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

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

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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).

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.

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.

Original languageEnglish (US)
Number of pages1
JournalAddiction science & clinical practice
Volume12
Issue number1
DOIs
StatePublished - Nov 17 2017

Fingerprint

Technology Transfer
Motivational Interviewing
Organizations
Acquired Immunodeficiency Syndrome
Evidence-Based Practice
National Institute on Drug Abuse (U.S.)
HIV
Continuity of Patient Care
Case Management
Sample Size
Substance-Related Disorders
Referral and Consultation
Health
Therapeutics

Keywords

  • External facilitation
  • Implementation strategies
  • Type 2 hybrid trial

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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

In: Addiction science & clinical practice, Vol. 12, No. 1, 17.11.2017.

Research output: Contribution to journalArticle

Garner, BR, Zehner, M, Roosa, MR, Martino, S, Gotham, HJ, Ball, EL, Stilen, P, Speck, K, Vandersloot, D, Rieckmann, T, Chaple, M, Martin, EG, Kaiser, D & Ford, JH 2017, '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', Addiction science & clinical practice, vol. 12, no. 1. https://doi.org/10.1186/s13722-017-0096-7
Garner, Bryan R. ; Zehner, Mark ; Roosa, Mathew R. ; Martino, Steve ; Gotham, Heather J. ; Ball, Elizabeth L. ; Stilen, Patricia ; Speck, Kathryn ; Vandersloot, Denna ; Rieckmann, Traci ; Chaple, Michael ; Martin, Erika G. ; Kaiser, David ; Ford, James H. / 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. In: Addiction science & clinical practice. 2017 ; Vol. 12, No. 1.
@article{e825af5f9a4242f6b911d18edf3c162f,
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",
abstract = "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).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.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.",
keywords = "External facilitation, Implementation strategies, Type 2 hybrid trial",
author = "Garner, {Bryan R.} and Mark Zehner and Roosa, {Mathew R.} and Steve Martino and Gotham, {Heather J.} and Ball, {Elizabeth L.} and Patricia Stilen and Kathryn Speck and Denna Vandersloot and Traci Rieckmann and Michael Chaple and Martin, {Erika G.} and David Kaiser and Ford, {James H.}",
year = "2017",
month = "11",
day = "17",
doi = "10.1186/s13722-017-0096-7",
language = "English (US)",
volume = "12",
journal = "Addiction science & clinical practice",
issn = "1940-0632",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy

T2 - study protocol for a cluster randomized trial

AU - Garner, Bryan R.

AU - Zehner, Mark

AU - Roosa, Mathew R.

AU - Martino, Steve

AU - Gotham, Heather J.

AU - Ball, Elizabeth L.

AU - Stilen, Patricia

AU - Speck, Kathryn

AU - Vandersloot, Denna

AU - Rieckmann, Traci

AU - Chaple, Michael

AU - Martin, Erika G.

AU - Kaiser, David

AU - Ford, James H.

PY - 2017/11/17

Y1 - 2017/11/17

N2 - 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).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.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.

AB - 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).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.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.

KW - External facilitation

KW - Implementation strategies

KW - Type 2 hybrid trial

UR - http://www.scopus.com/inward/record.url?scp=85041260393&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041260393&partnerID=8YFLogxK

U2 - 10.1186/s13722-017-0096-7

DO - 10.1186/s13722-017-0096-7

M3 - Article

VL - 12

JO - Addiction science & clinical practice

JF - Addiction science & clinical practice

SN - 1940-0632

IS - 1

ER -