Abstract
The Knowledge of Evidence-Based Services Questionnaire (KEBSQ) is an objective measure of therapist knowledge of practices derived from the evidence base for the treatment of youth psychopathology. However, the length of this measure (i.e., 40 items) and respondent demands associated with each item makes it burdensome for researchers and clinicians. This study developed and validated a Short Form of the KEBSQ using Item Response Theory measurement models. The Short Form consists of 17 items and generates two separate scores: Correct Endorsements and Correct Rejections. The Short Form was found to correlate highly with and perform similarly to the Full Form, providing preliminary validity evidence.
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Aarons, G. A. (2004). Mental health provider attitudes toward adoption of evidence-based practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research,6(2), 61–74. https://doi.org/10.1023/B:MHSR.0000024351.12294.65.
Becker-Haimes, E. M., Okamura, K. H., Wolk, C. B., Rubin, R., Evans, A. C., & Beidas, R. S. (2017). Predictors of clinician use of exposure therapy in community mental health settings. Journal of Anxiety Disorders,49, 88–94. https://doi.org/10.1016/j.janxdis.2017.04.002.
Beidas, R. S., Aarons, G. A., Barg, F., Evans, A., Hadley, T., Hoagwood, K., et al. (2013). Policy to implementation: Evidence-based practice in community mental health–study protocol. Implementation Science, 8(1), 38. https://doi.org/10.1186/1748-5908-8-38.
Beidas, R. S., & Kendall, P. C. (2010). Training therapists in evidence-based practice: A critical review of studies from a systems-contextual perspective. Clinical Psychology Science and Practice,17(1), 1–30. https://doi.org/10.1111/j.1468-2850.2009.01187.x.
Beidas, R. S., Marcus, S., Wolk, C. B., Powell, B., Aarons, G. A., Evans, A. C., et al. (2016). A prospective examination of clinician and supervisor turnover within the context of implementation of evidence-based practices in a publicly-funded mental health system. Administration and Policy in Mental Health and Mental Health Services Research, 43(5), 640–649. https://doi.org/10.1007/s10488-015-0673-6.
Beidas, R. S., Williams, N. J., Green, P. D., Aarons, G. A., Becker-Haimes, E. M., Evans, A. C., et al. (2018). Concordance between administrator and clinician ratings of organizational culture and climate. Administration and Policy in Mental Health and Mental Health Services Research,45(1), 142–151. https://doi.org/10.1007/s10488-016-0776-8.
Bliese, P. (2000). Within-group agreement, non-independence, and reliability: implications for data aggregation and analysis. In K. Klein & S. Kozlowski (Eds.), Multilevel theory, research, and methods in organizations (pp. 349–380). San Francisco, CA: Jossey-Bass.
Brown, R. D., & Hauenstein, N. M. A. (1993). Rwg: an assessment of within-group interrater agreement. Organizational Research Methods,78(2), 306–309.
Chernyshenko, O. S., Stark, S., Chan, K.-Y., Drasgow, F., & Williams, B. (2001). Fitting item response theory models to two personality inventories: Issues and insights. Multivariate Behavioral Research,36(4), 523–562. https://doi.org/10.1207/S15327906MBR3604_03.
Choi, S. W. (2009). Firestar: Computerized adaptive testing simulation program for polytomous item response theory models. Applied Psychological Measurement,33(8), 644–645. https://doi.org/10.1177/0146621608329892.
Chorpita, B. F., Becker, K. D., & Daleiden, E. L. (2007). Understanding the common elements of evidence-based practice. Journal of the American Academy of Child & Adolescent Psychiatry, 46(5), 647–652. https://doi.org/10.1097/chi.0b013e318033ff71.
Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: Application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology,77(3), 566–579. https://doi.org/10.1037/a0014565.
Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Modularity in the design and application of therapeutic interventions. Applied and Preventive Psychology,11(3), 141–156. https://doi.org/10.1016/j.appsy.2005.05.002.
Chorpita, B. F., Daleiden, E. L., Ebesutani, C., Young, J., Becker, K. D., Nakamura, B. J., et al. (2011). Evidence-based treatments for children and adolescents: An updated review of indicators of efficacy and effectiveness. Clinical Psychology Science and Practice,18(2), 154–172. https://doi.org/10.1111/j.1468-2850.2011.01247.x.
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science. https://doi.org/10.1186/1748-5908-4-50.
Dearing, J. W. (2009). Applying diffusion of innovation theory to intervention development. Research on Social Work Practice,19(5), 503–518. https://doi.org/10.1177/1049731509335569.
Do, M., Warnick, E., & Weersing, V. (2012). Examination of the psychometric properties of the therapy procedures checklist-family revised. Poster presented at the annual meeting of the Association for Behavioral and Cognitive Therapies (ABCT). Presented at the National Harbor, MD.
