Confirmatory factor analysis of the Evidence-Based Practice Attitudes Scale with school-based behavioral health consultants

• DOI: 10.1186/s13012-018-0804-z
• Publication Date: 2018-08-22T14:36:51Z
• Authors: Clayton R. Cook; Chayna Davis; Eric C. Brown; Jill Locke; Mark G. Ehrhart; Gregory A. Aarons; Madeline Larson; Aaron R. Lyon
• Keywords: Male; Mental Health Services; Medicine (General); Adolescent; Consultants; Psychometrics; Attitude of Health Personnel; 150; Short Report; Practice Patterns; Confirmatory factor analysis; 03 medical and health sciences; R5-920; 0302 clinical medicine; Structural validity; Evidence-Based Practice Attitudes Scale; Physicians; Surveys and Questionnaires; Humans; Practice Patterns, Physicians'; Education sector; 4. Education; Reproducibility of Results; Statistical; Evidence-based practice; Reliability; Implementation; Attitudes; Evidence-Based Practice; Female; Factor Analysis, Statistical; Factor Analysis; Delivery of Health Care

The Evidence-Based Practice Attitude Scale (EBPAS) is a widely used tool, but it has not been adapted and validated for use in schools, the most common setting where youth access behavioral health services. This study examined the factor structure, psychometric properties, and criterion-related validity of the school-adapted EBPAS in a sample of school-based behavioral health consultants.A research team comprised of experts in implementation of evidence-based practices in schools along with the original developer adapted the EBPAS for the school setting. The adapted instrument was administered to a representative sample (n = 196) of school-based behavioral health consultants to assess the reliability and structural validity via a series of confirmatory factor analyses.The original EBPAS factor structure was confirmed, with the final model supporting four first-order factors that load onto a second-order factor capturing general attitudes toward evidence-based practice. Correlations among the subscales indicated both unique and shared variance. Correlations between EBPAS scores and consultant variables demonstrated differential criterion-related validity, with the total score and the Requirements and Openness subscales demonstrating the strongest correlations.The adapted EBPAS performed well when administered to behavioral health consultants operating in the educator sector, supporting the relevance of assessing attitudes in school settings. Potential directions for future research and applications of the EBPAS in schools and other service sectors are discussed.