TY - JOUR
KW - Adoption
KW - Adult
KW - Behavior Therapy
KW - Community Health Services
KW - Contingency management
KW - Female
KW - Health Personnel/education
KW - Humans
KW - implementation
KW - Male
KW - Opioid
KW - Opioid-Related Disorders/therapy
KW - Pilot Projects
KW - Program Evaluation
KW - Prospective Studies
AU - S. J. Becker
AU - D. D. Squires
AU - D. R. Strong
AU - N. P. Barnett
AU - P. M. Monti
AU - N. M. Petry
A1 - 
AB - BACKGROUND: Few prospective studies have evaluated theory-driven approaches to the implementation of evidence-based opioid treatment. This study compared the effectiveness of an implementation model (Science to Service Laboratory; SSL) to training as usual (TAU) in promoting the adoption of contingency management across a multisite opioid addiction treatment program. We also examined whether the SSL affected putative mediators of contingency management adoption (perceived innovation characteristics and organizational readiness to change). METHODS: Sixty treatment providers (39 SSL, 21 TAU) from 15 geographically diverse satellite clinics (7 SSL, 8 TAU) participated in the 12-month study. Both conditions received didactic contingency management training and those in the predetermined experimental region received 9 months of SSL-enhanced training. Contingency management adoption was monitored biweekly, whereas putative mediators were measured at baseline, 3 months, and 12 months. RESULTS: Relative to providers in the TAU region, treatment providers in the SSL region had comparable likelihood of contingency management adoption in the first 20 weeks of the study, and then significantly higher likelihood of adoption (odds ratios = 2.4-13.5) for the remainder of the study. SSL providers also reported higher levels of one perceived innovation characteristic (Observability) and one aspect of organizational readiness to change (Adequacy of Training Resources), although there was no evidence that the SSL affected these putative mediators over time. CONCLUSIONS: Results of this study indicate that a fully powered randomized trial of the SSL is warranted. Considerations for a future evaluation are discussed.
BT - Substance abuse
C5 - Opioids & Substance Use; Education & Workforce
CP - 1
CY - United States
DO - 10.1080/08897077.2015.1129524
IS - 1
JF - Substance abuse
N2 - BACKGROUND: Few prospective studies have evaluated theory-driven approaches to the implementation of evidence-based opioid treatment. This study compared the effectiveness of an implementation model (Science to Service Laboratory; SSL) to training as usual (TAU) in promoting the adoption of contingency management across a multisite opioid addiction treatment program. We also examined whether the SSL affected putative mediators of contingency management adoption (perceived innovation characteristics and organizational readiness to change). METHODS: Sixty treatment providers (39 SSL, 21 TAU) from 15 geographically diverse satellite clinics (7 SSL, 8 TAU) participated in the 12-month study. Both conditions received didactic contingency management training and those in the predetermined experimental region received 9 months of SSL-enhanced training. Contingency management adoption was monitored biweekly, whereas putative mediators were measured at baseline, 3 months, and 12 months. RESULTS: Relative to providers in the TAU region, treatment providers in the SSL region had comparable likelihood of contingency management adoption in the first 20 weeks of the study, and then significantly higher likelihood of adoption (odds ratios = 2.4-13.5) for the remainder of the study. SSL providers also reported higher levels of one perceived innovation characteristic (Observability) and one aspect of organizational readiness to change (Adequacy of Training Resources), although there was no evidence that the SSL affected these putative mediators over time. CONCLUSIONS: Results of this study indicate that a fully powered randomized trial of the SSL is warranted. Considerations for a future evaluation are discussed.
PP - United States
PY - 2016
SN - 1547-0164; 0889-7077
SP - 134
EP - 140
EP - 
T1 - Training opioid addiction treatment providers to adopt contingency management: A prospective pilot trial of a comprehensive implementation science approach
T2 - Substance abuse
TI - Training opioid addiction treatment providers to adopt contingency management: A prospective pilot trial of a comprehensive implementation science approach
U1 - Opioids & Substance Use; Education & Workforce
U2 - 26682582
U3 - 10.1080/08897077.2015.1129524
VL - 37
VO - 1547-0164; 0889-7077
Y1 - 2016
ER -