Abstract
Implementation of routine outcome monitoring (ROM) in mental health care is progressing slowly. Knowledge about factors influencing ROM implementation, including health providers’ attitudes towards ROM, is necessary. Based on a survey of 662 psychologists and nurses, this article describes (1) the development of a short instrument measuring provider attitudes towards ROM, derived from the Evidence-based Practice Attitude Scale (EBPAS), and (2) how attitudinal domains relate to clinicians’ current use of standardized instruments for treatment evaluation. The EBPAS–ROM showed concurrent validity in predicting aspects important for the implementation of ROM, including perceived limitations and the value of organizational support.
Highlights
Efforts to integrate science and practice in mental health care increasingly involve the implementation of routine outcome monitoring (ROM)
It is linked to both theory and practice, as it is adapted from well-known instruments developed from implementation theories and consultations with mental health care providers (Aarons 2004; Aarons et al 2012; Rye et al 2017), and it is psychometrically strong, which are all important aspects of a pragmatic measure
It lives up to the intentions of its predecessors, the EBPAS50 and -36, to be a short and pragmatic instrument that can be used for applied and research purposes for both understanding implementation factors and planning implementation strategies. This adaptation of a prior scale is consistent with the development of new implementation measures that can be tailored to focus on specific practices that are being implemented in a given health setting (Moullin et al 2018)
Summary
Efforts to integrate science and practice in mental health care increasingly involve the implementation of routine outcome monitoring (ROM). An ultimate goal of this line of efforts to describe provider attitudes in relation to the implementation of ROM is to increase our understanding of factors likely to facilitate the successful sustained use of ROM, with the potential to increase the quality of mental health care services and better patient outcomes. Several reviews have raised concerns that many implementation measurement constructs exhibit weak psychometric properties (Chaudoir et al 2013; Chor et al 2015; Lewis et al 2015) This can cast doubt on study findings and the development and testing of implementation strategies that facilitate the uptake and sustained use of both ROM and other empirically supported interventions. The EBPAS-50 was developed based on theories of attitudes, dissemination and implementation in mental health, and consultations with mental health service providers and researchers (Aarons et al 2012)
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