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Disseminating Contingency Management: Impacts of Staff Training and Implementation at an Opiate Treatment Program.

Journal of Substance Abuse Treatment 2014;46(4):429-438. [doi: 10.1016/j.jsat.2013.12.007]

Bryan Hartzler, PhD (Alcohol & Drug Abuse Institute, UW, PN Node), T. Ronald Jackson, MSW (Evergreen Treatment Services, PN Node), Brinn E. Jones (Alcohol & Drug Abuse Institute, UW, PN Node), Blair Beadnell, PhD (School of Social Work, UW, PN Node), Donald A. Calsyn, PhD (Alcohol & Drug Abuse Institute, UW, PN Node).

Guided by a comprehensive implementation model, this CTN-platform study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a National Drug Abuse Treatment Clinical Trials Network-affiliated opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a history control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted design and the applied, skills-based focus of staff training processes.

Conclusions: Collective results offer preliminary support for the collaborative approach taken to design of the focal CM intervention and the applied, skills-based focus of the staff training processes. Given the disparity between voluminous empirical support for efficacy of CM methods and their limited community dissemination, the current work may offer a useful template for processes of planning and design, training and consultation, and trial implementation and evaluation that enabled this CM intervention to be effectively transported for use by this community-based substance abuse treatment setting. Additional implications for CM dissemination are discussed. (Article (Peer-Reviewed), PDF, English, 2013)

Keywords: Adoption of interventions | Attitudes of health personnel | Behavior therapy | Community health services | Contingency Management (CM) | CTN platform/ancillary study | Dissemination strategies | Motivational incentives | Journal of Substance Abuse Treatment (journal)

Document No: 1036, PMID: 24462242, PMCID: PMC3966904.

Submitted by CTN Dissemination Librarians, 12/30/2013

Beadnell, Blair
Calsyn, Donald A. mail
Hartzler, Bryan mail
Jackson, T. Ronald mail
Jones, Brinn E.
Pacific Northwest (Lead) www

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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