Impact of Core Implementation Components on Adoption

近年来，国家药物滥用研究所(NIDA)临床试验网络(CTN)取得了 在测试承诺的成瘾治疗的有效性和传播研究结果方面取得了重大进展 关于田野里的那些治疗。与此同时，全国范围内的药物滥用治疗系统面临着一种趋势 朝向越来越多地使用循证做法。在这些赞扬的努力和背景下 在这一趋势下，研究成果的翻译以满足实践需要已日益突出。一批 理论观点和结构已经被提出，但建立它们的实用性提供了独一无二的 由于被认为影响研究翻译的一系列因素以及项目和 评估研究翻译结果需要较长的时间范围。作为翻译研究的实验室， 在与乌有世界社区诊所合作进行研究的情况下，CTN允许观察 随着时间的推移，有效性研究的过程，从协议概念化到实施和 进入学习后阶段。与CTN议定书0031合作(兴奋剂滥用群体参与12个步骤： 阶段12)，这项研究将评估与将研究转化为实践有关的关系：a) 12阶段实施的保真度如何影响客户结果，b)是否普遍假设 咨询师和组织变量影响治疗忠诚度，以及c)接受阶段12干预 试验结束后参与的诊所。在探索性分析中，该项目将对这些多个 临床试验结束后它们对干预采用的影响的关系。尽管之前的研究已经 考察了这些变量之间的个体关系，这项研究将评估在 多点临床试验的背景，将观察扩展到包括实施前、期间 实施，以及实施后的措施和建设。该项目的短期目标是 在理论驱动的实施模型中评估关键关系，使用CTN第12阶段研究作为 一个研究平台。16 NG的学期目标是加快将CTN研究成果转化为 实施，以便诊所可以更容易地采用基于研究的干预措施，并更有效地治疗 他们所服务的个人、家庭和社区。

In recent years the National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) has made significant gains in testing the effectiveness of promising addiction treatments, and disseminating findings about those treatments to the field. At the same time, drug abuse treatment systems nationwide face a trend toward the increasing use of evidence-based practices. In the context of these complimentary efforts and trends, the translation of research findings to meet practice needs has gained prominence. A number of theoretical perspectives and constructs have been advanced, yet establishing their usefulness offers singular challenge due to the range of factors thought to impact research translation, and the number of programs and long time horizon needed to assess research translation outcomes. As a laboratory for translational research, where studies are conducted in partnership with Ureal world" community clinics, the CTN allows observation of the process of effectiveness research over time, from protocol conceptualization through implementation and into the post-study period. In collaboration with CTN protocol 0031 (Stimulant Abuser Groups to Engage in 12Step: STAGE-12), this study will assess relationships relevant to the translation of research into practice: a) how the fidelity of STAGE-12 implementation impacts client outcomes, b) whether commonly hypothesized counselor and organizational variables affect treatment fidelity, and c) uptake of the STAGE 12 intervention in participating clinics after the trial ends. In exploratory analyses, the project will model these multiple relationships for their impact on intervention adoption after the clinical trial ends. Although prior research has examined individual relationships among these variables, this study will assessing multiple relationships in the context of a multi-site clinical trial, extending observation to encompass pre-implementation, during implementation, and post implementation measures and constructs. The short term goal of the project is to assess key relationships in a theoretically driven model of implementation, using the CTN STAGE-12 study as a research platform. The 16ng term goal is to speed the translation of CTN research findings to implementation, so that clinics can more readily adopt research based interventions, and more effectively treat the persons families, and communities they serve.