Barriers and facilitators of evidence-based practice perceived by behavioral science health professionals

被引:111
作者
Pagoto, Sherry L.
Spring, Bonnie
Coups, Elliot J.
Mulvaney, Shelagh
Coutu, Marie-France
Ozakinci, Gozde
机构
[1] Univ Massachusetts, Sch Med, Dept Med, Div Prevent & Behav Med, Worcester, MA 01655 USA
[2] Northwestern Univ, Evanston, IL 60208 USA
[3] Univ Sherbrooke, Sherbrooke, PQ J1K 2R1, Canada
关键词
evidence-based practice; diffusion of innovations; evidence; implementation; research to practice;
D O I
10.1002/jclp.20376
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Progress in implementing evidence-based behavioral practices has been slow. A qualitative study was performed to characterize the major facilitators and barriers to evidence-based practice (EBP) perceived by behavioral professionals. Members of professional e-mail listservs were queried and 84 barriers and 48 facilitators were nominated by 37 respondents. Thematic analysis revealed seven themes to describe both barriers and facilitators: (a) training, (b) attitudes, (c) consumer demand, (d) logistical considerations, (e) institutional support, (f) policy, and (g) evidence. Most frequently cited barriers included negative attitudes about EBP and lack of
引用
收藏
页码:695 / 705
页数:11
相关论文
共 29 条
[1]  
Aarons G. A., 2004, MENTAL HLTH SERVICES, V6, P61, DOI DOI 10.1023/B:MHSR.0000024351.12294.65
[2]  
[Anonymous], 2003, Diffusion of Innovations
[3]  
[Anonymous], 2006, REPORT EMOTIONAL BEH
[4]  
[Anonymous], 2005, Implementation Research: A Synthesis of the Literature
[5]   Evidence-based practice in psychology [J].
Goodheart C.D. ;
Levant R.F. ;
Barlow D.H. ;
Carter J. ;
Davidson K.W. ;
Hagglund K.J. ;
Hollon S.D. ;
Johnson J.D. ;
Leviton L.C. ;
Mahrer A.R. ;
Newman F.L. ;
Norcross J.C. ;
Silverman D.K. ;
Smedley B.D. ;
Wampold B.E. ;
Westen D.I. ;
Yates B.T. ;
Zane N.W. ;
Reed G.M. ;
Bufka L.F. ;
Nelson P.D. ;
Belar C.D. ;
Bullock M. .
AMERICAN PSYCHOLOGIST, 2006, 61 (04) :271-285
[6]  
Backer TE, 1998, J HEALTH COMMUN, V3, P17
[7]  
BACKER TE, 2000, FINDING BALANCE PROG
[8]   Diffusion of innovations and HIV/AIDS [J].
Bertrand, JT .
JOURNAL OF HEALTH COMMUNICATION, 2004, 9 :113-121
[9]   Disseminating innovations in health care [J].
Berwick, DM .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (15) :1969-1975
[10]   Why don't physicians follow clinical practice guidelines? A framewouk for improvement [J].
Cabana, MD ;
Rand, CS ;
Powe, NR ;
Wu, AW ;
Wilson, MH ;
Abboud, PAC ;
Rubin, HR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (15) :1458-1465