Predictors of Adopting Motivational Enhancement Therapy

Author:

Ager Richard1,Roahen-Harrison Stephanie2,Toriello Paul J.3,Kissinger Patricia2,Morse Patricia4,Morse Edward2,Carney Linton5,Rice Janet2

Affiliation:

1. Tulane University, New Orleans, LA, USA,

2. Tulane University, New Orleans, LA, USA

3. East Carolina University, Greenville, NC, USA

4. Western Carolina University, Cullowhee, NC, USA

5. AIDS Law of Louisiana, Inc, New Orleans, LA, USA

Abstract

Substance abuse counselors have shown limited success in adopting evidence-based practices (EBPs). The purpose of this paper is to identify the barriers and facilitators of adopting an EBP called motivational enhancement therapy (MET). One hundred thirty-six predominantly female (60%) African American (68%) addiction counselors representing over 40 agencies completed surveys before and after participating in a 2-day MET training. Based on stepwise regressions, 10 variables predicted gains in MET knowledge, attitudes, and/or skills: high consistency of MET with organization’s philosophy, being Caucasian, being younger, low self-efficacy, high practitioner self-perceived cultural competency, low adherence to the 12-step treatment philosophy, viewing MET as challenging to learn, high workload, fewer colleagues in same MET training, and working in a smaller organization. Implications for social work practice are discussed.

Publisher

SAGE Publications

Subject

General Psychology,Sociology and Political Science,Social Sciences (miscellaneous)

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