A multilevel approach to predicting community addiction treatment attitudes about contingency management

Bryan Hartzler, Dennis M. Donovan, Carrie J. Tillotson, Solange Mongoue-Tchokote, Suzanne R. Doyle, Dennis McCarty

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)213-221
Number of pages9
JournalJournal of Substance Abuse Treatment
Volume42
Issue number2
DOIs
StatePublished - Mar 2012

Fingerprint

Opiate Alkaloids
Multilevel Analysis
Accreditation
Climate
Workplace
Substance-Related Disorders
Communication
Clinical Trials
Organizations
Surveys and Questionnaires

Keywords

  • Adoption attitudes
  • Contingency management
  • Organizational dynamics

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Phychiatric Mental Health
  • Medicine (miscellaneous)

Cite this

A multilevel approach to predicting community addiction treatment attitudes about contingency management. / Hartzler, Bryan; Donovan, Dennis M.; Tillotson, Carrie J.; Mongoue-Tchokote, Solange; Doyle, Suzanne R.; McCarty, Dennis.

In: Journal of Substance Abuse Treatment, Vol. 42, No. 2, 03.2012, p. 213-221.

Research output: Contribution to journalArticle

Hartzler, Bryan ; Donovan, Dennis M. ; Tillotson, Carrie J. ; Mongoue-Tchokote, Solange ; Doyle, Suzanne R. ; McCarty, Dennis. / A multilevel approach to predicting community addiction treatment attitudes about contingency management. In: Journal of Substance Abuse Treatment. 2012 ; Vol. 42, No. 2. pp. 213-221.
@article{b2c93f22f14f434cb58fe4fc075c20e0,
title = "A multilevel approach to predicting community addiction treatment attitudes about contingency management",
abstract = "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.",
keywords = "Adoption attitudes, Contingency management, Organizational dynamics",
author = "Bryan Hartzler and Donovan, {Dennis M.} and Tillotson, {Carrie J.} and Solange Mongoue-Tchokote and Doyle, {Suzanne R.} and Dennis McCarty",
year = "2012",
month = "3",
doi = "10.1016/j.jsat.2011.10.012",
language = "English (US)",
volume = "42",
pages = "213--221",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",
number = "2",

}

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

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

UR - http://www.scopus.com/inward/record.url?scp=84856361842&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84856361842&partnerID=8YFLogxK

U2 - 10.1016/j.jsat.2011.10.012

DO - 10.1016/j.jsat.2011.10.012

M3 - Article

C2 - 22138199

AN - SCOPUS:84856361842

VL - 42

SP - 213

EP - 221

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

IS - 2

ER -