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  • 标题:A cluster-randomised controlled trial of values-based training to promote autonomously held recovery values in mental health workers
  • 作者:Virginia Williams ; Frank P. Deane ; Lindsay G. Oades
  • 期刊名称:Implementation Science
  • 印刷版ISSN:1748-5908
  • 电子版ISSN:1748-5908
  • 出版年度:2015
  • 卷号:11
  • 期号:1
  • 页码:13
  • DOI:10.1186/s13012-015-0363-5
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:The implementation and use of evidence-based practices is a key priority for recovery-oriented mental health service provision. Training and development programmes for employees continue to be a key method of knowledge and skill development, despite acknowledged difficulties with uptake and maintenance of behaviour change. Self-determination theory suggests that autonomy, or a sense that behaviour is self-generated, is a key motivator to sustained behaviour change, in this case practices in mental health services. This study examined the utility of values-focused staff intervention as a specific, reproducible method of autonomy support. Mental health workers (n = 146) were assigned via cluster randomisation to either a values clarification condition or an active problem-solving control condition. Results demonstrated that a structured values clarification exercise was useful in promoting integrated motivation for the changed practice and resulted in increased implementation planning. Structured values clarification intervention demonstrates utility as a reproducible means of autonomy support within the workplace. We discuss future directions for the study of autonomous motivation in the field of implementation science. ACTRN12613000353796
  • 关键词:Values ; Self-determination ; Implementation ; Mental health ; Motivation
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