Edelen, M. O., & Reeve, B. B. (2007). Applying item response theory (IRT) modeling to questionnaire development, evaluation, and refinement. Quality of Life Research,16(1), 5–18.
Efron, B. (1979). Bootstrap methods: Another look at the jack-knife. The Annals of Statistics,7(1), 1–26.
Ehrhart, M. G., Aarons, G. A., & Farahnak, L. R. (2014). Assessing the organizational context for EBP implementation: The development and validity testing of the Implementation Climate Scale (ICS). Implementation Science. https://doi.org/10.1186/s13012-014-0157-1.
Embretson, S. E., & Reise, S. P. (2000). Item response theory for psychologists. Mahwah, NJ: Lawrence Earlbaum.
Garland, A. F., Bickman, L., & Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by investigating usual mental health care. Administration and Policy in Mental Health and Mental Health Services Research,37(1–2), 15–26. https://doi.org/10.1007/s10488-010-0279-y.
Glasgow, R. E., & Riley, W. T. (2013). Pragmatic measures. American Journal of Preventive Medicine,45(2), 237–243. https://doi.org/10.1016/j.amepre.2013.03.010.
Glisson, C., Landsverk, J., Schoenwald, S., Kelleher, K., Hoagwood, K. E., Mayberg, S., et al. (2008). Assessing the Organizational Social Context (OSC) of mental health services: Implications for research and practice. Administration and Policy in Mental Health and Mental Health Services Research,35(1–2), 98–113. https://doi.org/10.1007/s10488-007-0148-5.
Hurlburt, M. S., Garland, A. F., Nguyen, K., & Brookman-Frazee, L. (2010). Child and family therapy process: Concordance of therapist and observational perspectives. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 230–244.
Kolko, D. J., Cohen, J. A., Mannarino, A. P., Baumann, B. L., & Knudsen, K. (2009). Community treatment of child sexual abuse: a survey of practitioners in the National Child Traumatic Stress Network. Administration and Policy in Mental Health and Mental Health Services Researc,36(1), 37–49.
Kreier, C. D., & Frisbie, D. A. (1989). Effectiveness of multiple true-false items. Applied Measurement in Education,2, 207–216.
Lewis, C. C., Fischer, S., Weiner, B. J., Stanick, C., Kim, M., & Martinez, R. G. (2015). Outcomes for implementation science: An enhanced systematic review of instruments using evidence-based rating criteria. Implementation Science. https://doi.org/10.1186/s13012-015-0342-x.
Lewis, C. C., Klasnja, P., Powell, B. J., Lyon, A. R., Tuzzio, L., Jones, S., et al. (2018). From classification to causality: Advancing understanding of mechanisms of change in Implementation Science. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2018.00136.
Liew, T. M. (2019). The optimal short version of Montreal Cognitive Assessment in diagnosing mild cognitive impairment and dementia. Journal of the American Medical Directors Association,20, 1055e.1–1055e.8.
Lord, F. M. (1980). Applications of item response theory to practical testing problems. Hilldale, NJ: Erlbaum.
McHugh, R. K., & Barlow, D. H. (2010). The dissemination and implementation of evidence-based psychological treatments: A review of current efforts. American Psychologist,65(2), 73–84. https://doi.org/10.1037/a0018121.
Mokken, R. J. (1971). A theory and procedure of scale analysis. Berlin, Germany: De Gruyter.
Moore, T. M., Scott, J. C., Reise, S. P., Port, A. M., Jackson, C. T., Ruparel, K., et al. (2015). Development of an abbreviated form of the penn line orientation test using large samples and computerized adaptive test simulation. Psychological Assessment,27(3), 955–964. https://doi.org/10.1037/pas0000102.
Nakamura, B. J., Higa-McMillan, C. K., Okamura, K. H., & Shimabukuro, S. (2011). Knowledge of and attitudes towards evidence-based practices in community child mental health practitioners. Administration and Policy in Mental Health and Mental Health Services Research,38(4), 287–300. https://doi.org/10.1007/s10488-011-0351-2.
Okamura, K. H., Nakamura, B. J., Mueller, C., Hayashi, K., & McMillan, C. K. H. (2016). An exploratory factor analysis of the knowledge of evidence-based services questionnaire. The Journal of Behavioral Health Services & Research,43(2), 214–232. https://doi.org/10.1007/s11414-013-9384-5.
Okamura, K. H., Hee, P. J., Jackson, D., & Nakamura, B. J. (2018). Furthering our understanding of therapist knowledge and attitudinal measurement in youth community mental health. Administration and Policy in Mental Health and Mental Health Services Research,45(5), 699–708. https://doi.org/10.1007/s10488-018-0854-1.
