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Open Access 01-12-2017 | Study protocol

Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy: study protocol for a cluster randomized trial

Authors: Bryan R. Garner, Mark Zehner, Mathew R. Roosa, Steve Martino, Heather J. Gotham, Elizabeth L. Ball, Patricia Stilen, Kathryn Speck, Denna Vandersloot, Traci R. Rieckmann, Michael Chaple, Erika G. Martin, David Kaiser, James H. Ford II

Published in: Addiction Science & Clinical Practice | Issue 1/2017

Abstract

Background

Improving the extent to which evidence-based practices (EBPs)—treatments that have been empirically shown to be efficacious or effective—are integrated within routine practice is a well-documented challenge across numerous areas of health. In 2014, the National Institute on Drug Abuse funded a type 2 effectiveness–implementation hybrid trial titled the substance abuse treatment to HIV Care (SAT2HIV) Project. Aim 1 of the SAT2HIV Project tests the effectiveness of a motivational interviewing-based brief intervention (MIBI) for substance use as an adjunct to usual care within AIDS service organizations (ASOs) as part of its MIBI Experiment. Aim 2 of the SAT2HIV Project tests the effectiveness of implementation and sustainment facilitation (ISF) as an adjunct to the Addiction Technology Transfer Center (ATTC) model for training staff in motivational interviewing as part of its ISF Experiment. The current paper describes the study protocol for the ISF Experiment.

Methods

Using a cluster randomized design, case management and leadership staff from 39 ASOs across the United States were randomized to receive either the ATTC strategy (control condition) or the ATTC + ISF strategy (experimental condition). The ATTC strategy is staff-focused and includes 10 discrete strategies (e.g., provide centralized technical assistance, conduct educational meetings, provide ongoing consultation). The ISF strategy is organization-focused and includes seven discrete strategies (e.g., use an implementation advisor, organize implementation team meetings, conduct cyclical small tests of change). Building upon the exploration–preparation–implementation–sustainment (EPIS) framework, the effectiveness of the ISF strategy is examined via three staff-level measures: (1) time-to-proficiency (i.e., preparation phase outcome), (2) implementation effectiveness (i.e., implementation phase outcome), and (3) level of sustainment (i.e., sustainment phase outcome).

Discussion

Although not without limitations, the ISF experiment has several strengths: a highly rigorous design (randomized, hypothesis-driven), high-need setting (ASOs), large sample size (39 ASOs), large geographic representation (23 states and the District of Columbia), and testing along multiple phases of the EPIS continuum (preparation, implementation, and sustainment). Thus, study findings will significantly improve generalizable knowledge regarding the best preparation, implementation, and sustainment strategies for advancing EBPs along the EPIS continuum. Moreover, increasing ASO’s capacity to address substance use may improve the HIV Care Continuum.

Trial registration ClinicalTrials.gov: NCT03120598.

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Title: Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy: study protocol for a cluster randomized trial
Authors: Bryan R. Garner
Mark Zehner
Mathew R. Roosa
Steve Martino
Heather J. Gotham
Elizabeth L. Ball
Patricia Stilen
Kathryn Speck
Denna Vandersloot
Traci R. Rieckmann
Michael Chaple
Erika G. Martin
David Kaiser
James H. Ford II
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Addiction Science & Clinical Practice / Issue 1/2017
Electronic ISSN: 1940-0640
DOI: https://doi.org/10.1186/s13722-017-0096-7

Changes in Specific Substance Involvement Scores among SBIRT recipients in an HIV primary care setting

Open Access
Research

VA residential substance use disorder treatment program providers’ perceptions of facilitators and barriers to performance on pre-admission processes

Open Access
Research

Opioid overdose prevention and naloxone rescue kits: what we know and what we don’t know

Open Access
Review

Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial

Open Access
Research

Alcohol consumption patterns and HIV viral suppression among persons receiving HIV care in Florida: an observational study

Open Access
Research

Seek, test, treat: substance-using women in the HIV treatment cascade in South Africa

Open Access
Research

Keynote webinar | Spotlight on adolescent vaping

Springer Medicine

Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy: study protocol for a cluster randomized trial

Abstract

Background

Methods

Discussion

Other articles of this Issue 1/2017

Changes in Specific Substance Involvement Scores among SBIRT recipients in an HIV primary care setting

VA residential substance use disorder treatment program providers’ perceptions of facilitators and barriers to performance on pre-admission processes

Opioid overdose prevention and naloxone rescue kits: what we know and what we don’t know

Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial

Alcohol consumption patterns and HIV viral suppression among persons receiving HIV care in Florida: an observational study

Seek, test, treat: substance-using women in the HIV treatment cascade in South Africa

Keynote webinar | Spotlight on adolescent vaping

Springer Medicine

Abstract

Background

Methods

Discussion

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Changes in Specific Substance Involvement Scores among SBIRT recipients in an HIV primary care setting

VA residential substance use disorder treatment program providers’ perceptions of facilitators and barriers to performance on pre-admission processes

Opioid overdose prevention and naloxone rescue kits: what we know and what we don’t know

Patient-centered primary care for adults at high risk for AUDs: the Choosing Healthier Drinking Options In primary CarE (CHOICE) trial

Alcohol consumption patterns and HIV viral suppression among persons receiving HIV care in Florida: an observational study

Seek, test, treat: substance-using women in the HIV treatment cascade in South Africa