Fields Dail, Knudsen Hannah K, Roman Paul M
Center for Research on Behavioral Health and Human Services Delivery, Institute for Behavioral Research, University of Georgia, Athens, GA, USA.
Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 141 Medical Behavioral Science Building, Lexington, KY, 40536-0086, USA.
J Behav Health Serv Res. 2016 Jul;43(3):354-65. doi: 10.1007/s11414-015-9466-7.
Internal process improvements embedded within the Network for Improvement of Addiction Treatment (NIATx) program are promising innovations for improving substance use disorder (SUD) treatment performance, such as engagement and retention. To date, few studies have examined the variables that may increase diffusion and implementation of NIATx innovations. This study investigates organizational characteristics associated with SUD treatment center utilization of NIATx process improvements in a sample of 458 treatment programs. Overall, 19% had utilized NIATx process improvements. After statistically controlling environmental factors, five organizational variables were associated with the likelihood that treatment centers used NIATx processes. Organization size, administrative intensity, membership in a provider association, and participation in National Institute on Drug Abuse's Clinical Trials Network were positively associated with the odds of utilizing NIATx processes, while the association for the level of slack resources was negative. The findings suggest that policies and related supportive efforts may be required to facilitate diffusion and implementation of NIATx processes to affect SUD treatment center performance and capacity.
嵌入成瘾治疗改善网络（NIATx）项目的内部流程改进，是改善物质使用障碍（SUD）治疗绩效（如参与度和留存率）的有前景的创新举措。迄今为止，很少有研究考察可能会增加NIATx创新传播和实施的变量。本研究在458个治疗项目样本中，调查与SUD治疗中心采用NIATx流程改进相关的组织特征。总体而言，19%的机构采用了NIATx流程改进。在对环境因素进行统计控制后，有五个组织变量与治疗中心使用NIATx流程的可能性相关。机构规模、管理强度、加入提供者协会以及参与美国国立药物滥用研究所的临床试验网络，与采用NIATx流程的几率呈正相关，而闲置资源水平的相关性则为负。研究结果表明，可能需要政策及相关支持性努力，以促进NIATx流程的传播和实施，从而影响SUD治疗中心的绩效和能力。
