Barriers and facilitators of evidence-based practice perceived by behavioral science health professionals

Citation

Spring B, Coups E, Pagoto S, Ozakinci G, Mulvaney S & Coutu M (2007) Barriers and facilitators of evidence-based practice perceived by behavioral science health professionals. Annual Meeting of the Society of Behavioural Medicine 2007. Annals of Behavioral Medicine, 33 (Suppl 1), pp. S48-S48. https://doi.org/10.1007/BF02874386

Abstract
In real world settings, progress in implementing evidence-based behavioural health practices is slow. The EBBM SIG sponsored a qualitative study to characterize what behavioural health professionals perceive to be the major facilitators and barriers to evidence-based practice (EBP) implementation. Nominations of the top 1-2 EBP implementation barriers and facilitators were requested from professional listservs in behavioural medicine (SBM’s EBBM, MRBC, and Cancer SIGs; APA Division 38; Academy of Behavioural Medicine Research) and mental health (APA Division 12 and Division 12, section III; Association for Behavioural and Cognitive Therapy). 82 barriers and 48 facilitators were nominated by 37 respondents. In accord with thematic analysis, we reviewed the responses and identified major themes. Themes were refined using a consensus process. Seven major themes emerged for both barriers and facilitators: 1) training, 2) attitudes about EBP, 3) consumer demand, 4) logistics, 5) institutional support, 6) policy, 7) research evidence. Most frequently cited barriers included lack of training, insufficient resources, lack of time, and negative attitudes about evidence-based practice. Main facilitators included a growing evidence base showing efficacy and cost-effectiveness of EBPs, and increased availability of inexpensive training opportunities. Perceived barriers outnumbered facilitators and usually reflected current obstacles in existing settings. Facilitators were often “wished for” factors that might have proved helpful if they had been present. Real challenges and a few uplifts characterize the road to EBP implementation.

Journal
Annals of Behavioral Medicine: Volume 33, Issue Suppl 1