Training Drug Treatment Providers to Adopt Evidence-Based Practices

培训戒毒治疗提供者采用循证实践

• 批准号: 7418677
• 负责人: DANIEL SQUIRES
• 金额: $ 18.5万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-05-10 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7418677
• 关键词: Abstinence; Accounting; Address; Adopted; Adoption; Area; Attitude; Behavioral; Client; Climate; Clinic; Clinical; Compatible; Dose; Drug usage; Economics; Educational process of instructing; Effectiveness; Evidence based practice; Evidence based treatment; Follow-Up Studies; Goals; Health Benefit; Health Personnel; Home environment; Illicit Drugs; Incentives; Individual; Knowledge; Learning; Link; Maintenance; Measures; Mediating; Methadone; Methods; Modeling; Motivation; New England; Numbers; Opiate Addiction; Organizational Change; Outcome; Personal Communication; Pharmaceutical Preparations; Philosophy; Population; Prize; Process; Public Health; Quality of life; Readiness; Resources; Savings; Site; Staging; Standards of Weights and Measures; Substance abuse problem; System; Technology Transfer; Testing; Training; Training Support; Treatment outcome; addiction; base; contingency management; design; desire; economic outcome; improved; innovation; interest; novel; pilot trial; programs; research to practice; size; skills; treatment program; voucher

DESCRIPTION (provided by applicant): This project will evaluate a dissemination model developed by the Addiction Technology Transfer Center of New England (ATTCNE) to promote the adoption and utilization of evidence-based treatments for substance abuse. The ATTCNE model is one of only a few national training models to address both individual and organizational factors known to significantly influence the adoption and utilization of evidence-based practices. The principal aim of this project is to test the hypothesis that the ATTCNE model promotes increased adoption and utilization of Contingency Management (CM) as a treatment for opiate addiction among treatment providers across 12 integrated satellite methadone treatment clinics. Contingency Management is particularly compatible with existing treatment methods for opiate addiction, and provides an ideal test case to model and evaluate different dissemination strategies. Forty-eight treatment providers nested within and across the 12 clinics will receive standard (didactic) training in CM. Using an additive design, half of the sites will receive additional training and support in accordance with the ATTCNE model. Adoption of CM will be measured in two ways. First, treatment providers will be classified as adopters or non-adopters based on any clinical use of CM incentives (e.g. prize drawings, tokens, vouchers, etc.). Second, utilization of CM by adopters will be quantified based on the number of clients with whom they include the clinical use of CM incentives. We will further examine the impact of the ATTCNE model on: 1) readiness to adopt CM among treatment providers across personal and organizational factors, 2) treatment provider attitudes toward CM, and 3) treatment provider attitudes toward the training methods employed. Participating treatment providers in both groups will be assessed at baseline (initial CM training), 3, and 12 months to evaluate the impact of the ATTCNE model on outcomes of interest. Likely effect sizes specific to all aims will be established to prepare for a larger follow-up study. Lay Description: Many effective treatments for substance abuse already exist, but are not widely used by the current treatment system. Better methods to increase the use of effective treatments are needed, and would benefit the public in terms of improved treatment outcomes, economic savings, and overall quality of life.

描述(由申请者提供)：该项目将评估新英格兰成瘾技术转移中心(ATTCNE)开发的传播模型，以促进药物滥用循证治疗的采用和使用。ATTCNE模式是为数不多的同时处理个人和组织因素的国家培训模式之一，这些因素已知对循证做法的采用和利用产生重大影响。该项目的主要目的是检验这一假设，即ATTCNE模式促进了12个综合卫星美沙酮治疗诊所的治疗提供者更多地采用和使用应急管理(CM)作为治疗阿片成瘾的方法。应急管理特别符合阿片成瘾的现有治疗方法，并为模拟和评估不同的传播战略提供了一个理想的测试案例。嵌套在12个诊所内和跨12个诊所的48个治疗提供者将接受标准的(授课)中医培训。使用加法设计，一半的站点将根据ATTCNE模式接受额外的培训和支持。CM的采用将通过两种方式进行衡量。首先，治疗提供者将根据任何临床使用的CM激励措施(如抽奖、代币、代金券等)被归类为接受者或非接受者。其次，采用者对CM的使用将基于他们包括临床使用CM激励的客户数量进行量化。我们将进一步研究ATTCNE模式对以下方面的影响：1)治疗提供者在个人和组织因素中采用CM的准备情况，2)治疗提供者对CM的态度，以及3)治疗提供者对所采用的培训方法的态度。将在基线(最初的CM培训)、3个月和12个月对两组中参与的治疗提供者进行评估，以评估ATTCNE模式对感兴趣的结果的影响。将确定针对所有目标的可能效果大小，以便为更大规模的后续研究做准备。外行人描述：许多有效的药物滥用治疗方法已经存在，但并未被当前的治疗系统广泛使用。需要更好的方法来增加有效治疗的使用，并将在改善治疗结果、经济节省和总体生活质量方面惠及公众。