The organizational social context of mental health services and clinician attitudes toward evidence-based practice: a United States national study

Aarons, Gregory A; Glisson, Charles; Green, Phillip D; Hoagwood, Kimberly; Kelleher, Kelly J; Landsverk, John A

doi:10.1186/1748-5908-7-56

Implementation Science

Table 5 Hierarchical linear model analyses of EBPAS total scale and subscales

From: The organizational social context of mental health services and clinician attitudes toward evidence-based practice: a United States national study

Predictor	Regression Weights and (Chi Square Values ^a)
	Total	Appeal	Requirements	Openness	Divergence
Intercept	36.45^***	11.17 ^***	10.77 ^**	8.19 ^**	18.16 ^***
Organizational Level
Rigid Culture	0.01	−0.05	0.03	−0.01	−0.04
Proficient Culture	0.23 ^*	0.04	0.07	0.07	−0.07 ^*
Resistant Culture	0.12	0.04	0.05	0.03	−0.05
Stressful Climate	−0.03	0.02	−0.04 ^*	0.02	0.02
Engaged Climate	0.21	0.15 ^**	−0.07	0.05	−0.08
Functional Climate	−0.14	−0.06	−0.04	−0.02	0.02
Type of agency (reference group = public)	(13.62^***)	(10.75^**)	(5.49)	(13.34^**)	(4.44)
For Profit	−4.79	−2.30 ^*	−1.47 ^***	−2.35	−1.19 ^***
Non Profit	1.04	0.06	0.24	0.43	−0.34 ^*
Service Structure (reference group = separate child division)	(1.78)	(<0.00)	(<0.00)	(<0.00)	(<0.00)
Child and Adult	0.19	0.17	0.16	−0.24	−0.04
Child Only	−0.23	−0.01	0.02	−0.20	0.05
Individual Level
Female	0.81	0.09	0.59 ^**	−0.22	−0.30
Education Level	0.10	0.38 ^**	−0.22	0.09	0.13
Years Experience	−0.18 ^***	−0.05 ^***	−0.04 ^**	−0.06 ^***	0.05 ^***
Rigid Culture	0.00	0.00	0.03	0.00	0.02
Proficient Culture	0.13 ^***	0.04 ^**	0.04 ^***	0.06 ^***	−0.00
Resistant Culture	0.05	0.03	0.05 ^**	0.04 ^***	0.07 ^***
Stressful Climate	0.05 ^*	0.03 ^***	−0.00	0.04 ^***	0.02 ^*
Engaged Climate	0.19 ^***	0.09 ^***	0.02	0.10 ^***	0.01
Functional Climate	0.10 ^***	0.05 ^***	0.05 ^***	0.04 ^**	0.04 ^**
Race/Ethnicity (reference group - Caucasian)	(177.94^***)	(148.17^***)	(118.66^***)	(107.83^***)	(117.24^***)
African American	−2.94 ^***	−1.50 ^***	−0.66 ^*	0.07	0.86 ^**
Asian	1.68	0.48	0.50	0.59	−0.04
Hispanic	−0.97	−0.91 ^**	−0.55	0.27	−0.40
Native American	4.22	0.72	0.76	2.63	−0.04
Other Race	−2.72 ^**	−0.97 ^*	−0.88	0.023	0.68
Major (reference group = psychology)	(40.63 ^***)	(23.78^***)	(16.82^**)	(30.73^***)	(13.83^*)
Education	−0.01	0.14	−0.06	0.17	0.20
Medical	−0.41	−1.38 ^*	0.45	−0.13	−0.62
Nursing	−0.89	−1.14	−1.00	−0.68	−2.09 ^***
Social Work	1.77 ^**	0.47 ^*	0.36	0.79 ^***	−0.18
Other	−0.59	−0.05	−0.09	−0.027	0.17
ICC (unconditional)	0.06^***	0.05^***	0.04^***	0.05^**	0.02
Eta squared	0.15^***	0.13^**	0.13^***	0.13^**	0.11
Organizational Variance Explained by Climate and Culture	8.2%	35.9%	6.0%	2.8%	85.8%
Organizational Variance Explained by Full Model	28.4%	51.8%	8.7%	42.0%	88.4%

^* p < 0.05, ^** p < 0.01, ^*** p < 0.001.
Note: ^a Chi Square for each categorical variable calculated as difference in deviance statistics between models with and without parameters representing contrasts between categories that define the variable.

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ISSN: 1748-5908

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