Evaluation of a Randomized Intervention to Increase Adoption of Comparative Effectiveness Research by Community Health Organizations

• Published in: The journal of behavioral health services & research Vol. 41; no. 3; pp. 308 - 323
• Main Authors: Williams, Jessica Roberts, Williams, Weston O., Dusablon, Tracy, Blais, Marissa Puckett, Tregear, Stephen J., Banks, Duren, PhD, Kevin D. Hennessy
• Format: Journal Article
• Language: English
• Published: Boston Springer US 01.07.2014; Springer Nature B.V
• Subjects: Attitudes; Behavior; Clinical trials; Community and Environmental Psychology; Community health; Community Health Services; Community work; Comparative Effectiveness Research; Conjunction; Decision Making; Diffusion of Innovation; Evidence-Based Medicine; Evidence-based practice; Health behavior; Health Informatics; Health Promotion and Disease Prevention; Health Psychology; Health services; Humans; Innovations; Intervention; Male; Medical research; Medicine; Medicine & Public Health; Mental health care; Motivational Interviewing - methods; Program Evaluation - methods; Psychiatry; Public Health; Randomized controlled trials; Randomized Controlled Trials as Topic; Seminars; Strategic planning; Studies; Translational Medical Research; United States > US; Implementation Strategy; Dissemination Strategy; Behavioral Health; Motivational Interview; Akaike Information Criterion
• ISSN: 1094-3412; 1556-3308
• DOI: 10.1007/s11414-013-9369-4

This randomized controlled trial examined the influence of two strategies (informational packets alone and in conjunction with Webinars) aimed at increasing the adoption of motivational interviewing (MI), a patient-centered behavioral health practice supported by evidence from comparative effectiveness studies, among community health organizations responsible for delivering mental and behavioral health services. Data were obtained from 311 directors and staff across 92 community organizations. Hierarchical linear modeling was used to examine changes in decision to adopt MI. The mediating effects of multiple contextual variables were also examined. Results showed that both strategies positively influenced the decision to adopt. The positive impact on decision to adopt was significantly greater among individuals that received informational packets in conjunction with Webinars. Baseline attitudes toward evidence-based practices and pressures for change appeared to mediate this effect.