Examining the sustainment of the Adolescent-Community Reinforcement Approach in community addiction treatment settings: protocol for a longitudinal mixed method study

Implementation Science

Susan H Godley²  Bryan R Garner²  Bing Han¹  Lynsay Ayer³  Sarah B Hunter¹ 

[1] RAND, 1776 Main Street, Santa Monica 90407-2138, CA, USA;Chestnut Health Systems, 448 Wylie Drive, Normal 61761, IL, USA;RAND, 1200 South Hayes Street, Arlington 22202, VA, USA

关键词: Longitudinal data analyses;    Mixed methods;    Adolescent substance use treatment;    Evidence-based treatments;    Sustainment;   

Others  :  1146748
DOI  :  10.1186/s13012-014-0104-1

 received in 2014-06-30, accepted in 2014-08-04,  发布年份 2014

【 摘 要 】

Background

Although evidence-based treatments are considered the gold standard for clinical practice, it is widely recognized that evidence-based treatment implementation in real world practice settings has been limited. To address this gap, the federal government provided three years of funding, training and technical assistance to 84 community-based treatment programs to deliver an evidence-based treatment called the Adolescent-Community Reinforcement Approach (A-CRA). Little is known about whether such efforts lead to long-term A-CRA sustainment after the initial funding ends.

Methods/Design

We will use a longitudinal mixed method data analytic approach to characterize sustainment over time and to examine the factors associated with the extent to which A-CRA is sustained. We will use implementation data collected during the funding period (e.g., organizational functioning, staff certification rates and penetration) and supplement it with additional data collected during the proposed project period regarding implementation quality and the hypothesized predictors of sustainment (i.e., inner and outer contextual variables) collected over three waves from 2013 to 2015 representing program sustainment up to five years post-initial funding.

Discussion

Gaining a better understanding of the factors that influence the evidence-based treatment sustainment may lead to more effective dissemination strategies and ultimately improve the quality of care being delivered in community-based addiction treatment settings.

【 授权许可】

   
2014 Hunter et al.; licensee BioMed Central

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