Using NIATx Strategies to Implement Integrated Services in Routine Care
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 49
- 主要终点
- Change in Dual Diagnosis Capability in Addiction Treatment (DDCAT index) scores
研究概览
简要总结
This is an implementation research study designed to evaluate a defined strategy, NIATx, for its effectiveness in installing and sustaining evidence-based integrated services for persons with co-occurring substance use and mental health disorders. This study is a cluster randomized wait-list control group design, in which a cohort of 25 addiction treatment agencies receives the active NIATx approach during an index 12 month period. The second (wait-list) cohort of 25 addiction treatment agencies activates NIATx strategies during a second index 12 month period. The primary "subjects" of the research are the treatment agencies themselves. The study specific aims are:
- Relative to wait-list, to determine if NIATx strategies improve implementation outcomes (integrated service fidelity and receipt of more integrated services)
- Relative to wait-list, to determine if NIATx strategies improve patient care outcomes (psychiatric, alcohol and drug problem severity)
- Across entire sample, to evaluate variation in the extent of and fidelity to NIATx strategies
NIATx implementation strategies consist of learning sessions, individualized coaching and peer to peer sharing.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Organizations who are licensed addiction treatment providers in the state of Washington were identified and provided the opportunity to participate in the study.
- •Eligibility criteria include:
- •outpatient and/or intensive outpatient services
- •tax-exempt, government status or at least 50% publicly funded (e.g., block grants, Medicare, Medicaid)
- •no prior participation in NIATx research studies (this last criterion excludes 39 agencies who were involved in the NIDA funded NIATx 200)
排除标准
- •Public mental health and private addiction treatment agencies are also excluded because only addiction treatment providers in Washington are required to use the state clinical information system, and therefore cannot provide the necessary standardized data
结局指标
主要结局
Change in Dual Diagnosis Capability in Addiction Treatment (DDCAT index) scores
时间窗: Collected at baseline, 12 months, 24 months and 36 months
DDCAT is a 35-item observational benchmark measure of program level dual diagnosis capability, evaluating policy, clinical practice and workforce dimensions of integrated services for persons with co-occurring disorders.
Change in Penetration Rates: Patients receiving integrated medication and psychosocial services
时间窗: Collected at baseline, 12 months, 24 months and 36 months
Assessing increased penetration of integrated services based on changes in the proportion of program patients screened, diagnosed and receiving integrated medication and psychosocial services. Data for each time point will be collected 90 days before and 90 days after the DDCAT Assessment.
Change in Penetration Rates: Gain Short Screen
时间窗: Collected at baseline, 12 months, 24 months and 36 months
Examine changes in the proportion of program patients screened using the Gain Short Screener. Data for each time point will be collected 90 days before and 90 days after the DDCAT Assessment..
Change in the Addiction Severity Index (ASI)
时间窗: Collected at baseline, 12 months, 24 months and 36 months
Changes in ASI scores for the Psychiatric, Drug and Alcohol composite scores assessed at admission and 30-days post follow-up. Data for each time point will be collected 90 days before and 90 days after the DDCAT Assessment.
次要结局
未报告次要终点