Implementation of Network for the Improvement of Addiction Treatment (NIATx) Processes in Substance Use Disorder Treatment Centers.
Implementation of Network for the Improvement of Addiction Treatment (NIATx) Processes in Substance Use Disorder Treatment Centers.
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DOI：
10.1007/s11414-015-9466-7
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发表时间：
2016-07
期刊：
影响因子：
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通讯作者：
Roman PM
中科院分区：
文献类型：
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作者：
Fields D;Knudsen HK;Roman PM
成瘾治疗改善网络（NIATx）计划中嵌入的内部流程改进是改善物质使用障碍（SUD）治疗性能的有前途的创新，例如参与和保留。到目前为止，很少有研究探讨的变量，可能会增加NIATx创新的扩散和实施。本研究调查了与SUD治疗中心利用NIATx流程改进相关的组织特征，样本为458个治疗方案。总体而言，19%的人使用了NIATx流程改进。在统计控制环境因素后，五个组织变量与治疗中心使用NIATx流程的可能性相关。组织规模，行政强度，成员在供应商协会，并参与国家药物滥用研究所的临床试验网络与利用NIATx过程的几率呈正相关，而松弛的资源水平的关联是负的。研究结果表明，可能需要政策和相关的支持性努力，以促进NIATx过程的扩散和实施，以影响SUD治疗中心的性能和能力。
Internal process improvements embedded within the Network for Improvement of Addiction Treatment (NIATx) program are promising innovations for improving substance use disorder (SUD) treatment performance, such as engagement and retention. To date, few studies have examined the variables that may increase diffusion and implementation of NIATx innovations. This study investigates organizational characteristics associated with SUD treatment center utilization of NIATx process improvements in a sample of 458 treatment programs. Overall, 19% had utilized NIATx process improvements. After statistically controlling environmental factors, five organizational variables were associated with the likelihood that treatment centers used NIATx processes. Organization size, administrative intensity, membership in a provider association, and participation in National Institute on Drug Abuse’s Clinical Trials Network were positively associated with the odds of utilizing NIATx processes, while the association for the level of slack resources was negative. The findings suggest that policies and related supportive efforts may be required to facilitate diffusion and implementation of NIATx processes to affect SUD treatment center performance and capacity.