Fostering Motivation for Practice Change: Using Self-Determination Theory to Guide Mental Health Training.
Evidence-based practices (EBP) shown to be effective in mental health remain widely unavailable to vulnerable treatment-seeking populations. Provider training often improves EBP-related knowledge and skills, yet these gains are insufficient to facilitate on-going practice change and increased qualit...
| Publicado en: | Community Mental Health Journal Vol. 62; no. 6; pp. 1109 - 1122 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Aug2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=196028156&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 196028156 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00103853 CMH jtl: Community Mental Health Journal issn: 00103853 maglogo: N pubinfo: dt: Aug2026 vid: 62 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 196028156 10.1007/s10597-026-01597-7 ppf: 1109 ppct: 13 formats: tig: atl: Fostering Motivation for Practice Change: Using Self-Determination Theory to Guide Mental Health Training. aug: au: Davis, Lisa Orlina, Enrique Mackey, Elizabeth McCreary, Michael Wisdom, Jennifer P. Jackson, La Tina Silva, Alejandro Bojan, Emi Fernandez, Sacha Bromley, Elizabeth affil: https://ror.org/046rm7j60 Department of Psychiatry and Biobehavioral Sciences, Jane and Terry Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine, DMH+UCLA Public Partnership for Wellbeing, University of California, Los Angeles, USA Wisdom Consulting, New York, NY, USA Department of Mental Health, Los Angeles County, Los Angeles, USA https://ror.org/05xcarb80 Greater Los Angeles VA Healthcare Center, Los Angeles, USA su: Mental health services Mental health Self-efficacy Mental illness Evaluation of human services programs Motivation (Psychology) Counseling Job involvement Professional practice Research funding Descriptive statistics Structural equation modeling Severity of illness index Professional employee training Evidence-based medicine sug: subj: Mental health services Mental health Self-efficacy Mental illness Evaluation of human services programs Motivation (Psychology) Counseling Other Individual and Family Services Offices of Mental Health Practitioners (except Physicians) Psychiatric and Substance Abuse Hospitals Residential Mental Health and Substance Abuse Facilities Job involvement Professional practice Research funding Descriptive statistics Structural equation modeling Severity of illness index Professional employee training Evidence-based medicine keyword: Evidence-based practice Implementation science Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Public mental health Severe mental illness Training Evidence-based practice Implementation science Medical and Health Sciences Public Health and Health Services Psychology and Cognitive Sciences Psychology Public mental health Severe mental illness Training ab: Evidence-based practices (EBP) shown to be effective in mental health remain widely unavailable to vulnerable treatment-seeking populations. Provider training often improves EBP-related knowledge and skills, yet these gains are insufficient to facilitate on-going practice change and increased quality of care in community service settings. Self-Determination Theory (SDT), an empirically validated behavior change theory, can shed light upon factors involved in the knowledge-to-practice gap by elucidating ways in which training can promote internally regulated motivation and capacity to sustain effective practices in real-world settings. This study investigated whether a mental health training program was associated with improved motivation-related outcomes posited by SDT, including work-related self-efficacy, intrinsic motivation, and work engagement, and whether self-efficacy was indirectly related to enhanced work engagement through increased levels of intrinsic motivation, congruent with the theory. The study sample consisted of providers working on intensive mental health teams in a large public mental health system who elected to participate in a psychosocial intervention training program. Changes in self-efficacy, intrinsic motivation, and work engagement were measured before and after a 10-week training module. Structural equation modeling (SEM) was used to estimate and test relationships among the constructs of interest including the presence of an indirect relationship between self-efficacy and enhanced work engagement via intrinsic motivation as posited by SDT. Participants viewed the training positively and rated it as having a high degree of utility. Findings indicated significant increases in self-efficacy (t = 2.55; p < 0.01), intrinsic motivation (t = 2.47; p < 0.01), and work engagement (t = 2.46; p < 0.01) from before until after training. A structural model (N = 144) showed a good fit to the data and evidence for intrinsic motivation acting as a partial mediator of the relationship between self-efficacy and work engagement (indirect effect = 0.14, p < 0.01); 34% of model total effects on work engagement were mediated by intrinsic motivation. Results provide preliminary support for the applicability of SDT to mental health training design and evaluation. Training to enhance intrinsically motivated implementation behavior may help generate drive toward sustainable practice behavior change in complex and resource constrained systems of care. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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