Institute for Behavioral Research, The University of Georgia, Athens, GA 30602, USA.
J Subst Abuse Treat. 2011 Jan;40(1):87-94. doi: 10.1016/j.jsat.2010.08.001. Epub 2010 Sep 17.
A promising area within technology transfer studies is the identification of organizational factors that influence the adoption of treatment innovations. Although studies have identified organizational factors associated with the adoption of pharmacological innovations, few studies have examined organizational factors in the adoption of psychosocial innovations, among which contingency management (CM) is a significant practice. Using data from a sample (N = 318) drawn from the population of publicly funded treatment centers in the United States, this study modeled organizational factors falling in the domains of structural characteristics, workforce variables, values and norms, and patient characteristics associated with the use of CM. Organizations were more likely to use CM if they embrace a supportive therapeutic approach, are research friendly, offer only outpatient levels of care, or serve drug-court patients. Implications for studying the diffusion and implementation of evidence-based psychosocial interventions are discussed.
技术转让研究中一个很有前景的领域是确定影响治疗创新采用的组织因素。尽管已有研究确定了与药理学创新采用相关的组织因素,但很少有研究考察心理社会创新采用中的组织因素,而其中的应急管理(CM)是一种重要的实践。本研究使用了来自美国公共资助治疗中心人群的样本(N=318)的数据,对与 CM 使用相关的结构特征、劳动力变量、价值观和规范以及患者特征等领域的组织因素进行了建模。如果组织采用支持性的治疗方法、对研究友好、只提供门诊护理水平或为毒品法庭患者服务,那么他们更有可能使用 CM。讨论了研究循证心理社会干预措施的传播和实施的意义。