Disseminating evidence-based practices in substance abuse treatment: A review with suggestions

Miller, William R.; Sorensen, James L.; Selzer, Jeffrey; Brigham, Gregory S.

doi:10.1016/j.jsat.2006.03.005

Cited by 361 publications

(367 citation statements)

References 122 publications

(136 reference statements)

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“…Staff at participating sites not only become skilled in the treatment itself, but in a range of activities that support and maintain treatment fidelity. It is noteworthy that a recent review of dissemination of empirically supported treatments for addictions emphasized that, in addition to initial workshop training, feedback from practice and ongoing "coaching" or supervision of actual performance is necessary to bring clinicians to proficiency levels and maintain changes in their treatment provision (Miller et al, 2006b). While some combination of central and distributed training and supervision will be used in future multi-site trials, further evaluation of the broader impact of distributed supervisory and monitoring processes is warranted to inform best practices in the dissemination of empirically based treatments.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, in order to implement new treatments, agencies administrators and practitioners are challenged with learning new treatment methods as well as adopting protocols for the acquisition of therapeutic skills and ongoing monitoring and enhancement of performance (Miller et al, 2006b). Difficulties in making such changes are numerous, including increased cost, time, lack of knowledge of treatments, and a lack of established systems to support the acquisition and maintenance of treatments (c.f., Miller et al, 2006a).…”

Section: Discussionmentioning

confidence: 99%

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Training and fidelity monitoring of behavioral interventions in multi-site addictions research

Baer

Ball

Campbell

et al. 2007

Drug and Alcohol Dependence

105

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AIMS-Methods for the training and fidelity monitoring of behavioral interventions in multi-site addictions research are reviewed, including five published studies and seven ongoing studies sponsored by the National Institute on Drug Abuse-funded Clinical Trials Network.METHODS-Methods are categorized and reviewed consistent with a technology model of treatment delivery. Topics include: therapist selection, training, certification, and supervision; selection, training, and certification of supervisors; scales and processes used for monitoring of the quality of treatment; and processes followed to provide new training for replacement staff once trials have begun. RESULTS-The review reveals both a wide array of procedures and emerging standards for multisite trials. Methodological weakness was observed with respect to limited empirical support for many adherence scales, little or no evaluation of supervisory processes, and no evaluation of retraining practices.CONCLUSIONS-Methods used in multi-site trials are important not only to ensure validity of those trials, but also to inform the wider dissemination of empirically based treatment into community agencies. Studies examining noted weaknesses are needed. Training and fidelity models that delegate responsibility to participating sites appear most relevant for establishing best practices for dissemination of behavioral interventions. The effectiveness of these distributed training and

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Training and fidelity monitoring of behavioral interventions in multi-site addictions research

Baer

Ball

Campbell

et al. 2007

Drug and Alcohol Dependence

105

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“…about new treatments from other providers rather than from the media [14]. This marks a difference between substance abuse treatment and other fields, a difference that may make substance abuse treatment providers more susceptible to social influences in the adoption of innovations.…”

Section: Introductionmentioning

confidence: 99%

Influence networks among substance abuse treatment clinics: implications for the dissemination of innovations

Johnson

Quanbeck

Maus

et al. 2015

Behav. Med. Pract. Policy Res.

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Understanding influence networks among substance abuse treatment clinics may speed the diffusion of innovations. The purpose of this study was to describe influence networks in Massachusetts, Michigan, New York, Oregon, and Washington and test two expectations, using social network analysis: (1) Social network measures can identify influential clinics; and (2) Within a network, some weakly connected clinics access out-ofnetwork sources of innovative evidence-based practices and can spread these innovations through the network. A survey of 201 clinics in a parent study on quality improvement provided the data. Network measures and sociograms were obtained from adjacency matrixes created by UCINet. We used regression analysis to determine whether network status relates to clinics' adopting innovations. Findings suggest that influential clinics can be identified and that loosely linked clinics were likely to join the study sooner than more influential clinics but were not more likely to have improved outcomes than other organizations. Findings identify the structure of influence networks for SUD treatment organizations and have mixed results on how those structures impacted diffusion of the intervention under study. Further study is necessary to test whether use of knowledge of the network structure will have an effect on the pace and breadth of dissemination of innovations.

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“…In contrast, little is known regarding the translation of the manualised interventions in research settings to effective clinical interventions in everyday practice (Baer et al, 2004;McGovern, Fox, Haiyi, & Drake, 2004;Miller et al, 2004;Miller, Sorensen, Selzer, & Brigham, 2006;Morgenstern, Morgan, McCrady, Keller, & Carroll, 2001;Rubak, Sandboek, Lauritzen, Borch-Johnsen, & Christensen, 2006;Sholomskas et al, 2005). The most common form of disseminating evidence-based practice to health professionals is through a single (0.5-2 day) didactic workshop (Baer et al, 2004;DeViva, 2006;Miller & Mount, 2001;Sholomskas et al, 2005).…”

mentioning

confidence: 99%

Evaluating the Impact of Training Health Professionals to Deliver Brief Motivational and Skills-Based Interventions for Cannabis Use Disorder

Alperstein

Copeland

2012

Journal of Tropical Psychology

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Background: While there is considerable evidence that brief motivational and skills-based interventions for substance use are effective, little is known regarding the transfer of knowledge from research to practice. This study aims to evaluate the effectiveness of two half-day didactic clinical training workshops for allied health workers, which did not incorporate feedback or supervision, via independent follow-up three months post training. Methods: In total, 1322 participants attended either or both of the evidence-based treatment workshops run by the National Cannabis Prevention and Information Centre. Of those participants, 495 (37%) completed an online follow-up evaluation three months later regarding their use of the newly learnt intervention(s). Results: At follow-up, 270 (54.5%) participants had an opportunity to use the skills and 144 (53.3%) of those participants reported having used the clinical skills taught in the workshop. Of those who used one of the interventions, 90 (62.5%) participants reported their clients had reduced or quit their cannabis use. Furthermore, 43 (30%) of these participants had attempted to train others in the workplace in the techniques learnt in the workshop. Conclusion: Even a half-day didactic clinical training workshop on evidence-based brief cognitivebehavioural techniques delivered to clinicians working in the field can improve knowledge and confidence among clinicians and outcomes among their clients with cannabis use related problems.

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Disseminating evidence-based practices in substance abuse treatment: A review with suggestions

Cited by 361 publications

References 122 publications

Training and fidelity monitoring of behavioral interventions in multi-site addictions research

Training and fidelity monitoring of behavioral interventions in multi-site addictions research

Influence networks among substance abuse treatment clinics: implications for the dissemination of innovations

Evaluating the Impact of Training Health Professionals to Deliver Brief Motivational and Skills-Based Interventions for Cannabis Use Disorder

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