Recovery Enhancement With Awards Enhancement With Awards Research Dissemination (

描述（由申请人提供）：应急管理（CM）干预措施在改善药物滥用患者的预后方面是有效的。对CM的兴趣正在增长，研究项目、资金和出版物的增加证明了这一点。本中心的研究人员目前有5个与CM相关的基金r01，以及2个5年计划项目和1个R21；另外两架r01预计将在今年获得资金。这些研究正在超过25个社区诊所进行。随着CM的证据基础的增加，提供者表达了对学习CM实现的兴趣。目前，没有一个集中的机制存在于监督跨站点的CM的行为或数据收集和分析的交叉协调，并且没有一组经验丰富的CM调查员可以在采用CM用于实践设置中提供培训和技术援助。因此，这个转化研究中心的首要目标是改进和更有效地管理和分析现有和未来的CM研究。此外，我们将建立一个管理管理培训和监督机构，该机构将提供面对面和远程（例如，基于网络的）培训，并监督管理管理在实践中的发展和实施。为了实现这些目标，提出了一个P30中心，其中包括三个核心和一个试点项目计划。行政核心将制定集中机制，监督和确保与该中心有关的现有和未来研究的顺利开展。该核心还将与我们的科学顾问委员会一起征求和选择试点项目。数据管理和分析中心将制定跨项目的质量保证措施；创建一个已完成和正在进行的CM研究的“主”CM数据库；并对这些数据进行分析，以回答与CM的传播和成本效益相关的问题，这些问题比任何单一CM研究中使用的样本都要大得多。这些分析的最终目标是延长CM的长期效果，并增加从这些手术中受益的患者数量。传播中心将编制文化管理培训材料。培训和监督工作将由我们自己的员工进行，目前有超过40名研究助理、助理和治疗师，培训也将针对社区临床医生，包括当面培训和基于网络的培训。到5年资金周期结束时，我们预计将培训100多名临床医生进行CM交付，从而加强这种经经验验证的干预措施的传播。

DESCRIPTION (provided by applicant): Contingency management (CM) interventions are efficacious in improving outcomes of substance abusing patients. Interest in CM is growing, as evidenced by increases in research projects, funding, and publications. Investigators affiliated with our Center presently have five funded R01s related to CM, along with two 5-year program projects and an R21; two other R01s are expected to be funded this year. These studies are being conducted at over 25 community-based clinics. With the increasing evidence basis of CM, providers are expressing interest in learning about CM implementation. Currently, no centralized mechanism exists for overseeing the conduct of CM across sites or for the cross-coordination of data collection and analyses, and no group of experienced CM investigators is available to provide training and technical assistance in the adoption of CM for use in practice settings. Thus, this translational research Center has the overarching goal of improving and more efficiently managing and analyzing existing and future CM studies. In addition, we will develop a CM training and supervision institute, which will provide in-person and distal (e.g., web-based) trainings and oversight in the development and implementation of CM in practice. To accomplish these aims, a P30 Center is proposed, which comprises three Cores and a pilot project program. An Administrative Core will develop centralized mechanisms to oversee and ensure smooth operations of existing and future studies associated with this Center. This Core will also solicit and select, in conjunction with our Scientific Advisory Board, pilot projects. A Data Management and Analysis Core will institute quality assurance measures across projects; create a "master" CM database of completed and ongoing CM studies; and conduct analysis of these data to answer questions related to dissemination and cost-effectiveness of CM in samples much larger than those utilized in any single CM study. The ultimate goals of these analyses are to extend the long-term effects of CM and increase the number of patients who benefit from these procedures. The Dissemination Core will develop CM training materials. Training and supervisory efforts will be instituted with our own staff, presently exceeding 40 research assistants, associates, and therapists, and training will also be targeted toward community-based clinicians for both in person as well as web-based trainings. By the end of the 5-year funding cycle, we expect to have trained over 100 clinicians in CM delivery, thereby enhancing dissemination of this empirically validated intervention. PUBLIC HEALTH RELEVANCE: Contingency management (CM) is an empirically-validated treatment, and we have 8 NIH-funded projects examining the efficacy of CM. This Center will coordinate and more efficiently manage these projects, combine data from our prior and ongoing studies to address topics of interest, and make widely available the first CM training and certification institute for clinicians. CM is presently an under-utilized intervention, and our Center will strive to become a national resource in CM for researchers and clinicians. CENTER CHARACTERISTICS