Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial.
Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial.
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DOI：
10.2196/35125
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发表时间：
2022-07-14
影响因子：
2.7
通讯作者：
Molfenter, Todd
中科院分区：
文献类型：
--
作者：
Gustafson, David Sr Sr;Horst, Julie;Boss, Deanne;Fleddermann, Kathryn;Jacobson, Nora;Roosa, Mathew;Ross, J. Charles;Gicquelais, Rachel;Vjorn, Olivia;Siegler, Tracy;Molfenter, Todd
关键词：
研究人员已经进行了大量的研究，试图了解如何改善医疗保健组织的变化的实施，但较少关注应用已经从实施科学中吸取的经验教训。找到创新的方法来有效和一致地应用这些研究结果将改善目前对实施战略的研究，并使组织能够利用这些技术更有效地进行变革。本研究旨在比较一个实际的实施方法，使用以前的实施研究的原则，以更传统的方式实施变革。爱荷华州共有43个成瘾治疗场所被随机分配到2个不同的实施策略，在一项随机比较有效性试验中研究了电子健康物质使用障碍治疗技术的实施。一种策略采用了改进成瘾治疗网络（NIATx）的改进方法，而另一种策略则采用了传统的产品培训模式。本文件讨论了执行方面的经验教训。这份中期报告表明，NIATx方法的使用似乎在几项措施上导致了结果的改善，包括咨询师和患者对新技术的初始和持续使用。此外，这项研究表明，将组织变革无缝集成到现有的工作流程中，并使用辅导来克服障碍和评估进展，对于改善实施项目非常重要。在研究的这个过渡阶段，似乎使用NIATx改进过程可以在医疗保健组织内实施变革方面取得更好的结果。此外，在这一改进过程中使用的一些战略特别有用，在今后的执行工作中应更多地加以借鉴。ClinicalTrials.gov NCT03954184; https://clinicaltrials.gov/ct2/show/NCT03954184
Researchers have conducted numerous studies seeking to understand how to improve the implementation of changes in health care organizations, but less focus has been given to applying lessons already learned from implementation science. Finding innovative ways to apply these findings efficiently and consistently will improve current research on implementation strategies and allow organizations utilizing these techniques to make changes more effectively. This research aims to compare a practical implementation approach that uses principles from prior implementation studies to more traditional ways of implementing change. A total of 43 addiction treatment sites in Iowa were randomly assigned to 2 different implementation strategies in a randomized comparative effectiveness trial studying the implementation of an eHealth substance use disorder treatment technology. One strategy used an adaptation of the Network for the Improvement of Addiction Treatment (NIATx) improvement approach, while the other used a traditional product training model. This paper discusses lessons learned about implementation. This midterm report indicates that use of the NIATx approach appears to be leading to improved outcomes on several measures, including initial and sustained use of new technology by both counselors and patients. Additionally, this research indicates that seamlessly integrating organizational changes into existing workflows and using coaching to overcome hurdles and assess progress are important to improve implementation projects. At this interim point in the study, it appears that the use of the NIATx improvement process leads to better outcomes in implementation of changes within health care organizations. Moreover, some strategies used in this improvement process are particularly useful and should be drawn on more heavily in future implementation efforts. ClinicalTrials.gov NCT03954184; https://clinicaltrials.gov/ct2/show/NCT03954184
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影响因子：
25.8
作者：
Gustafson, David H.;McTavish, Fiona M.;Chih, Ming-Yuan;Atwood, Amy K.;Johnson, Roberta A.;Boyle, Michael G.;Levy, Michael S.;Driscoll, Hilary;Chisholm, StevenM.;Dillenburg, Lisa;Isham, Andrew;Shah, Dhavan
通讯作者：
Shah, Dhavan
DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
2
作者：
ACKERMAN, LS
通讯作者：
ACKERMAN, LS
影响因子：
7.4
作者：
Gillam J;Davies N;Aworinde J;Yorganci E;Anderson JE;Evans C
通讯作者：
Evans C
DOI：
10.1177/11782218211053360
发表时间：
2021
期刊：
Substance abuse : research and treatment
影响因子：
--
作者：
Fleddermann K;Molfenter T;Jacobson N;Horst J;Roosa MR;Boss D;Ross JC;Preuss E;Gustafson DH
通讯作者：
Gustafson DH