Clinicians’ self-efficacy with regard to delivering evidence-based interventions (EBIs) to youth is an important target for both improving EBI use in the community and mitigating the risk of clinician burnout and turnover. Examining predictors of clinician self-efficacy to treat trauma-exposed youth is, therefore, an important step for informing the design of implementation strategies to enhance the mental health workforce's capacity to deliver EBIs in this population. We examined predictors of clinician self-efficacy in working with trauma-exposed youth in a sample of practicing mental health clinicians (N = 258, M age = 34.4 years, 85.0% female). Clinicians were recruited and surveyed as part of a larger study examining how clients’ exposure to potentially traumatic events influences clinician decision-making. Results of regression models indicated that training in any trauma treatment model, being trained via a variety of formats (e.g., in-person training, online, supervision), and training in a variety of treatment models were all associated with higher perceived self-efficacy regarding effectively treating trauma-exposed youth. Of the treatment models and training formats examined, receiving in-person training, R² = .10, and training in trauma-focused cognitive behavioral therapy, R² = .10, were the strongest predictors of higher self-efficacy ratings. Clinician discipline, R² = .04, and clinical practice factors, R² = .20, were also related to self-efficacy. Collectively, the R² indicated a large effect, with the predictors explaining 25.4% of the variance in self-efficacy ratings. Implications for designing implementation strategies targeting clinician self-efficacy and future research are discussed.

中文翻译：

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临床医生报告的治疗遭受创伤的青少年自我效能感的预测因素

临床医生在向青少年提供循证干预措施 (EBI) 方面的自我效能是改善社区 EBI 使用和减轻临床医生倦怠和流动风险的重要目标。因此，检查临床医生治疗遭受创伤的青少年的自我效能的预测因素是为设计实施策略提供信息的重要一步，以增强心理卫生工作者在该人群中提供 EBI 的能力。我们在执业心理健康临床医生样本（N = 258，M年龄 = 34.4 岁，85.0% 女性）中检查了临床医生在与遭受创伤的青少年一起工作时的自我效能预测因素。作为一项更大规模研究的一部分，临床医生被招募和调查，该研究旨在检查客户接触潜在创伤事件如何影响临床医生的决策。回归模型的结果表明，任何创伤治疗模式的培训、通过各种形式接受培训（例如，面对面培训、在线培训、监督）以及各种治疗模式的培训都与较高的自我效能感相关。关于有效治疗遭受创伤的青少年。在所检查的治疗模型和培训形式中，接受面对面培训，R ² = .10，以及以创伤为中心的认知行为治疗培训，R ² = .10，是较高自我效能评级的最强预测因子。临床医生纪律 ( R ² = .04) 和临床实践因素 ( R ² = .20) 也与自我效能相关。总的来说，R ²表明有很大的影响，预测因子解释了自我效能评级中 25.4% 的方差。讨论了设计针对临床医生自我效能和未来研究的实施策略的意义。