies completed surveys before and after participating in a 2-day MET training. Based on stepwise regressions, 10 variables predicted gains in MET knowledge, attitudes, and/or skills: high consistency of MET with organization's philosophy, being Caucasian, being younger, low self-efficacy, high practitioner self-perceived cultural competency, low adherence to the 12-step treatment philosophy, viewing MET as challenging to learn, high workload, fewer colleagues in same MET training, and working in a smaller organization. Implications for social work practice are discussed.
引用
收藏
页码:65 / 76
页数:12
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