title: Pre-Implementation Review of Contracts, Prompts, and Reinforcement in SUD Continuing Care.
abstract: The Contracts, Prompts, and Reinforcement (CPR) intervention has demonstrated an ability to increase the duration of continuing care participation following substance use disorder (SUD) treatment, resulting in improved treatment outcome. The current project was a qualitative pre-implementation study aimed at identifying barriers and facilitators to implementation of CPR using an evidence-based quality improvement (EBQI) approach. Formative evaluations were conducted with staff from residential SUD treatment programs across three VA sites, and key informant interviews were completed with opinion and program leaders. Data were analyzed using a grounded theory approach, which identified barriers and facilitators to implementation. Fidelity measures were developed for each of the core CPR components, and the research-focused treatment manual was rewritten to facilitate future implementation efforts with the design and content of the documents shaped by the findings of the qualitative analyses. Overall, data suggested that clinicians and administrators are receptive to the core components of CPR.
authors.affiliation: Salem Veterans Affairs Medical Center, Salem, VA, 24153, USA. Jennifer.Burden@va.gov.|Department of Psychiatric Medicine, University of Virginia, Charlottesville, VA, 22904, USA. Jennifer.Burden@va.gov.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Burden
authors.affiliation: G. V. Montgomery Veterans Affairs Medical Center and University of Mississippi Medical Center, Jackson, MS, 39216, USA.
authors.forename: Jefferson D
authors.initials: JD
authors.lastname: Parker
authors.affiliation: G. V. Montgomery Veterans Affairs Medical Center and University of Mississippi Medical Center, Jackson, MS, 39216, USA.
authors.forename: Daniel C
authors.initials: DC
authors.lastname: Williams
authors.affiliation: Salem Veterans Affairs Medical Center, Salem, VA, 24153, USA.|Department of Psychiatric Medicine, University of Virginia, Charlottesville, VA, 22904, USA.
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Lash
mesh_terms: D032982:Contracts; D017144:Focus Groups; D006801:Humans; D007407:Interviews as Topic; D010349:Patient Compliance; D015397:Program Evaluation; D036301:Qualitative Research; D058996:Quality Improvement; D019966:Substance-Related Disorders / Q000628:therapy*; D016896:Treatment Outcome