Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program.
Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and 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, and 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 historical 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 patient indices. Collective results offer support for the study's collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed.
Alcohol & Drug Abuse Institute, University of Washington, Seattle, WA 98105. Electronic address: hartzb@u.washington.edu.
Bryan
B
Hartzler
School of Social Work, University of Washington, Seattle, WA 98105; Evergreen Treatment Services, Seattle, WA 98134.
T Ron
TR
Jackson
Alcohol & Drug Abuse Institute, University of Washington, Seattle, WA 98105.
Brinn E
BE
Jones
School of Social Work, University of Washington, Seattle, WA 98105.
Blair
B
Beadnell
Alcohol & Drug Abuse Institute, University of Washington, Seattle, WA 98105; Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98105.
Donald A
DA
Calsyn
D000368:Aged; D002983:Clinical Competence; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000534:rehabilitation*; D016730:Program Development; D015397:Program Evaluation; D016320:Substance Abuse Treatment Centers / Q000379:methods* / Q000458:organization & administration
Contingency management; Dissemination; Implementation science