A Model of Determinants Influencing the Development of Child and Adolescent Psychiatrist Self-efficacy for Discussing Substance Use with Patients

Kevin Wombacher, Nancy Grant Harrington

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)1748-1756
Number of pages9
JournalHealth Communication
Volume37
Issue number14
DOIs
StatePublished - 2022

Bibliographical note

Publisher Copyright:
© 2021 Taylor & Francis Group, LLC.

ASJC Scopus subject areas

  • Health(social science)
  • Communication

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