TY - JOUR
KW - Aged
KW - Clinical Competence
KW - Contingency management
KW - Cooperative Behavior
KW - Diffusion of Innovation
KW - Dissemination
KW - Feasibility Studies
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - implementation science
KW - Male
KW - Middle Aged
KW - Opioid-Related Disorders/rehabilitation
KW - Program Development
KW - Program Evaluation
KW - Substance Abuse Treatment Centers/methods/organization & administration
AU - B. Hartzler
AU - T. R. Jackson
AU - B. E. Jones
AU - B. Beadnell
AU - D. A. Calsyn
A1 - 
AB - Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, and sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a historical control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted patient indices. Collective results offer support for the study's collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed.
BT - Journal of substance abuse treatment
C5 - Opioids & Substance Use; Education & Workforce; Financing & Sustainability
CP - 4
CY - United States
DO - 10.1016/j.jsat.2013.12.007
IS - 4
JF - Journal of substance abuse treatment
N2 - Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, and sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a historical control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted patient indices. Collective results offer support for the study's collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed.
PP - United States
PY - 2014
SN - 1873-6483; 0740-5472
SP - 429
EP - 438
EP - 
T1 - Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program
T2 - Journal of substance abuse treatment
TI - Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program
U1 - Opioids & Substance Use; Education & Workforce; Financing & Sustainability
U2 - 24462242
U3 - 10.1016/j.jsat.2013.12.007
VL - 46
VO - 1873-6483; 0740-5472
Y1 - 2014
ER -