Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 May:136:106421.
doi: 10.1016/j.childyouth.2022.106421. Epub 2022 Feb 18.

Translation and validation of the evidence-based practice attitude scale (EBPAS-15) to Brazilian Portuguese: Examining providers' perspective about evidence-based parent intervention

A A Baumann  1 , A L Vázquez  2 , A C Macchione  3 , A Lima  4 , A F Coelho  5 , M Juras  6 , M Ribeiro  7 , M Kohlsdorf  8 , B J Carothers  9
Affiliations

Translation and validation of the evidence-based practice attitude scale (EBPAS-15) to Brazilian Portuguese: Examining providers' perspective about evidence-based parent intervention

A A Baumann et al. Child Youth Serv Rev. 2022 May.

Abstract

Background: Few existing evidence-based parent interventions (EBPIs) for prevention and treatment of child and youth mental health disorders are implemented in low-middle-income countries. This study aimed to translate and confirm the factor structure of the Evidence-Based Practice Attitude Scale (EBPAS-15) survey in Brazilian Portuguese with the goal of examining providers' perspective about EBPIs.

Methods: We translated and back translated the EBPAS-15 from English to Brazilian Portuguese. Participants were recruited via snowball sampling and data were collected using an online survey from July of 2018 through January of 2020. A confirmatory factor analysis was conducted to determine if the scale retained its original structure. Open-ended questions about providers' perspectives of their own clinical practice were coded using the Theoretical Domains Framework (TDF). Analyses included data from 362 clinicians (318 women, 41 men) from 20 of the 27 states of Brazil. Participants on average were 26.7 years old, held specialist degrees in the field of psychology, actively worked as therapists, and practiced in private clinics.

Results: The translation of the EBPAS to Brazilian Portuguese retained the same four-factor structure as the English version except for dropping one item from the Divergence domain. When asked about the challenges in their practices, providers generally referred to parents as clients with little skills to discipline their children and lacking knowledge about child development.

Discussion: The Brazilian version of the EBPAS-15 is promising, but future research should consider using quantitative data alongside qualitative information to better understand providers' attitudes about evidence-based interventions to inform implementation efforts.

Trial registration: N/A.

Keywords: EBPAS-15; Evidence-based parent interventions; Implementation; Provider attitude.

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1.
Fig. 1.
Evidence-Based Practice Attitude Scale 4 factor 15 item model (n = 362).
Fig. 2.
Fig. 2.
Final Evidence-Based Practice Attitude Scale 4 factor 14 item model (n = 362).
See this image and copyright information in PMC

References

    1. Aarons GA (2004). Mental Health Provider Attitudes Toward Adoption of Evidence-Based Practice: The Evidence-Based Practice Attitude Scale (EBPAS). Mental Health Services Research, 6(2), 61–74. 10.1023/B:MHSR.0000024351.12294.65 - DOI - PMC - PubMed
    1. Aarons GA, Glisson C, Hoagwood K, Kelleher K, Landsverk J, & Cafri G (2010). Psychometric Properties and United States National Norms of the Evidence-Based Practice Attitude Scale (EBPAS). Psychological Assessment, 22(2). 10.1037/a0019188 - DOI - PMC - PubMed
    1. Amaral CE, Onocko-Campos R, de Oliveira PRS, Pereira MB, Ricci ÉC, Pequeno ML, Emerich B, dos Santos RC, & Thornicroft G (2018). Systematic review of pathways to mental health care in Brazil: Narrative synthesis of quantitative and qualitative studies. International Journal of Mental Health Systems, 12. 10.1186/s13033-018-0237-8 - DOI - PMC - PubMed
    1. Andrade LH, Wang Y-P, Andreoni S, Silveira CM, Alexandrino-Silva C, Siu ER, Nishimura R, Anthony JC, Gattaz WF, Kessler RC, & Viana MC (2012). Mental Disorders in Megacities: Findings from the São Paulo Megacity Mental Health Survey, Brazil. Plos ONE, 7(2), Article e31879. 10.1371/journal.pone.0031879 - DOI - PMC - PubMed
    1. Atkins L, Francis J, Islam R, O’Connor D, Patey A, Ivers N, Foy R, Duncan EM, Colquhoun H, Grimshaw JM, Lawton R, & Michie S (2017). A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implementation Science, 12(1), 77. 10.1186/s13012-017-0605-9 - DOI - PMC - PubMed