TRANSFERRING DRUG ABUSE TREATMENT AND ASSESSMENT RESOURC

转移药物滥用治疗和评估资源

• 批准号: 6585504
• 负责人: D DWAYNE SIMPSON
• 金额: $ 75.64万
• 依托单位: TEXAS CHRISTIAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-30 至 2004-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6585504
• 关键词: behavioral /social science research tag; clinical research; computer system design /evaluation; drug abuse therapy; health care facility information system; health care model; health care policy; health care professional practice; health care quality; health care service evaluation; health care service organization; health care service planning; health services research tag; human subject; method development; technology /technique development

Methods for transferring new technology and research findings into the general practice of substance abuse treatment are in need of improvement. This proposal represents a direct extension of work conducted over the past 10 years at Texas Christian University (TCU) for developing and implementing cognitive and behavioral interventions that improve client engagement and outcomes in community-based treatment programs. It is conceptually integrated and focuses on (1) measurement of client engagement and performance during treatment, (2) intervention manuals that address special needs of clients, (3) a cognitive-based tool to improve counseling, and (4) a behavioral protocol for increasing early engagement of clients. Transferring these research-based innovations to practice, however, requires new studies of "organizational factors and process." We propose the development of systematic assessments (i.e., from the program director and clinical staff) of motivational readiness, personal attributes, institutional resources, and organizational climate to use as predictors in a series of technology transfer studies that will focus on 4 dimensions of treatment program management and service delivery. Through collaboration with the Texas Commission on Alcohol and Drug Abuse (TCADA) and the large state-wide network of 193 substance abuse programs it funds, a set of interrelated studies are planned. Follow-up surveys of implementation outcomes will be based on information collected from staff as well as related TCADA records from clients at participating programs. Our objectives are to (1) develop a comprehensive assessment instrument of organizational readiness for change, based on motivation and personality attributes of program leaders and staff, institutional resources, and organizational climate, (2) document the predictive validity of this instrument across different types of innovations, (3) examine changes in organizational readiness over time in relation to interventions designed to raise motivation, (4) develop and test the effectiveness of transfer strategies that address different levels of readiness for change, (5) assess the differential effectiveness of various transfer strategies for innovations that vary in complexity, counseling demands, and organizational resource requirements, and (6) in the case of partial or complete failure to adopt an intervention, identify the reasons involved.

将新技术和研究结果转移到药物滥用治疗的一般实践中的方法需要改进。 该提案代表了过去10年在德克萨斯基督教大学（TCU）开发和实施认知和行为干预措施的直接扩展，以改善客户参与度和基于社区的治疗方案的成果。 它在概念上是整合的，并重点介绍了（1）在治疗过程中测量客户参与和绩效，（2）解决客户特殊需求的干预手册，（3）一种基于认知的工具来改善咨询，以及（4）增加客户早期参与度的行为协议。但是，将这些基于研究的创新转移到实践中，需要对“组织因素和过程”进行新的研究。 我们建议在一系列技术转移研究中开发动机准备，个人属性，机构资源和组织氛围的系统评估（即，从计划主管和临床人员）开发，将作为预测因素，这些技术将重点放在治疗计划管理和服务交付的4个维度上。通过与德克萨斯州酒精和药物滥用委员会（TCADA）和全州范围内的193个滥用药物滥用计划的合作，计划了一系列相互关联的研究。 实施成果的后续调查将基于从工作人员那里收集的信息以及参与计划中客户的相关TCADA记录。我们的目标是（1）基于计划领导者和员工的动机和人格属性，为变革准备的全面评估工具，（2）记录该工具在不同类型的创新中的预测有效性的预测有效性，（3）研究的动机范围内的动机范围，以提高动机范围的变化（4），以提高动机范围，以提高动机的范围（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）效率（4）变更，（5）评估各种转移策略在复杂性，咨询要求和组织资源需求各不相同的创新中的差异效果，以及（6）在部分或完全无法采用干预措施的情况下，请确定所涉及的原因。