Extending Drug Abuse Treatment & Assessment Resources (DATAR5)

延长药物滥用治疗

基本信息

批准号：
8585044
负责人：
Patrick M Flynn
金额：
$ 52.2万
依托单位：
TEXAS CHRISTIAN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
1999
资助国家：
美国
起止时间：
1999-09-30 至 2015-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8585044
关键词：
Address Adolescent Adopted Adoption Adult African American Alcohol or Other Drugs use Americas Attention Attitude Client Cognitive Collaborations Communication Communities Drops Drug abuse Educational Curriculum Educational Intervention Educational workshop Effectiveness Elements Equilibrium Evaluation Evidence based program Evidence based treatment Experimental Designs Geographic Locations Health Knowledge, Attitudes, Practice Health Personnel Hispanics Illinois Institution Intervention Justice Left Life Maps Measures Mediating Motivation National Institute of Drug Abuse New Jersey New York Outcome Participant Phase Population Process Provider Public Health Readiness Recruitment Activity Registries Research Resources Rural Sampling Self Perception Services Structure Technology Transfer Testing Texas Therapeutic Therapeutic community technique Training Treatment Effectiveness United States National Institutes of Health Visuospatial Youth addiction adolescent substance abuse base clinical practice community based treatment coping design high risk implementation science improved innovation intervention program meetings operation phase 1 study programs public health relevance satisfaction skills substance abuse treatment success tool treatment center treatment duration treatment program urban Native American young adult

项目摘要

DESCRIPTION (provided by applicant): This application proposes to conduct "implementation science" research in a 5-year project and includes 2 major research phases. In the first phase, a manualized Treatment Retention and Induction Program (TRIP) which includes sets of interactive attention-focusing activities will be adapted, adopted, and implemented by adolescent service providers. It relies on cognitive tools that utilize visual-spatial rather than traditional didactic communication approaches. TRIP will focus on increasing treatment motivation and engagement, and will be evaluated in adolescent Therapeutic Communities (TCs) using a 2-group quasi-experimental design with 600 clients in each group. Consisting of treatment elements already tested in adult and young adult samples, TRIP will address knowledge, attitudes, and behaviors related to motivation and therapeutic engagement during the initial phase of TC treatment. TRIP will be introduced into 5 programs (experimental condition) and compared with "standard" orientation practices (SOP) in 5 other programs (control condition). Client- level change will be the key analytic focus and we will test hypotheses that (1) participation in TRIP, compared to SOP, will be associated with higher retention, motivation, and engagement, and (2) enhanced motivation and engagement will be associated with higher retention rates. Additional analyses will focus on differential success and change within- and between-adolescents in regards to mediating and moderating influences, and factors most likely contributing to leaving or staying in treatment. The second phase (to be conducted in the second half of the 5-year project) will examine the process of intervention implementation. A naturalistic design relying on organizational needs and functioning assessments (based on staff evaluations of the TRIP intervention training and utilization) will be launched to study implementation practices in different field settings. More specifically, a network of institution and community- based teams providing adolescent substance abuse treatment services from 6 ATTC regional networks (including 275 staff from 60 service teams) will provide information on implementation within their programs. A battery of assessments validated as effective tools for measuring structures, operations, training needs, organizational-level domains of needs and functioning, training satisfaction, and innovation utilization will be used to examine adoption and implementation processes. Analyses will focus on both institutional (i.e., juvenile justice) and community-based treatment programs and will test hypotheses that (1) greater training needs (specific to retention), higher staff functioning, and higher ratings of workshop quality will be associated with greater favorability and readiness to adopt TRIP components, and (2) favorable staff views of training, readiness to adopt, and lower perceived barriers will be associated with greater implementation progress.

描述（由申请人提供）：本申请建议在一个5年的项目中进行“实施科学”研究，其中包括两个主要的研究阶段。在第一阶段，将由青少年服务提供商改编，采用和实施包括一组交互式关注活动的手动治疗保留和归纳计划（TRIP）。它依赖于使用视觉空间而不是传统教学通信方法的认知工具。旅行将集中于增加治疗动机和参与度，并将使用2组准实验设计在青少年治疗社区（TCS）进行评估，每组600个客户。 TRIP由已在成人和年轻人样本中测试过的治疗元素组成，将解决与TC治疗初始阶段相关的知识，态度和行为。旅行将被引入5个程序（实验条件），并与其他5个程序（控制条件）中的“标准”取向实践（SOP）进行比较。客户级变化将是关键的分析重点，我们将检验假设（1）与SOP相比，参与旅行将与更高的保留，动机和参与有关，并且（2）增强动机和参与将与更高的保留率有关。进一步的分析将集中于差异成功，并在培养基之间和间隔内的介导和调节影响方面进行变化，以及最有可能导致离开或继续治疗的因素。第二阶段（将在5年项目的下半年进行）将检查实施干预的过程。依靠组织需求和运作评估的自然主义设计（基于对旅行干预培训和利用的员工评估），将启动在不同的现场设置中研究实施实践。更具体地说，由6个ATTC区域网络（包括来自60个服务团队的275名员工）提供青少年药物滥用治疗服务的机构和社区团队网络将提供有关其计划中实施的信息。一系列评估被证实为测量结构，操作，培训需求，需求和功能，培训满意度和创新利用率的有效工具，用于检查采用和实施过程。分析将侧重于机构（即青少年司法）和基于社区的治疗计划，并将检验假设，即（1）（1）更大的培训需求（特定于保留人员），更高的员工功能和更高的研讨会质量等级将与更大的优惠性和准备就绪相关，以便采用旅行组件的良好培训，并且在培训方面的良好视图与更大的培训，更愿意采用较高的障碍，并且会采用更大的范围。

项目成果

期刊论文数量（23）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The Influence of Client Risks and Treatment Engagement on Recidivism.

客户风险和治疗参与对累犯的影响。

DOI：
10.1080/10509674.2013.840353
发表时间：
2013
期刊：
Journal of offender rehabilitation
影响因子：
0.7
作者：
Yang Y;Knight K;Joe GW;Rowan-Szal GA;Lehman WEK;Flynn PM
通讯作者：
Flynn PM

Avoidance Self-Efficacy: Personal Indicators of Risky Sex and Substance Use among At-Risk Youth.

回避自我效能：高危青少年中危险性行为和药物使用的个人指标。

DOI：
10.1016/j.childyouth.2023.106846
发表时间：
2023
期刊：
Children and youth services review
影响因子：
3.3
作者：
Wiese,AmandaL;Sease,ThomasB;Joseph,ElizabethD;Becan,JenniferE;Knight,Kevin;Knight,DanicaK
通讯作者：
Knight,DanicaK

A structural model of treatment program and individual counselor leadership in innovation transfer.