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Organizational Readiness for Change and Opinions toward Treatment Innovations.

Journal of Substance Abuse Treatment, 2007;33(2):183-192. [doi: 10.1016/j.jsat.2006.12.026]

Bret E. Fuller, PhD (Oregon Health & Science University, OR/HI Node), Traci R. Rieckmann, PhD (Oregon Health & Science University, OR/HI Node), Edward V. Nuñes, MD (Columbia University, LI Node), Michael Miller, PhD (The Village South, Inc., FL Node), Cynthia L. Arfken, PhD (Wayne State University, GL Node), Eldon Edmundson, Jr., PhD. (Oregon Health & Science University, OR/HI Node), Dennis McCarty, PhD (Oregon Health & Science University, OR/HI Node).

Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network (CTN) protocol CTN-0008 ("Assessment of the National Drug Abuse Clinical Trials Network: A Baseline for Investigating Diffusion of Innovation") completed surveys to characterize participating programs and practitioners. A two-level random effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC Scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission and more organizational stress. Support for confrontation and noncompliance discharge, in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC’s utility in assessing agency strengths and needs during the implementation of evidence-based practices. (Article (Peer-Reviewed), English, 2007)

Keywords: Attitudes of health personnel | Dissemination | Evidence-based treatment | Health services research | Organizational Readiness for Change Scales (ORC) | Screening and assessment instruments | Journal of Substance Abuse Treatment (journal)

Document No: 158, PMID: 17434708, PMCID: PMC2031859

Submitted by Lynn Kunkel, OR/HI Node Coordinator, 12/26/2006.

Arfken, Cynthia L. search mail
Edmundson, Eldon Jr. search mail
Fuller, Bret E. search mail
McCarty, Dennis search mail
Miller, Michael search mail
Nunes, Edward V. search mail
Rieckmann, Traci R. search mail
NIDA-CTN-0008 search www
All Nodes and CTPs were asked to participate in this protocol.

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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