Trial reportAddiction (Abingdon, England)2013
Which elements of improvement collaboratives are most effective? A cluster-randomized trial.
Trial report in Addiction (Abingdon, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00934141 (Randomized Control Trial), which is not on this map. Cited by 85 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Randomized Control Trial (RCT) Evaluating Improvement Strategies in Addiction Treatment
Who cites it
85 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Knowledge and attitudes of Implementation Support Practitioners-Findings from a systematic integrative review.PloS one · 2022Pooled it
- Costs and economic evaluations of Quality Improvement Collaboratives in healthcare: a systematic review.BMC health services research · 2020Pooled it
- The use of external change agents to promote quality improvement and organizational change in healthcare organizations: a systematic review.BMC health services research · 2018Pooled it
- Interventions to reduce waiting times for elective procedures.The Cochrane database of systematic reviews · 2015Pooled it
- Assessing the comparative effectiveness of ECHO and coaching implementation strategies in a jail/provider MOUD implementation trial.Implementation science : IS · 2025Trial
- Organize and mobilize for implementation effectiveness to improve overdose education and naloxone distribution from syringe services programs: a randomized controlled trial.Implementation science : IS · 2024Trial
- Enhancing Use of Medications for Opioid Use Disorder Through External Coaching.Psychiatric services (Washington, D.C.) · 2023Trial
- Sustainment of Integrated Care in Addiction Treatment Settings: Primary Outcomes From a Cluster-Randomized Controlled Trial.Psychiatric services (Washington, D.C.) · 2022Trial
- The payer's role in addressing the opioid epidemic: It's more than money.Journal of substance abuse treatment · 2019Trial
- Assessing long-term sustainment of clinic participation in NIATx200: Results and a new methodological approach.Journal of substance abuse treatment · 2018Trial
- An evidence-based co-occurring disorder intervention in VA homeless programs: outcomes from a hybrid III trial.BMC health services research · 2018Trial
- Evaluating Fidelity to a Modified NIATx Process Improvement Strategy for Improving HIV Services in Correctional Facilities.The journal of behavioral health services & research · 2018Trial
- A randomized matched-pairs study of feasibility, acceptability, and effectiveness of systems consultation: a novel implementation strategy for adopting clinical guidelines for Opioid prescribing in primary care.Implementation science : IS · 2018Trial
- Continuous quality improvement in substance abuse treatment facilities: How much does it cost?Journal of substance abuse treatment · 2017Trial
- Using Getting To Outcomes to facilitate the use of an evidence-based practice in VA homeless programs: a cluster-randomized trial of an implementation support strategy.Implementation science : IS · 2017Trial
- Improving and sustaining delivery of CPT for PTSD in mental health systems: a cluster randomized trial.Implementation science : IS · 2017Trial
- Study protocol for "Healthy Hearts Northwest": a 2 × 2 randomized factorial trial to build quality improvement capacity in primary care.Implementation science : IS · 2016Trial
- The Effect of a Change Agent on Use of Evidence-Based Mental Health Practices.Administration and policy in mental health · 2016Trial
- Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS): a cluster randomized trial targeting system-wide improvement in substance use services.Implementation science : IS · 2016Trial
- Trial
25 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
aimsImprovement collaboratives consisting of various components are used throughout health care to improve quality, but no study has identified which components work best. This study tested the effectiveness of different components in addiction treatment services, hypothesizing that a combination of all components would be most effective.
designAn unblinded cluster-randomized trial assigned clinics to one of four groups: interest circle calls (group teleconferences), clinic-level coaching, learning sessions (large face-to-face meetings) and a combination of all three. Interest circle calls functioned as a minimal intervention comparison group.
settingOut-patient addiction treatment clinics in the United States.
participantsTwo hundred and one clinics in five states. MEASUREMENTS: Clinic data managers submitted data on three primary outcomes: waiting-time (mean days between first contact and first treatment), retention (percentage of patients retained from first to fourth treatment session) and annual number of new patients. State and group costs were collected for a cost-effectiveness analysis.
findingsWaiting-time declined significantly for three groups: coaching (an average of 4.6 days/clinic, P = 0.001), learning sessions (3.5 days/clinic, P = 0.012) and the combination (4.7 days/clinic, P = 0.001). The coaching and combination groups increased significantly the number of new patients (19.5%, P = 0.028; 8.9%, P = 0.029; respectively). Interest circle calls showed no significant effect on outcomes. None of the groups improved retention significantly. The estimated cost per clinic was $2878 for coaching versus $7930 for the combination. Coaching and the combination of collaborative components were about equally effective in achieving study aims, but coaching was substantially more cost-effective.
conclusionsWhen trying to improve the effectiveness of addiction treatment services, clinic-level coaching appears to help improve waiting-time and number of new patients while other components of improvement collaboratives (interest circles calls and learning sessions) do not seem to add further value.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.