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（由申请人提供）：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利用。 ATTCNE 模型是少数几个解决已知显着影响循证实践的采用和利用的个人和组织因素的国家培训模型之一。该项目的主要目的是检验以下假设：ATTCNE 模型促进 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利用应急管理 (CM) 作为阿片类药物成瘾的治疗方法。应急管理与现有的阿片成瘾治疗方法特别兼容，并提供了一个理想的测试用例来建模和评估不同的传播策略。 12 家诊所内部和跨诊所的 48 名治疗提供者将接受 CM 的标准（教学）培训。使用附加设计，一半的站点将根据 ATTCNE 模型接受额外的培训和支持。 CM 的采用将通过两种方式来衡量。首先，治疗提供者将根据 CM 激励措施（例如抽奖、代币、代金券等）的临床使用情况被分为采用者或非采用者。其次，采用者对 CM 的利用将根据其临床使用 CM 激励措施的客户数量进行量化。我们将进一步研究 ATTCNE 模型对以下方面的影响：1）治疗提供者跨个人和组织因素采用 CM 的准备程度，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。两组参与治疗的提供者将在基线（初始 CM 培训）、3 个月和 12 个月时接受评估，以评估 ATTCNE 模型对感兴趣结果的影响。将确定针对所有目标的可能效果大小，为更大规模的后续研究做好准备。外行描述：已经存在许多针对药物滥用的有效治疗方法，但目前的治疗系统并未广泛使用。需要更好的方法来增加有效治疗的使用，这将在改善治疗结果、节省经济和整体生活质量方面使公众受益。