Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program

J Subst Abuse Treat. 2014 Apr;46(4):429-38. doi: 10.1016/j.jsat.2013.12.007. Epub 2013 Dec 21.

Abstract

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.

Keywords: Contingency management; Dissemination; Implementation science.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Clinical Competence*
  • Cooperative Behavior
  • Diffusion of Innovation*
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Opioid-Related Disorders / rehabilitation*
  • Program Development
  • Program Evaluation
  • Substance Abuse Treatment Centers / methods*
  • Substance Abuse Treatment Centers / organization & administration