Organizational Processess in Treatment Programs

治疗计划的组织流程

• 批准号: 6408064
• 负责人: CYNTHIA L ARFKEN
• 金额: $ 28.87万
• 依托单位: WAYNE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-05 至 2006-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6408064
• 关键词: clinical trials; community; drug abuse; drug abuse therapy; health care service evaluation; health science research analysis /evaluation; human subject; human therapy evaluation; information dissemination; interview; patient oriented research

There is a recognized need to bridge the gap between research innovations and treatment. The NIDA Clinical Trials Network (CTN) is one attempt to narrow the gap by testing efficacious treatment in community treatment programs (CTPs). One goal of this network is to bring clinical knowledge to the research field. Another goal is bring new treatments to the programs. It is not clear, however, when or if the CTN-based treatments will diffuse and be retained. The innovative treatments also may have impact on the structure and processes of the organization. This proposal, using a validated diffusion of innovation model (Rogers, 1995), seeks to determine the processes by which innovations are diffused, retained, and have an impact on the CTPs of the Great Lakes Node. The specific aims of this project are to: a) describe baseline structure and processes of social relations and clinical services of community treatment programs and their staff; b) describe organizational processes and strategies that are utilized by community treatment programs to adopt and adhere to CTN-approved research protocols; c) analyze diffusion and retention of treatment innovations at the practitioner level in both participating and non-participating community treatment programs; and d) examine whether organizational culture at baseline and/or changes in organizational culture are related to changes in organizational effectiveness over time, and whether CTN participation is related to movement toward more effective organizational cultures. The study will use a multi-method design of seven CTPs including sixteen different facilities. Annual quantitative and qualitative interviews of all staff will be conducted along with semi-annual interviews with key personnel. Organizational surveys of each facility will document the structure and culture of the organization. Supplemental data will be collected prior to specific clinical trial protocol implementation, at six months, and at conclusion of recruitment. The results of this in-depth research will enable more effective administration of CTN clinical trials and will yield organizational information that can be transferred to other substance abuse treatment settings to facilitate dissemination of research results and treatment innovations to non-participating agencies. Based upon this knowledge, relevant suggestions can be made to a wide range of treatment programs on how to introduce innovative treatments and management practices on an ongoing basis, and furthermore, how to retain these innovations over time.

人们认识到需要弥合研究创新和治疗之间的差距。 NIDA 临床试验网络 (CTN) 是通过测试社区治疗计划 (CTP) 中有效治疗来缩小差距的一种尝试。该网络的目标之一是将临床知识带入研究领域。 另一个目标是为该项目带来新的治疗方法。 然而，目前尚不清楚基于 CTN 的治疗何时或是否会扩散并保留。 创新的治疗方法也可能对组织的结构和流程产生影响。 该提案使用经过验证的创新扩散模型（Rogers，1995），旨在确定创新扩散、保留以及对五大湖节点 CTP 产生影响的过程。 该项目的具体目标是： a) 描述社区治疗项目及其工作人员的社会关系和临床服务的基线结构和流程； b) 描述社区治疗计划采用并遵守 CTN 批准的研究方案所采用的组织流程和策略； c) 分析参与和非参与社区治疗计划中治疗创新在从业者层面的传播和保留； d) 检查基线的组织文化和/或组织文化的变化是否与组织有效性随时间的变化有关，以及 CTN 参与是否与走向更有效的组织文化有关。 该研究将采用包括 16 个不同设施在内的 7 个 CTP 的多方法设计。 对所有员工进行年度定量和定性访谈，并对关键人员进行半年度访谈。 对每个设施的组织调查将记录组织的结构和文化。 补充数据将在具体临床试验方案实施之前、六个月时以及招募结束时收集。 这项深入研究的结果将使 CTN 临床试验的管理更加有效，并将产生可转移到其他药物滥用治疗机构的组织信息，以促进向非参与机构传播研究成果和治疗创新。 基于这些知识，可以就如何持续引入创新治疗和管理实践以及如何随着时间的推移保留这些创新，向广泛的治疗计划提出相关建议。