A longitudinal study of organizational formation, innovation adoption, and dissemination activities within the National Drug Abuse Treatment Clinical Trials Network

Abstract

The National Institute on Drug Abuse (NIDA) established the National Drug Abuse Treatment Clinical Trials Network (CTN) to conduct trials of promising substance abuse treatment interventions in diverse clinical settings and to disseminate results of these trials. This paper focuses on three dimensions of the CTN’s organizational functioning. First, a longitudinal dataset is used to examine the CTN’s formation as a network of inter-organizational interaction among treatment practitioners and researchers. Data indicate strong relationships of interaction and trust, but a decline in problem-centered inter-organizational interaction over time. Second, adoption of buprenorphine and motivational incentives among the CTN’s affiliated CTPs is identified over three waves of data. While adoption is found to increase with CTPs’ CTN participation, there is only modest evidence of widespread penetration and implementation. Third, CTPs’ pursuit of the CTN’s dissemination goals are examined, indicating that such organizational outreach activities are underway and likely to increase innovation diffusion in the future.

Frontline counselors in organizational contexts: A study of treatment practices in community settings

“…Counselors' beliefs about ease of use, fit with ongoing practices, fit with personal values, and perceptions that a new practice will be "rewarded, supported, and expected" (Klein & Sorra, 1996, p. 1060 have been associated with the use of new practices (Frambach & Schillewaert, 2002;Knudsen & Studts, 2010;Rogers, 2003), as has practitioners' confidence in the evidence supporting a treatment approach (Roman et al, 2010).…”

“…Research and theory are still better able to explain the "adoption" of an evidence-supported practice (i.e., an organizational decision to use a practice) than to explain "implementation" (i.e., practitioners' actual use of practices with clients; Fixsen et al, 2005;Rogers, 2003;Roman, Abraham, Rothrauff, & Knudsen, 2010).…”

Research to practice in addiction treatment: Key terms and a field-driven model of technology transfer

“…They found that the first agencies that decided to adopt (early adopters) evidence-based mental health practices judged risks related to adoption to be smaller than agencies that did not decide to adopt the new practices and that the early adopters viewed the risks as more manageable. Roman, Knudsen, and colleagues (e.g., Knudsen, Ducharme, & Roman, 2007;Knudsen, Roman, & Oser, 2010;Roman, Abraham, Rothrauff, & Knudsen, 2010) have examined organizational and other factors affecting the adoption of medication-assisted treatment for substance abuse. Fully specified models of adoption or the adoption decision has not yet been developed.…”

Readiness and barriers to adopt evidence-based practices for substance abuse treatment in Mexico

“…Challenges still remain and are being studied in the US. [14][15][16][17][18] It is important to understand the challenges for adoption of EBPs in substance abuse treatment in Mexico as the network evolves.…”