Campbell Aimee N C, Hartzler Bryan, Hatch-Maillette Mary, Calsyn Donald A, Miele Gloria M, Tross Susan
J Drug Issues. 2011;41(4):441-446. doi: 10.1177/002204261104100401.
Research-based approaches to HIV risk reduction are available but not readily adopted by community-based treatment programs. This exploratory survey study assessed staff (N=116) attitudes as a function of direct research participation, treatment program type, and study performance within seven methadone maintenance and eight psychosocial outpatient substance abuse treatment programs that participated in the NIDA Clinical Trials Network HIV risk reduction trials. Clinical staff who directly participated in the research reported intervention components as useful and were more likely to report perceived increases in HIV testing/referrals compared to staff who did not directly participate. However, those directly involved reported less positive attitudes about clinical impact and research impression. Results suggest a positive influence of research participation on awareness of program services, but also the need to address practical and professional issues related to research collaboration. Effectiveness trials offer a valuable opportunity to assess provider-level factors associated with adoption and implementation.
基于研究的降低艾滋病毒风险方法是可行的,但社区治疗项目并未轻易采用。这项探索性调查研究评估了参与美国国家药物滥用研究所临床试验网络艾滋病毒风险降低试验的7个美沙酮维持治疗项目和8个心理社会门诊药物滥用治疗项目中工作人员(N = 116)的态度,这些态度是直接研究参与、治疗项目类型和研究表现的函数。与未直接参与研究的工作人员相比,直接参与研究的临床工作人员报告干预措施有用,并且更有可能报告认为艾滋病毒检测/转诊有所增加。然而,那些直接参与的人对临床影响和研究印象的态度不太积极。结果表明研究参与对项目服务意识有积极影响,但也需要解决与研究合作相关的实际和专业问题。有效性试验为评估与采用和实施相关的提供者层面因素提供了宝贵机会。