Attitudes Towards Evidence-Based Practice in Substance Use Treatment Programs Serving American Indian Native Communities
The objective of this paper was to compare attitudes towards evidence-based practice (EBP) of substance use disorder treatment (SUDT) center employees’ serving American Indian and Alaskan Native (AIAN) populations to those serving non-AIAN populations. Survey data on the openness and divergence subscales of the Evidence-Based Practice Attitude Scale (EBPAS) were collected and analyzed. Independent samples T tests were performed to compare the two samples. For all comparisons, except the divergence subscale between counselors, the SUDT employees serving AIANs had significantly lower mean openness scores and higher mean divergence scores than those serving non-AIANs. This study suggests that employees of SUDT centers serving AIAN population hold less positive attitudes towards the adoption and use of EBP than non-AIAN.
KeywordsEvidence-based practice Attitudes American Indian/Alaskan Native Substance use disorder treatment Implementation
The authors thank the communities, agencies, supervisors, and service providers that made these studies possible.
The AI/AN data collection was funded by the National Institute on Drug Abuse (R01DA022239) and the non-AI/AN data by National Institute of Mental Health (R21MH098124, R21MH082731, R01MH072961, and R01MH092950), and National Institute on Drug Abuse (R01DA038466).
Compliance with Ethical Standards
The AI/AN study was approved by the Colorado Multiple Institutional Review Board and the Oregon Health and Science University’s Institutional Review Board. The Indian Health Service Institutional Review Board (IHS-IRB) classified the study as not human subjects’ research. The non-AI/AN study was approved by the Institutional Review Board of San Diego State University.
Conflict of Interest
The authors declare that they have no conflicts of interest.
- 1.SAMHSA. Screening, Brief Intervention, and Referral to Treatment. Substance Abuse and Mental Health Services Administration Rockville; 2015.Google Scholar
- 2.Los Angeles County Substance Abuse Prevention and Control. Transformation of the Los Angeles County Substance Use Disorder System of Care. Los Angeles County Department of Public Health Los Angeles; 2016.Google Scholar
- 4.Aarons GA, Hurlburt M, Horwitz SM. Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research. 2011; 38(1):4–23.Google Scholar
- 5.Straussner SLA. Ethnocultural factors in substance abuse treatment. Guilford Press New York City; 2012.Google Scholar
- 10.Substance Abuse and Mental Health Services Administration [SAMHSA]. SAMHSA’s national registry of evidence-based programs and practices. 2010; http://www.nrepp.samhsa.gov/. Accessed May 4, 2010.
- 11.Melas CD, Zampetakis LA, Dimopoulou A, et al. Evaluating the properties of the Evidence-Based Practice Attitude Scale (EBPAS) in health care. Psychological Assessment 2012; 24(4):867–76.Google Scholar
- 13.Gioia D. Using an organizational change model to qualitatively understand practitioner adoption of evidence-based practice in community mental health. Best Practices in Mental Health: An International Journal 2007;3(1):1–15.Google Scholar
- 14.Anderson JM. National Institutes of Health, Tribal Health Research Office Director’s Announcement. 2017.Google Scholar
- 16.Novins DK. R01DA022239 Evidence-Based Practices And Substance Abuse Treatment For Native Americans.Google Scholar
- 17.Rieckmann T, Moore LA, Croy CD, et al. A national study of American Indian and Alaska Native substance abuse treatment: provider and program characteristics. Journal of Substance Abuse Treatment. 2016; 68:46–56.Google Scholar
- 18.Novins DK, Moore LA, Beals J, et al. A framework for conducting a national study of substance abuse treatment programs serving American Indian and Alaska Native communities. The American Journal of Drug and Alcohol Abuse. 2012; 38(5): 518–22.Google Scholar
- 22.Aarons GA, McDonald EJ, Sheehan AK, et al. Confirmatory factor analysis of the evidence-based practice attitude scale (EBPAS) in a geographically diverse sample of community mental health providers. Administration and Policy in Mental Health and Mental Health Services Research 2007; 34: 465–469.PubMedCrossRefGoogle Scholar
- 30.Hoagwood K, Burns BJ, Kiser L, et al. Evidence-based practice in child and adolescent mental health services. Psychiatric Services 2001; 52(9): 1179–1189.Google Scholar
- 35.Institute of Medicine [IOM]. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.Google Scholar
- 36.APA. Report of the 2005 Presidential Task Force on evidence-based practice. 2005: 1–28.Google Scholar