TY - JOUR
T1 - A Model of Determinants Influencing the Development of Child and Adolescent Psychiatrist Self-efficacy for Discussing Substance Use with Patients
AU - Wombacher, Kevin
AU - Harrington, Nancy Grant
N1 - Publisher Copyright:
© 2021 Taylor & Francis Group, LLC.
PY - 2022
Y1 - 2022
N2 - Child and adolescent psychiatrists are well situated to have meaningful conversations with a population at high risk of substance use: youth receiving psychiatric care. However, there has been a dearth of research about behavioral determinants that may influence psychiatrists’ willingness to engage in these discussions. This study proposes a model of determinants to help identify influences on psychiatrists’ levels of self-efficacy, which theoretically should predict their discussions about substance use. A national survey of child and adolescent psychiatrists was conducted to gather data to test this model, which predicted that training, past experiences with substance use discussions, and communication apprehension would influence self-efficacy. Results showed that the model was an excellent fit to the data, accounting for 49% of the variance in self-efficacy. We discuss how these findings could inform future training initiatives for child and adolescent psychiatrists.
AB - Child and adolescent psychiatrists are well situated to have meaningful conversations with a population at high risk of substance use: youth receiving psychiatric care. However, there has been a dearth of research about behavioral determinants that may influence psychiatrists’ willingness to engage in these discussions. This study proposes a model of determinants to help identify influences on psychiatrists’ levels of self-efficacy, which theoretically should predict their discussions about substance use. A national survey of child and adolescent psychiatrists was conducted to gather data to test this model, which predicted that training, past experiences with substance use discussions, and communication apprehension would influence self-efficacy. Results showed that the model was an excellent fit to the data, accounting for 49% of the variance in self-efficacy. We discuss how these findings could inform future training initiatives for child and adolescent psychiatrists.
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U2 - 10.1080/10410236.2021.1920689
DO - 10.1080/10410236.2021.1920689
M3 - Article
C2 - 33941009
AN - SCOPUS:85105385327
SN - 1041-0236
VL - 37
SP - 1748
EP - 1756
JO - Health Communication
JF - Health Communication
IS - 14
ER -