%0 Journal Article %J J Subst Abuse Treat %D 2014 %T Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program. %A Hartzler, Bryan %A Jackson, T Ron %A Jones, Brinn E %A Beadnell, Blair %A Calsyn, Donald A %K Aged %K Clinical Competence %K Cooperative Behavior %K Diffusion of Innovation %K Feasibility Studies %K Female %K Follow-Up Studies %K Humans %K Male %K Middle Aged %K Opioid-Related Disorders %K Program Development %K Program Evaluation %K Substance Abuse Treatment Centers %X

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.

%B J Subst Abuse Treat %V 46 %P 429-38 %8 2014 Apr %G eng %N 4 %R 10.1016/j.jsat.2013.12.007