Testing a theory of strategic implementation leadership, implementation climate, and clinicians’ use of evidence-based practice: a 5-year panel analysis

Table 3 Continuous variable analyses testing study hypotheses

	Consequents
	EBP implementation climate			Clinician use of EBP			Clinician use of non-EBP
Antecedents	B	SE	p	B	SE	p	B	SE	p
EBP implementation climate				.36	.13	.009	.10	.13	.424
Implementation leadership	.44	.14	.004	− .00	.12	.976	− .13	.12	.305
Transformational leadership	− .10	.16	.546	− .15	.13	.245	− .12	.13	.359
Molar organizational climate	.01	.01	.101	− .01	.01	.239	.01	.01	.179
Clinicians’ average years of experience	− .02	.01	.197	.03	.01	.011	.02	.01	.030
Model R²	.59			.33			.19

K = 73 observations across N = 30 organizations. These are two-way fixed effects regression models which estimate the conditional, within-organization effect of change in each antecedent variable on change in the consequent, controlling for all other variables in the model as well as population trends in the consequent over time and all stable organizational characteristics. EBP evidence-based practice. EBP use is measured as clinicians’ use of cognitive-behavioral psychotherapy techniques; non-EBP use is measured as clinicians’ use of psychodynamic psychotherapy techniques. Indirect effect of implementation leadership on clinician EBP use via EBP implementation climate = .16 (95% CI = .03 to .33)

ISSN: 1748-5908