Continuous quality improvement (CQI) in addiction treatment settings: design and intervention protocol of a group randomized pilot study.
Continuous quality improvement (CQI) in addiction treatment settings: design and intervention protocol of a group randomized pilot study.
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DOI：
10.1186/1940-0640-9-4
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发表时间：
2014-01-28
影响因子：
3.7
通讯作者：
Levan D
中科院分区：
文献类型：
--
作者：
Hunter SB;Ober AJ;Paddock SM;Hunt PE;Levan D
很少有研究在以社区为基础的药物使用治疗环境中设计和测试持续质量改进方法的使用。在这些情况下，对这种方法的可行性、成本、功效和可持续性知之甚少。一组随机试验采用改良的阶梯楔形设计。在研究的第一阶段，按模式（住院、门诊）分层的8个项目被随机分配到干预组或对照组。在第二阶段，最初分配的控制方案正在接受干预措施，以获得有关可行性的额外信息，同时研究最初分配给干预措施的方案的可持续性。通过在试点研究中使用这种设计，我们帮助油田了解干预措施的可行性、成本、有效性和可持续性。在试点阶段确定有关成本和维持的信息，为设计未来的研究和实施战略提供了价值，目标是减少干预开发和转化为现实世界实践环境之间的时间。
Few studies have designed and tested the use of continuous quality improvement approaches in community based substance use treatment settings. Little is known about the feasibility, costs, efficacy, and sustainment of such approaches in these settings. A group-randomized trial using a modified stepped wedge design is being used. In the first phase of the study, eight programs, stratified by modality (residential, outpatient) are being randomly assigned to the intervention or control condition. In the second phase, the initially assigned control programs are receiving the intervention to gain additional information about feasibility while sustainment is being studied among the programs initially assigned to the intervention. By using this design in a pilot study, we help inform the field about the feasibility, costs, efficacy and sustainment of the intervention. Determining information at the pilot stage about costs and sustainment provides value for designing future studies and implementation strategies with the goal to reduce the time between intervention development and translation to real world practice settings.