Predicting Therapists' Intentions to Use Innovations: Comparing the Role of Individual, Organizational, and Innovation Characteristics

被引：2
作者：
Ahuna, Jonathan K. [1 ]
Becker, Kimberly D. [1 ]
Chorpita, Bruce F. [2 ]
机构：
[1] Univ South Carolina, Barnwell Coll, Dept Psychol, 1512 Pendleton St, Columbia, SC 29208 USA
[2] Univ Calif Los Angeles, Dept Psychol, Box 951563, Los Angeles, CA 90095 USA
来源：
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2023年 / 50卷 / 06期
关键词：
Mental health; Implementation science; Innovation; Intentions; Beliefs; TECHNOLOGY ACCEPTANCE MODEL; HUMAN-CENTERED DESIGN; INFORMATION-TECHNOLOGY; UNIFIED THEORY; ATTITUDES; CLINICIAN; VARIANCE; CONSUMER; BEHAVIOR; ADOPTION;
D O I：
10.1007/s10488-023-01295-6
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Theories emphasize the role of individual and organizational characteristics in implementation outcomes, yet research indicates that these characteristics account for only a small amount of variance in those outcomes. Innovation characteristics might be important proximal determinants of implementation outcomes but are infrequently examined in mental health services research. This study examined the relative variance explained by individual, organizational, and innovation characteristics on behavioral intentions, a central implementation outcome in implementation theories. Data were collected from 95 therapists and 28 supervisors who participated in a cluster randomized trial that tested the effectiveness of two clinical decision-making innovations. Multilevel models compared individual, organizational, and innovation characteristics as predictors of therapists' intentions to use the innovations. Subsequent mediational path analyses tested whether innovation characteristics mediated the effect of innovation type on intentions. Individual and organizational characteristics explained 29% of the variability in therapists' intentions. Approximately 75% of the variability in therapists' intentions was accounted for by innovation characteristics. Individual and organizational characteristics were not statistically significant predictors of intentions after controlling for innovation characteristics. The indirect effect of innovation type on intentions through therapists' beliefs was statistically significant (B = 0.410, 95% Bootstrapped CI = [0.071, 0.780]), but the direct effect of innovation type was not (B = 0.174, p = .365). Innovation characteristics are related to therapist intentions and might explain why some innovations are received more favorably than others. Future studies should explore the complex interrelationships between these beliefs alongside other individual or organizational characteristics.
引用
收藏
页码：946 / 965
页数：20
相关论文
共 115 条
  • [11] MEASURING USER PARTICIPATION, USER INVOLVEMENT, AND USER ATTITUDE
    BARKI, H
    HARTWICK, J
    [J]. MIS QUARTERLY, 1994, 18 (01) : 59 - 82
  • [12] Toward a Unified Treatment for Emotional Disorders
    Barlow, David H.
    Allen, Laura B.
    Choate, Molly L.
    [J]. BEHAVIOR THERAPY, 2016, 47 (06) : 838 - 853
  • [13] THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS
    BARON, RM
    KENNY, DA
    [J]. JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) : 1173 - 1182
  • [14] Fitting Linear Mixed-Effects Models Using lme4
    Bates, Douglas
    Maechler, Martin
    Bolker, Benjamin M.
    Walker, Steven C.
    [J]. JOURNAL OF STATISTICAL SOFTWARE, 2015, 67 (01): : 1 - 48
  • [15] A pilot study to examine the feasibility and acceptability of a coordinated intervention design to address treatment engagement challenges in school mental health services
    Becker, Kimberly D.
    Park, Alayna L.
    Boustani, Maya M.
    Chorpita, Bruce F.
    [J]. JOURNAL OF SCHOOL PSYCHOLOGY, 2019, 76 : 78 - 88
  • [16] Assessing Causal Pathways and Targets of Implementation Variability for EBP use (Project ACTIVE): a study protocol
    Becker-Haimes, Emily M.
    Mandell, David S.
    Fishman, Jessica
    Williams, Nathaniel J.
    Wolk, Courtney Benjamin
    Wislocki, Katherine
    Reich, Danielle
    Schaechter, Temma
    Brady, Megan
    Maples, Natalie J.
    Creed, Torrey A.
    [J]. IMPLEMENTATION SCIENCE COMMUNICATIONS, 2021, 2 (01):
  • [17] The relationship between consumer, clinician, and organizational characteristics and use of evidence-based and non-evidence-based therapy strategies in a public mental health system
    Beidas, Rinad
    Skriner, Laura
    Adams, Danielle
    Wolk, Courtney Benjamin
    Stewart, Rebecca E.
    Becker-Haimes, Emily
    Williams, Nathaniel
    Maddox, Brenna
    Rubin, Ronnie
    Weaver, Shawna
    Evans, Arthur
    Mandell, David
    Marcus, Steven C.
    [J]. BEHAVIOUR RESEARCH AND THERAPY, 2017, 99 : 1 - 10
  • [18] Predictors of Community Therapists' Use of Therapy Techniques in a Large Public Mental Health System
    Beidas, Rinad S.
    Marcus, Steven
    Aarons, Gregory A.
    Hoagwood, Kimberly E.
    Schoenwald, Sonja
    Evans, Arthur C.
    Hurford, Matthew O.
    Hadley, Trevor
    Barg, Frances K.
    Walsh, Lucia M.
    Adams, Danielle R.
    Mandell, David S.
    [J]. JAMA PEDIATRICS, 2015, 169 (04) : 374 - 382
  • [19] BENTLER PM, 1990, PSYCHOL BULL, V107, P238, DOI 10.1037/0033-2909.107.2.238
  • [20] Bollen K. A., 1993, Testing Structural Equation, DOI DOI 10.1093/SF/73.3.1161
12345678910