Examining the sustainment of the Adolescent-Community Reinforcement Approach in community addiction treatment settings: protocol for a longitudinal mixed method study
Examining the sustainment of the Adolescent-Community Reinforcement Approach in community addiction treatment settings: protocol for a longitudinal mixed method study
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DOI：
10.1186/s13012-014-0104-1
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发表时间：
2014-08-13
影响因子：
7.2
通讯作者：
Godley, Susan H.
中科院分区：
文献类型：
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作者：
Hunter, Sarah B.;Ayer, Lynsay;Godley, Susan H.
背景：尽管循证治疗被认为是临床实践的黄金标准，但人们普遍认为，现实世界实践环境中循证治疗的实施受到限制。为了弥补这一差距，联邦政府为 84 个社区治疗项目提供了三年的资金、培训和技术援助，以提供一种名为青少年社区强化方法 (A-CRA) 的循证治疗。人们对这些努力是否会在初始资助结束后导致长期 A-CRA 维持知之甚少。方法/设计：我们将使用纵向混合方法数据分析方法来描述随时间的维持情况，并检查与 A-CRA 维持程度相关的因素。我们将使用在资助期间收集的实施数据（例如，组织运作、工作人员认证率和渗透率），并用在拟议项目期间收集的额外数据进行补充，这些数据涉及实施质量和假设的维持预测因素（即内部和外部背景变量），这些数据是在 2013 年至 2015 年的三波中收集的，代表了项目在初始资助后五年内的维持。讨论：更好地了解影响循证治疗维持的因素可能会导致更有效的传播策略，并最终提高社区成瘾治疗机构提供的护理质量。
Background: Although evidence-based treatments are considered the gold standard for clinical practice, it is widely recognized that evidence-based treatment implementation in real world practice settings has been limited. To address this gap, the federal government provided three years of funding, training and technical assistance to 84 community-based treatment programs to deliver an evidence-based treatment called the Adolescent-Community Reinforcement Approach (A-CRA). Little is known about whether such efforts lead to long-term A-CRA sustainment after the initial funding ends.Methods/Design: We will use a longitudinal mixed method data analytic approach to characterize sustainment over time and to examine the factors associated with the extent to which A-CRA is sustained. We will use implementation data collected during the funding period (e.g., organizational functioning, staff certification rates and penetration) and supplement it with additional data collected during the proposed project period regarding implementation quality and the hypothesized predictors of sustainment (i.e., inner and outer contextual variables) collected over three waves from 2013 to 2015 representing program sustainment up to five years post-initial funding.Discussion: Gaining a better understanding of the factors that influence the evidence-based treatment sustainment may lead to more effective dissemination strategies and ultimately improve the quality of care being delivered in community-based addiction treatment settings.