A cluster-randomised controlled trial of values-based training to promote autonomously held recovery values in mental health workers

Implementation Science

Retta Andresen¹  Joseph Ciarrochi³  Trevor P. Crowe⁴  Lindsay G. Oades²  Frank P. Deane¹  Virginia Williams⁴ 

[1] Illawarra Institute for Mental Health, University of Wollongong, Wollongong, Australia;Australian Institute of Business Wellbeing, University of Wollongong, Wollongong, Australia;Institute of Positive Psychology and Education, Australian Catholic University, Sydney, Australia;School of Psychology, University of Wollongong, Wollongong, Australia

关键词: Motivation;    Mental health;    Implementation;    Self-determination;    Values;   

Others  :  1235783
DOI  :  10.1186/s13012-015-0363-5

 received in 2014-09-02, accepted in 2015-12-22,  发布年份 2016

【 摘 要 】

Background

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.

Methods

Mental health workers (n = 146) were assigned via cluster randomisation to either a values clarification condition or an active problem-solving control condition.

Results

Results demonstrated that a structured values clarification exercise was useful in promoting integrated motivation for the changed practice and resulted in increased implementation planning.

Conclusions

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.

Trial registration

ACTRN12613000353796

【 授权许可】

   
2016 Williams et al.

【 图 表 】

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