Partnerships and pathways of dissemination: The National Institute on Drug Abuse—Substance Abuse and Mental Health Services Administration Blending Initiative in the Clinical Trials Network

Martino, Steve; Brigham, Gregory S.; Higgins, Christine M; Gallon, Steve; Freese, Thomas E.; Albright, Lonnetta M.; Hulsey, Eric; Krom, Laurie; Storti, Susan A.; Perl, Harold I.; Nugent, Cathrine D.; Pintello, Denise; Condon, Timothy P.

doi:10.1016/j.jsat.2009.12.013

Cited by 47 publications

(46 citation statements)

References 41 publications

(59 reference statements)

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“…32,33 Furthermore, if gains in motivational interviewing skills are observed, they do not always endure post-training. 34 Therefore, it had been recommended that motivational interviewing trainings be supplemented with coaching and feedback for trainees. 32,33 In spite of the reduced number of skills needed for BAP compared to motivational interviewing, our results indicate that future trainings should incorporate opportunities for individuals to receive additional coaching and feedback.…”

Section: Discussionmentioning

confidence: 99%

Testing the feasibility of training peers with a spinal cord injury to learn and implement brief action planning to promote physical activity to people with spinal cord injury

Gainforth

Latimer-Cheung

Davis

et al. 2014

The Journal of Spinal Cord Medicine

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Objective: The present study tested the feasibility of training peers with spinal cord injury (SCI) to learn brief action planning (BAP), an application of motivational interviewing principles, to promote physical activity to mentees with SCI. Method: Thirteen peers with SCI attended a half-day BAP workshop. Using a one-arm, pre-, post-test design, feasibility to learn BAP was assessed in terms of peers' (1) BAP and motivational interviewing spirit competence; (2) training satisfaction; and (3) motivations to use BAP as assessed by measures of the theory of planned behavior constructs. Measures were taken at baseline, immediately post-training, and 1 month follow up. Results: Following the training, participants' BAP and motivational interviewing competence significantly increased (P's < 0.05, d's > 2.27). Training satisfaction was very positive with all means falling above the scale midpoint. Participants' perceived behavioral control to use BAP increased from baseline to post (P < 0.05, d = 0.91) but was not maintained at follow up (P > 0.05). Conclusion: Training peers with a SCI to learn to use BAP is feasible. Practical implications: BAP is a tool that can be feasibly learned by peers to promote physical activity to their mentees.Keywords: Spinal cord injury, Peers, Motivational interviewing, Brief action planning, Physical activity IntroductionDespite the physical, psychological and social benefits of physical activity for people with spinal cord injury (SCI), physical activity promotion initiatives are sparse and physical activity participation rates are low among the SCI population. [1][2][3] In recent years, physical activity guidelines for people with SCI were released and intervention studies have successfully identified behaviour change techniques (e.g. goal setting and action planning) to promote physical activity to people with SCI. [4][5][6][7] Initial attempts to disseminate these guidelines and interventions have focused on event-based initiatives and passive mass media-based communication; however, evaluations of these initiatives indicate further efforts are needed to disseminate evidence-based physical activity promotion information and interventions to people with SCI. 8 Peers promoting physical activityPeers with a SCI have been identified as ideal individuals to promote physical activity within the SCI population. In general, peers are described as mentors with a SCI who provide encouragement and information to help individuals with SCI throughout their rehabilitation. 9These individuals may be volunteers or paid employees. Individuals with SCI perceive peers as credible messengers of physical activity information because peers can tailor information to an individual's specific needs. 10,11Correspondence to: Amy Latimer-Cheung 12 To gain further understanding of the role of peers for impacting physical activity behavior, research is needed to determine effective and feasible methods for peers to promote physical activity information to the SCI population. Motivational interviewingMotivatio...

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Section: Discussionmentioning

confidence: 99%

Testing the feasibility of training peers with a spinal cord injury to learn and implement brief action planning to promote physical activity to people with spinal cord injury

Gainforth

Latimer-Cheung

Davis

et al. 2014

The Journal of Spinal Cord Medicine

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“…This lacuna persists despite a strong base of scientifi c evidence supporting the effectiveness of these medications and signifi cant federal efforts to promote their adoption (Litten et al, 2012;Martino et al, 2010;Saxon and McCarty, 2005). Low rates of adoption of SUD medications are particularly notable and have been repeatedly documented in the publicly funded sector of the U.S. treatment system Knudsen et al, 2006Knudsen et al, , 2007Knudsen et al, , 2011.…”

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confidence: 99%

“…Multiple stakeholders, including the National Institute on Drug Abuse, the National Institute on Alcohol Abuse and Alcoholism, and SAMHSA, have worked to disseminate evidence-based practices (EBPs) through websites, publications, and conferences (Martino et al, 2010;The Addiction Technology Transfer Center Network Technology Transfer Workgroup, 2011;Warren and Hewitt, 2010). State SUD authorities (SSAs; also known as singlestate agencies) have been involved to varying degrees in promoting EBPs (Rieckmann et al, 2009(Rieckmann et al, , 2010, together with pharmaceutical companies holding active patents on these medications.…”

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confidence: 99%

The Transition to Medication Adoption in Publicly Funded Substance Use Disorder Treatment Programs: Organizational Structure, Culture, and Resources

