Predictors of the decision to adopt motivational interviewing in community health settings

Jessica Roberts Williams, Marissa Puckett Blais, Duren Banks, Tracy Dusablon, Weston O. Williams, Kevin D. Hennessy

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


The purpose of this study is to concurrently examine the impact of individual and organizational characteristics on the decision to adopt the evidence-based practice (EBP) motivational interviewing (MI) among directors and staff (n=311) in community health organizations (n=92). Results from hierarchical linear modeling indicated that, at the individual level, attitudes toward EBPs and race each predicted directors' decisions to adopt, while gender predicted staff 's decisionmaking. At the organizational level, organizational climate was inversely associated with both staff 's and directors' decisions to adopt MI. Organizational barriers to implementing EBPs and use of reading materials and treatment manuals were related to directors' decision to adopt. Type of organization and staff attributes were associated with staff 's decision to adopt. These findings underscore the need to tailor dissemination and implementation strategies to address differences between directors and staff in the adoption of EBPs.

Original languageEnglish (US)
Pages (from-to)294-307
Number of pages14
JournalJournal of Behavioral Health Services and Research
Issue number3
StatePublished - Jul 2014
Externally publishedYes

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health


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