Powell, B. J., Beidas, R. S., Rubin, R. M., Stewart, R. E., Wolk, C. B., Matlin, S. L., et al. (2016). Applying the policy ecology framework to Philadelphia’s behavioral health transformation efforts. Administration and Policy in Mental Health and Mental Health Services Research,43(6), 909–926. https://doi.org/10.1007/s10488-016-0733-6.
PracticeWise, LLC. (2017). PracticeWise evidence-base services database. Retrieved from https://www.practicewise.com
Reise, S. P., & Yu, J. (1990). Parameter recovery in the graded response model using MULTILOG. Journal of Educational Measurement,27(2), 133–144.
Roalf, D. R., Moore, T. M., Wolk, D. A., Arnold, S. E., Mechanic-Hamilton, D., Rick, J., et al. (2016). Defining and validating a short form montreal cognitive assessment (s-MoCA) for use in neurodegenerative disease. Journal of Neurology, Neurosurgery & Psychiatry,87(12), 1303–1310. https://doi.org/10.1136/jnnp-2015-312723.
Rogers, E. M. (2003). Diffusion of innovation (5th ed.). New York: Free Press.
Rosenman, R., Tennekoon, V., & Hill, L. G. (2011). Measuring bias in self-reported data. International Journal of Behavioural and Healthcare Research,2(4), 320. https://doi.org/10.1504/IJBHR.2011.043414.
Samejima, F. (1969). Estimation of latent ability using a response pattern of graded scores. Chicago, IL: Psychometric Society.
Sanders, M. R., Prinz, R. J., & Shapiro, C. J. (2009). Predicting utilization of evidence-based parenting interventions with organizational, service-provider and client variables. Administration and Policy in Mental Health and Mental Health Services Research,36(2), 133–143. https://doi.org/10.1007/s10488-009-0205-3.
Seng, A. C., Prinz, R. J., & Sanders, M. R. (2006). The Role of training variables in effective dissemination of evidence-based parenting interventions. International Journal of Mental Health Promotion,8(4), 20–28. https://doi.org/10.1080/14623730.2006.9721748.
Stumpf, R. E., Higa-McMillan, C. K., & Chorpita, B. F. (2009). Implementation of evidence-based services for youth: Assessing provider knowledge. Behavior Modification,33(1), 48–65. https://doi.org/10.1177/0145445508322625.
Ward, A. M., Regan, J., Chorpita, B. F., Starace, N., Rodriguez, A., Okamura, K., et al. (2013). Tracking evidence based practice with youth: Validity of the MATCH and standard manual consultation records. Journal of Clinical Child & Adolescent Psychology,42(1), 44–55.
Weersing, V. R., Weisz, J. R., & Donenberg, G. R. (2002). Development of the therapy procedures checklist: A therapist-report measure of technique use in child and adolescent treatment. Journal of Clinical Child & Adolescent Psychology,31(2), 168–180. https://doi.org/10.1207/S15374424JCCP3102_03.
Weist, M., Lever, N., Stephan, S., Youngstrom, E., Moore, E., Harrison, B., et al. (2009). Formative evaluation of a framework for high quality, evidence-based services in school mental health. School Mental Health,1(4), 196–211. https://doi.org/10.1007/s12310-009-9018-5.
Weisz, J. R., Jensen-Doss, A., & Hawley, K. M. (2006). Evidence-based youth psychotherapies versus usual clinical care: A meta-analysis of direct comparisons. American Psychologist,61(7), 671–689. https://doi.org/10.1037/0003-066X.61.7.671.
Weisz, J. R., Ugueto, A. M., Cheron, D. M., & Herren, J. (2013). Evidence-based youth psychotherapy in the mental health ecosystem. Journal of Clinical Child & Adolescent Psychology,42(2), 274–286. https://doi.org/10.1080/15374416.2013.764824.
Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., et al. (2017). What five decades of research tells us about the effects of youth psychological therapy: A multilevel meta-analysis and implications for science and practice. American Psychologist,72(2), 79–117. https://doi.org/10.1037/a0040360.
Funding
This study was supported by the following grants from the US National Institute of Mental Health: K23 MH099179, Beidas; T32 MH109433.
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Dr. Beidas reported receiving consulting fees from Merck Sharpe & Dohme and the Camden Coalition of Healthcare Providers; and royalties from the Oxford University Press. Drs. Lawson, Moore, Okamura, and Becker-Haimes declare that they have no conflicts of interest.
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Lawson, G.M., Moore, T.M., Okamura, K.H. et al. Knowledge of Evidence-Based Services Questionnaire: Development and Validation of a Short Form. Adm Policy Ment Health 47, 581–596 (2020). https://doi.org/10.1007/s10488-020-01020-7
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DOI: https://doi.org/10.1007/s10488-020-01020-7