Organizational readiness for change in community-based addiction treatment programs and adherence in implementing evidence-based practices: a national study.
Prior studies by the authors identified that clinical staff who reported that their treatment unit had lower levels of organizational readiness to change experienced higher levels of barriers in implementing an evidence-based practice (EBP). The current study examined whether clinical staff perceptions of their treatment unit's organizational readiness to change were also associated with their adherence to EBP protocols during EBP implementation. Adherence was examined through a variable measuring the extent to which staff modified EBP standards and manuals when implementing a new EBP. Multivariate regression analyses identified that clinical staff who had five or more years of addiction counseling experience, who rated staff in their organization as having higher levels of influence, who less frequently implemented new counseling interventions and who reported higher levels of barriers when implementing a newly funded EBP also reported that their program made more modifications to the EBP in the implementation process. Finally, staff who implemented MI compared to any other EBP reported lower levels of EBP modifications.


CONCLUSIONS
Continued federal funding is needed to enhance treatment unit organizational resources in order to reduce barriers and promote adherence to EBPs. Also, funders of treatment need to continue to provide ongoing technical assistance and training opportunities to promote implementation of EBPs with fidelity.
Center for Addictions Research and Services, Boston University School of Social Work, Boston, MA 02215, USA. Electronic address: llundgre@bu.edu.
Lena
L
Lundgren
Maryann
M
Amodeo
Deborah
D
Chassler
Ivy
I
Krull
Lisa
L
Sullivan
D003153:Community Health Services / Q000458:organization & administration*; D003625:Data Collection; D004059:Diffusion of Innovation; D055317:Evidence-Based Practice / Q000458:organization & administration*; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D009936:Organizational Innovation; D012044:Regression Analysis; D016320:Substance Abuse Treatment Centers / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000534:rehabilitation*; D014838:Volunteers
Addiction treatment; Adherence; Barriers; Evidence based; Fidelity; National study