TY - JOUR
T1 - A multilevel approach to predicting community addiction treatment attitudes about contingency management
AU - Hartzler, Bryan
AU - Donovan, Dennis M.
AU - Tillotson, Carrie J.
AU - Mongoue-Tchokote, Solange
AU - Doyle, Suzanne R.
AU - McCarty, Dennis
N1 - Funding Information:
This research was supported by grants from the NIDA , namely, CTN U10 DA013714 (Pacific Northwest Node) and K23 DA025678-01A2 (Hartzler, PI). Access to the original CTN 0008 trial data was provided by the Western States CTN Node (U10 DA015815) with analytic support provided by consultants at Oregon Health Sciences University . We also acknowledge the Oregon/Hawaii CTN Node (U10 DA013036) for its conduct of the original CTN 0008 trial.
PY - 2012/3
Y1 - 2012/3
N2 - Adoption of contingency management (CM) by the addiction treatment community is limited to date despite much evidence for its efficacy. This study examined systemic and idiographic staff predictors of CM adoption attitudes via archival data collected from treatment organizations affiliated with the National Drug Abuse Treatment Clinical Trials Network. Multilevel modeling analyses evaluated potential predictors from organizational, treatment unit, and workforce surveys. Among these were individual and shared perceptions of staff concerning aspects of their clinic culture and climate. Modeling analyses identified three systemic predictors (clinic provision of opiate agonist services, national accreditation, and lesser shared perception of workplace stress) and five idiographic predictors (staff with a graduate degree, longer service tenure, managerial position, e-communication facility, and openness to change in clinical procedures). Findings are discussed as they relate to extant literature on CM attitudes and established implementation science constructs, and their practical implications are discussed.
AB - Adoption of contingency management (CM) by the addiction treatment community is limited to date despite much evidence for its efficacy. This study examined systemic and idiographic staff predictors of CM adoption attitudes via archival data collected from treatment organizations affiliated with the National Drug Abuse Treatment Clinical Trials Network. Multilevel modeling analyses evaluated potential predictors from organizational, treatment unit, and workforce surveys. Among these were individual and shared perceptions of staff concerning aspects of their clinic culture and climate. Modeling analyses identified three systemic predictors (clinic provision of opiate agonist services, national accreditation, and lesser shared perception of workplace stress) and five idiographic predictors (staff with a graduate degree, longer service tenure, managerial position, e-communication facility, and openness to change in clinical procedures). Findings are discussed as they relate to extant literature on CM attitudes and established implementation science constructs, and their practical implications are discussed.
KW - Adoption attitudes
KW - Contingency management
KW - Organizational dynamics
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U2 - 10.1016/j.jsat.2011.10.012
DO - 10.1016/j.jsat.2011.10.012
M3 - Article
C2 - 22138199
AN - SCOPUS:84856361842
SN - 0740-5472
VL - 42
SP - 213
EP - 221
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 2
ER -