Psychology ETDs


Erin Tooley

Publication Date



Dissemination efforts occur within a context. It is important to determine the individual and organizational factors that promote MI adoption. The present study had three goals: 1) to examine the four-factor structure of the Evidence-Based Practice Attitudes Scale (EBPAS) in a sample of substance abuse providers, 2) to examine the organizational and therapist attitude variables that predicted study attrition, and 3) to examine the organizational and therapist attitude factors that predicted MI skill levels at each of the three time points and the factors that predicted skill growth over time. While the factor-structure of the EBPAS was similar in this sample to a sample of general mental health practitioners, the model fit the data only marginally well. More positive therapist attitudes about EBP and positive organizational climate predicted submission of a three-month follow-up session. Institutional resources and training exposure and utilization predicted both skill growth over time and skill level at baseline, immediately post-training, and three-months post-training. In order to more effectively adopt MI, an organization needs to be appropriately funded and devote more resources to exposing therapists to continuing education opportunities.

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Level of Degree


Department Name


First Advisor

Smith, Bruce

First Committee Member (Chair)

Smith, Bruce

Second Committee Member

Moyers, Theresa

Third Committee Member

Tonigan, J. Scott

Fourth Committee Member

Perry, Christina

Fifth Committee Member

Levensky, Eric




Adoption, Implementation, Motivational interviewing, Organizational factors

Document Type