Therapist Attitudes Towards Evidence-Based
Practice: A Joint Factor Analysis
Alexandra M. Burgess
Kelsie H. Okamura
Sonia C. Izmirian
Charmaine K. Higa-McMillan
Brad J. Nakamura
Despite the accumulated research support for the use of evidence-based practices (EBPs) with
youth, these treatment approaches remain underutilized in community settings. Therapist attitudes
towards EBPs play a pivotal role in their adoption and implementation of these practices. The
present investigation employs joint exploratory factor analysis to evaluate the structure of two
measures of therapist attitudes, the Evidence-Based Practices Attitudes Scale and the Modiﬁed
Practice Attitude Scale. Results suggest three factors including (a) importance of clinical
experience over EBPs, (b) clinician openness to change, and (c) problems with EBPs.
Recommendations are provided for future evaluation of therapist attitudes and associated
Evidence-based practices (EBPs) that have strong empirical support and demonstrated
effectiveness in community settings have been developed to treat youth psychopathology
large amount of time and funding has been allocated to the discovery of these efﬁcacious practices,
and a signiﬁcant body of research in the area of youth mental health has demonstrated meaningful
improvement in symptomology as a result of using EBPs
. However, use of these efﬁcacious
treatment approaches remains inconsistent in community-based settings due to a variety of barriers
Address correspondence to Alexandra M. Burgess, Smith College, Northampton, USA. Email: email@example.com.
Kelsie H. Okamura, University of Hawaii at Manoa, Honolulu, USA.
Sonia C. Izmirian, University of Hawaii at Manoa, Honolulu, USA.
Brad J. Nakamura, University of Hawaii at Manoa, Honolulu, USA.
Charmaine K. Higa-McMillan, University of Hawaii at Hilo, Hilo, USA.
Scott Shimabukuro, Child and Adolescent Mental Health Division, State of Hawaii Department of Health, Honolulu,
Journal of Behavioral Health Services & Research, 2016. 414–427. c
2016 National Council for Behavioral Health. DOI
414 The Journal of Behavioral Health Services & Research 44:3 July 2017