ArticleChild & youth care forum2015
Clinical Decision-Making in Community Children's Mental Health: Using Innovative Methods to Compare Clinicians With and Without Training in Evidence-Based Treatment.
Article in Child & youth care forum, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Shared decision-making interventions for people with mental health conditions.The Cochrane database of systematic reviews · 2022Pooled it
- A randomized controlled trial of cognitive debiasing improves assessment and treatment selection for pediatric bipolar disorder.Journal of consulting and clinical psychology · 2016Trial
- DECIDE for MOM Provider Training to improve healthcare providers' competency in engaging and communicating with perinatal individuals: protocol for a non-randomized feasibility study.Pilot and feasibility studies · 2026Article
- Article
- Decision making and the use of evidence based practice: Is the three-legged stool balanced?Practice innovations (Washington, D.C.) · 2018Article
- The Juggling Act of Supervision in Community Mental Health: Implications for Supporting Evidence-Based Treatment.Administration and policy in mental health · 2017Article
- Psychiatric comorbidity in autism spectrum disorder: Correspondence between mental health clinician report and structured parent interview.Autism : the international journal of research and practice · 2017Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundMental health professionals' decision-making practice is an area of increasing interest and importance, especially in the pediatric research and clinical communities.
objectiveThe present study explored the role of prior training in evidence-based treatments on clinicians' assessment and treatment formulations using case vignettes. Specifically, study aims included using the Naturalistic Decision Making (NDM) cognitive theory to 1) examine potential associations between EBT training and decision-making processes (novice versus expert type), and 2) explore how client and family contextual information affects clinical decision-making.
methodsForty-eight clinicians across two groups (EBT trained=14, Not EBT trained=34) participated. Clinicians were comparable on professional experience, demographics, and discipline. The quasi-experimental design used an analog "think aloud" method where clinicians read case vignettes about a child with disruptive behavior problems and verbalized case conceptualization and treatment planning out-loud. Responses were coded according to NDM theory.
resultsMANOVA results were significant for EBT training status such that EBT trained clinicians' displayed cognitive processes more closely aligned with "expert" decision-makers and non-EBT trained clinicians' decision processes were more similar to "novice" decision-makers, following NDM theory. Non-EBT trained clinicians assigned significantly more diagnoses, provided less detailed treatment plans and discussed fewer EBTs. Parent/family contextual information also appeared to influence decision-making.
conclusionThis study offers a preliminary investigation of the possible broader impacts of EBT training and potential associations with development of expert decision-making skills. Targeting clinicians' decision-making may be an important avenue to pursue within dissemination-implementation efforts in mental health practice.
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