Organizational Readiness for Change and opinions toward treatment innovations

Bret E. Fuller, Traci Rieckmann, Edward V. Nunes, Michael Miller, Cynthia Arfken, Eldon Edmundson, Dennis McCarty

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network completed surveys to characterize participating programs and practitioners. A two-level random-effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission, and more organizational stress. Support for confrontation and noncompliance discharge, in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC's utility in assessing agency strengths and needs during the implementation of evidence-based practices.

Original languageEnglish (US)
Pages (from-to)183-192
Number of pages10
JournalJournal of Substance Abuse Treatment
Volume33
Issue number2
DOIs
StatePublished - Sep 2007

Fingerprint

Organizational Innovation
Evidence-Based Practice
Internet
Mental Health Services
Growth
Administrative Personnel
Substance-Related Disorders
Motivation
Therapeutics
Clinical Trials
Peer Influence

Keywords

  • Clinical trials network
  • Evidence-based practice
  • Organizational characteristics
  • Organizational readiness for change

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Neuroscience(all)

Cite this

Organizational Readiness for Change and opinions toward treatment innovations. / Fuller, Bret E.; Rieckmann, Traci; Nunes, Edward V.; Miller, Michael; Arfken, Cynthia; Edmundson, Eldon; McCarty, Dennis.

In: Journal of Substance Abuse Treatment, Vol. 33, No. 2, 09.2007, p. 183-192.

Research output: Contribution to journalArticle

Fuller, BE, Rieckmann, T, Nunes, EV, Miller, M, Arfken, C, Edmundson, E & McCarty, D 2007, 'Organizational Readiness for Change and opinions toward treatment innovations', Journal of Substance Abuse Treatment, vol. 33, no. 2, pp. 183-192. https://doi.org/10.1016/j.jsat.2006.12.026
Fuller, Bret E. ; Rieckmann, Traci ; Nunes, Edward V. ; Miller, Michael ; Arfken, Cynthia ; Edmundson, Eldon ; McCarty, Dennis. / Organizational Readiness for Change and opinions toward treatment innovations. In: Journal of Substance Abuse Treatment. 2007 ; Vol. 33, No. 2. pp. 183-192.
@article{f1bb3165cdee482387a9fbd6763d8068,
title = "Organizational Readiness for Change and opinions toward treatment innovations",
abstract = "Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network completed surveys to characterize participating programs and practitioners. A two-level random-effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission, and more organizational stress. Support for confrontation and noncompliance discharge, in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC's utility in assessing agency strengths and needs during the implementation of evidence-based practices.",
keywords = "Clinical trials network, Evidence-based practice, Organizational characteristics, Organizational readiness for change",
author = "Fuller, {Bret E.} and Traci Rieckmann and Nunes, {Edward V.} and Michael Miller and Cynthia Arfken and Eldon Edmundson and Dennis McCarty",
year = "2007",
month = "9",
doi = "10.1016/j.jsat.2006.12.026",
language = "English (US)",
volume = "33",
pages = "183--192",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Organizational Readiness for Change and opinions toward treatment innovations

AU - Fuller, Bret E.

AU - Rieckmann, Traci

AU - Nunes, Edward V.

AU - Miller, Michael

AU - Arfken, Cynthia

AU - Edmundson, Eldon

AU - McCarty, Dennis

PY - 2007/9

Y1 - 2007/9

N2 - Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network completed surveys to characterize participating programs and practitioners. A two-level random-effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission, and more organizational stress. Support for confrontation and noncompliance discharge, in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC's utility in assessing agency strengths and needs during the implementation of evidence-based practices.

AB - Program administrators and staff in treatment programs participating in the National Drug Abuse Treatment Clinical Trials Network completed surveys to characterize participating programs and practitioners. A two-level random-effects regression model assessed the influence of Organizational Readiness for Change (ORC) and organizational attributes on opinions toward the use of four evidence-based practices (manualized treatments, medication, integrated mental health services, and motivational incentives) and practices with less empirical support (confrontation and noncompliance discharge). The ORC scales suggested greater support for evidence-based practices in programs where staff perceived more program need for improvement, better Internet access, higher levels of peer influence, more opportunities for professional growth, a stronger sense of organizational mission, and more organizational stress. Support for confrontation and noncompliance discharge, in contrast, was strong when staff saw less opportunity for professional growth, weaker peer influence, less Internet access, and perceived less organizational stress. The analysis provides evidence of the ORC's utility in assessing agency strengths and needs during the implementation of evidence-based practices.

KW - Clinical trials network

KW - Evidence-based practice

KW - Organizational characteristics

KW - Organizational readiness for change

UR - http://www.scopus.com/inward/record.url?scp=34547411975&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34547411975&partnerID=8YFLogxK

U2 - 10.1016/j.jsat.2006.12.026

DO - 10.1016/j.jsat.2006.12.026

M3 - Article

C2 - 17434708

AN - SCOPUS:34547411975

VL - 33

SP - 183

EP - 192

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

IS - 2

ER -