The Intentions of Clinical Social Workers in the Treatment of Obsessive-Compulsive Disorder

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Degree type
Doctor of Social Work (DSW)
Graduate group
Discipline
Social Work
Subject
Social Work
OCD
Obsessive-Compulsive Disorder
Exposure and Response Prevention
Clinical Decision-Making
Implementation Science
Evidence-Based Practice
ERP
Theory of Planned Behavior
Behavioral Intention
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Copyright date
2024-07-24
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Author
Amasa Smith
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Abstract

Objective: The purpose of this study was to examine the effect of an informational fact sheet intervention on the effectiveness of Exposure and Response Prevention (ERP) for the treatment of OCD on knowledge, subjective norms, perceived behavioral control, attitudes, and behavioral intention to use ERP among a sample of social workers. This study aimed to test if the efficiency of a fact sheet intervention could result in a greater change in behavioral intention amongst social workers in the experimental group compared to control. Additionally, the study investigated the extent to which subjective norms, attitudes, knowledge, and perceived behavioral control explain social workers’ intention to employ ERP in treating clients with OCD. Methods: Clinical social workers (N = 168) completed an online survey and were randomized to view the fact sheet either before (experimental group) or after (control group) being administered the Intension Scale for Providers-Direct Items (ISP-D14). The ISP-D14 measured behavioral intention, attitudes, subjective norms, and perceived behavioral control. This study hypothesized that social workers provided the informational fact sheet would endorse higher behavioral intention of using ERP to treat OCD, more positive attitudes, greater perceived behavioral control, more favorable social norms, and greater knowledge than the control group. Independent t-tests examined mean differences in intention and purported mechanisms of action between experimental and control groups. One-way ANOVA tests and regression analysis examined influences on behavioral intention. Results: Findings did not support the hypothesis, as there were no significant differences between the treatment and control groups in attitudes, perceived behavioral control, subjective norms, behavioral intention, or knowledge. However, through secondary analysis, a statistically significant relationship was found for these factors explaining behavioral intention to use ERP. Conclusion: A less intensive implementation strategy was not supported but displayed efficacy as a primer to encourage social workers to seek information and training in ERP. A greater understanding of interpersonal and intrapersonal factors influencing clinical decision-making in treating OCD was achieved.

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Solomon, Phyllis
Date of degree
2024-08-09
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