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J Subst Abuse Treat. 2014 Apr;46(4):429-38. doi: 10.1016/j.jsat.2013.12.007. Epub 2013 Dec 21.

Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program.

Author information

1
Alcohol & Drug Abuse Institute, University of Washington, Seattle, WA 98105. Electronic address: hartzb@u.washington.edu.
2
School of Social Work, University of Washington, Seattle, WA 98105; Evergreen Treatment Services, Seattle, WA 98134.
3
Alcohol & Drug Abuse Institute, University of Washington, Seattle, WA 98105.
4
School of Social Work, University of Washington, Seattle, WA 98105.
5
Alcohol & Drug Abuse Institute, University of Washington, Seattle, WA 98105; Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98105.

Abstract

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.

KEYWORDS:

Contingency management; Dissemination; Implementation science

PMID:
24462242
PMCID:
PMC3966904
DOI:
10.1016/j.jsat.2013.12.007
[Indexed for MEDLINE]
Free PMC Article

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