Knudsen

Roman

2014

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: Medications for the treatment of substance use disorders (SUDs) are not widely available in publicly funded SUD treatment programs. Few studies have drawn on longitudinal data to examine the organizational characteristics associated with programs transitioning from not delivering any pharmacotherapy to adopting at least one SUD medication. Method: Using two waves of panel longitudinal data collected over a 5-year period, we measured the transition to medication adoption in a cohort of 190 publicly funded treatment organizations that offered no SUD medications at baseline. Independent variables included organizational characteristics, medical resources, funding, treatment culture, and detailing activities by pharmaceutical companies. Results: Of 190 programs not offering SUD pharmacotherapy at baseline, 22.6% transitioned to offering at least one SUD medication at follow-up approximately 5 years later. Multivariate logistic regression results indicated that the employment of at least one physician at baseline, having a greater proportion of Medicaid clients, and pharmaceutical detailing were positively associated with medication adoption. Conclusions: Adoption of pharmacotherapy was more likely in programs that had greater medical resources, Medicaid funding, and contact with pharmaceutical companies. Given the potential expansion of Medicaid under the Affordable Care Act, patients served by publicly funded programs may gain greater access to such treatments, but research is needed to document health reform's impact on this sector of the treatment system. (J. Stud. Alcohol Drugs, 75, 476-485, 2014)

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“…The CTN was designed to facilitate collaborative research between university-based researchers and community-based treatment providers. An objective of this program is to demonstrate effectiveness and external validity of promising interventions and to increase community treatment program adoption of evidence-based medicine principles and practices (Martino et al, 2010;Jessup et al, 2008;Hanson et al 2002). Through community-based research, the CTN exposes front line treatment providers to interventions with initial evidence of efficacy by providing training and supervision.…”

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confidence: 99%

“…When participating in clinical trials, increased clinical staff involvement in the planning, execution, and dissemination of the clinical trial might increase the chances of ultimate adoption (Fixsen et al, 2005). In fact, clinician-researcher collaboration in the development and conduct of trials is one of the primary channels through which adoption of evidence-based practices is posited to occur in the CTN (Martino et al, 2010). Collaborative research is defined as the process of bringing both research and real world clinical perspectives together when conceiving, planning, conducting, analyzing, interpreting, or disseminating research (CAPS, 2001).…”

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confidence: 99%

Development of an Instrument to Characterize Methodological and Collaborative Factors that May Influence Community-Based Clinician Post-Trial Adoption of Clinical Research Interventions

Hettema

Sorensen

Wente

et al. 2014

Int J Ment Health Addiction

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Participation in clinical research trials has been hypothesized to facilitate the adoption of evidence-based practices by community-based substance abuse treatment providers. However, little empirical information is available regarding the methodological and collaborative characteristics of research trials that may affect the chances of adoption. The current paper describes the development of the Survey of Practiced Research Efforts to Aid Dissemination (SPREAD), a standardized instrument designed to measure characteristics of clinical trials that may facilitate adoption. The survey was administered to a sample of 33 community-based research trials from the top four impact factor journals of 2007. Overall, methodological quality was high and levels of collaboration were low, with little involvement of community-based clinic staff in most study related activities. Future research to determine the predictive validity of the SPREAD instrument on post-trial adoption of studies interventions in clinical research is encouraged.Keywords Substance abuse . Dissemination . Implementation . Adoption . Community-based research A gap still exists between research and practice in substance abuse treatment, leading to significant efforts to identify factors that may influence dissemination and implementation of evidence-based practices. Community-based clinic participation in research trials may be one viable means of influencing organizational and individual practices and post-trial adoption of evidence-based practices has been highlighted as an innovative method to facilitate the Int J Ment Health Addiction (2014) (Guydish et al., 2007). While exposure to interventions during clinical research trials may promote adoption of evidence-practices, the methodological characteristics of the clinical trials themselves, and the nature and degree of collaboration between research and community-based clinical staff are all likely to influence whether participation in a clinical trial increases, decreases, or has no impact on post-trial adoption decisions. In some cases, participation in clinical trials may be aversive, and leave community treatment providers with negative impressions of both the research process and the interventions under investigation (Guydish et al., 2005). In other cases, involvement of key community stake holders and interventionists has resulted in positive research experiences and successful post-trial adoption (Ozer et al., 2008). These alternative experiences can lead to differential rates of adoption and missed opportunities to disseminate evidence-based practices through community-based clinical research. The present report is the first empirical effort to measure community-based research trial factors that may influence post-trial adoption through the development of a standardized instrument (Survey of Practiced Research Efforts to Aid Dissemination; SPREAD). We provide normative data for the instrument from a sample of 33 published substance abuse clinical trials. Future trials may use the ins...

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Partnerships and pathways of dissemination: The National Institute on Drug Abuse—Substance Abuse and Mental Health Services Administration Blending Initiative in the Clinical Trials Network

Abstract: Since 2001, the National Drug Abuse Treatment Clinical Trials Network (CTN) has worked to put the results of its trials into the hands of community treatment

Cited by 47 publications

References 41 publications

Testing the feasibility of training peers with a spinal cord injury to learn and implement brief action planning to promote physical activity to people with spinal cord injury

Testing the feasibility of training peers with a spinal cord injury to learn and implement brief action planning to promote physical activity to people with spinal cord injury

The Transition to Medication Adoption in Publicly Funded Substance Use Disorder Treatment Programs: Organizational Structure, Culture, and Resources

Development of an Instrument to Characterize Methodological and Collaborative Factors that May Influence Community-Based Clinician Post-Trial Adoption of Clinical Research Interventions

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