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Journal of Substance Abuse Treatment 2009;37(3):307-312. [doi: 10.1016/j.jsat.2008.12.004]
Hannah K. Knudsen, PhD (University of Kentucky), Amanda J. Abraham, PhD (University of Georgia), J. Aaron Johnson, PhD (University of Georgia), Paul M. Roman, PhD (University of Georgia).
The National Drug Abuse Treatment Clinical Trials Network (CTN), a collaborative federal research initiative that brings together universities and community-based treatment programs (CTPs), has conducted multiple clinical trials of buprenorphine for opioid dependence. Part of the CTN's mission is to promote the adoption of evidence-based treatment technologies. Drawing on data collected during face-to-face interviews with administrators from a panel of 206 CTPs as part of the National Treatment Center Study at the University of Georgia, this research examines the adoption of buprenorphine over a 2-year period. The data indicated that the adoption of buprenorphine doubled between the baseline and 24-month follow-up interviews. Involvement in a buprenorphine protocol continued to be a strong predictor of adoption at the 2-year follow-up, although adoption of buprenorphine tripled among those CTPs without buprenorphine-specific protocol experience. For-profit CTPs and those offering inpatient detoxification services were more likely to adopt buprenorphine over time. A small percentage of programs discontinued using buprenorphine. These findings point to the dynamic nature of service delivery in community-based addiction treatment and the continued need for longitudinal studies of organizational change. (Article (Peer-Reviewed), PDF, English, 2009)
 Keywords:
Adoption of interventions |
Buprenorphine |
Community health services |
CTN platform/ancillary study |
Health services research |
National Treatment Center Study (NTCS) |
Opioid detoxification |
Pharmacological therapy |
Journal of Substance Abuse Treatment (journal)
Document No: 386, PMID: 19577406, PMCID: PMC2746383 (available 10/1/2010)
Submitted by CTN Dissemination Librarians, 7/7/2009. |
