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Implementing Addiction Treatment Trials in Medical Settings in (NIDA's) National Drug Abuse Treatment Clinical Trials Network.

Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Palm Springs, CA, June 9-14, 2012.

Alyssa A. Forcehimes, PhD (Center on Alcoholism, Substance Abuse, and Addictions (CASAA), UNM, SW Node), Michael P. Bogenschutz, MD (Center on Alcoholism, Substance Abuse, and Addictions (CASAA), UNM, SW Node), Dennis M. Donovan, PhD (Alcohol & Drug Abuse Institute, UW, PN Node), Cameron Crandall, MD (University of New Mexico, SW Node), Robert Lindblad, MD (EMMES Corporation, Clinical Coordinating Center), Raul N. Mandler, MD (Center for the Clinical Trials Network, NIDA), Harold I. Perl, PhD (National Institute on Drug Abuse (NIDA)), N. Robrina Walker, PhD (University of Texas Southwestern Medical Center at Dallas, TX Node).

Many people with addictions receive health care but never receive specialty addictions treatment. With movement toward integrating addiction treatment into medical care, the National Drug Abuse Treatment Clinical Trials Network (CTN) began conducting protocols in medical settings such as primary care and emergency departments (ED). This poster describes the implementation process of the first CTN trial conducted in medical emergency departments, the six-site "Screening, Motivational Assessment, Referral and Treatment in the Emergency Department (SMART-ED)" protocol (CTN-0047). The SMART-ED trial presented unique challenges because of its ED setting. Several implementation components were particularly important in the SMART-ED trial: 1. Site selection (ED department and staff buy-in was central to decisions on which sites were chosen to participate); 2. Staff selection (interventionists/RAs needed to possess the empathy necessary to deliver an motivational interviewing-based intervention); 3. RA and interventionist training and ongoing coaching (in-person and webinar trainings ensured that research staff understood and were able to follow protocol procedures and be certified to deliver the intervention. Ongoing telephone coaching is successful in preventing drift); 4. Site preparation (prior to beginning the main trial, each site also had real-world practice conducting study procedures through standardized patient visits); 5. Data collection (the screening data is collected using direct entry into tablet computers to facilitate rapid screening and mobility within the ED setting). In conclusion, some of the procedures used in this clinical trial may be useful in the successful implementation of future addiction trials conducted in medical settings. (Poster, PowerPoint slides, English, 2012)

Keywords: Brief intervention | Community health services | CTN protocol development | Emergency departments | Research design | Screening, Brief Intervention, Referral to Treatment (SBIRT) | Standardized patients (SPs) | College on Problems of Drug Dependence (CPDD) annual meeting, 2012

Document No: 834.

Submitted by Alyssa Forcehimes, PhD, 6/18/2012.


Bogenschutz, Michael P. mail
Crandall, Cameron mail
Donovan, Dennis M. mail
Forcehimes, Alyssa A. mail
Lindblad, Robert mail
Mandler, Raul N. search mail
Perl, Harold I.
Walker, N. Robrina mail
NIDA-CTN-0047 www
Southwest (Lead) www
Pacific Northwest (Lead) www
Appalachian Tri-State www
Greater New York www
Florida Node Alliance www
New England Consortium www
Ohio Valley www

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 6/2012 --
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