Evidence map›Paper›PMID 23663749›Full record

Trial reportImplementation science : IS2013

Testing use of payers to facilitate evidence-based practice adoption: protocol for a cluster-randomized trial.

Todd Molfenter, Jee-Seon Kim, Andrew Quanbeck, Terry Patel-Porter, Sandy Starr, Dennis McCarty

2 registry-linked trialsOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Implementation science : IS, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 15% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT01702142 completednot on this map

To Test a Payer/Treatment Agency Intervention to Increase Use of Buprenorphine

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2012 to 2018Enrolled14ConditionsAddiction
NCT02926482 nacompletednot on this mapstarted 2016, after this paper: background citation

Test of a Workforce Development Intervention to Expand Buprenorphine Prescribers

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2016 to 2019Enrolled76ConditionsOpioid-use DisorderArmsPrescriber Recruitment Bundle (PRB)
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Todd MolfenterDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, 1513 University Avenue, Madison, Wisconsin 53706, USA. todd.molfenter@chess.wisc.edu
Jee-Seon Kim
Andrew Quanbeck
Terry Patel-Porter
Sandy Starr
Dennis McCarty
University of Wisconsin–Madison · USOhio Department of Mental Health & Addiction Services · USOregon Health & Science University · US

Funding

Western States Node of the National Drug Abuse Treatment Clinical Trials NetworkU10DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCARTY, DENNIS, SORENSEN, JAMES L · 2002 to 2015
$25.2M
To Test A Payer/Treatment Agency Intervention to Increase Use of BuprenorphineR01DA030431 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI MOLFENTER, TODD DAVID · 2012 to 2016
$2.9M
NIDA NIH HHS R01 DA030431NIDA NIH HHS R01 DA030431-01A1NIDA NIH HHS U10 DA015815
6 · The paper itself

Abstract

backgroundMore effective methods are needed to implement evidence-based findings into practice. The Advancing Recovery Framework offers a multi-level approach to evidence-based practice implementation by aligning purchasing and regulatory policies at the payer level with organizational change strategies at the organizational level.

methodsThe Advancing Recovery Buprenorphine Implementation Study is a cluster-randomized controlled trial designed to increase use of the evidence-based practice buprenorphine medication to treat opiate addiction. Ohio Alcohol, Drug Addiction, and Mental Health Services Boards (ADAMHS), who are payers, and their addiction treatment organizations were recruited for a trial to assess the effects of payer and treatment organization changes (using the Advancing Recovery Framework) versus treatment organization changes alone on the use of buprenorphine. A matched-pair randomization, based on county characteristics, was applied, resulting in seven county ADAMHS boards and twenty-five treatment organizations in each arm. Opioid dependent patients are nested within cluster (treatment organization), and treatment organization clusters are nested within ADAMHS county board. The primary outcome is the percentage of individuals with an opioid dependence diagnosis who use buprenorphine during the 24-month intervention period and the 12-month sustainability period. The trial is currently in the baseline data collection stage. DISCUSSION: Although addiction treatment providers are under increasing pressure to implement evidence-based practices that have been proven to improve patient outcomes, adoption of these practices lags, compared to other areas of healthcare. Reasons frequently cited for the slow adoption of EBPs in addiction treatment include, regulatory issues, staff, or client resistance and lack of resources. Yet the way addiction treatment is funded, the payer's role-has not received a lot of attention in research on EBP adoption.This research is unique because it investigates the role of payers in evidence-based practice implementation using a randomized controlled design instead of case examples. The testing of the Advancing Recovery Framework is designed to broaden the understanding of the impact payers have on evidence-based practice (EBP) adoption.

trial registrationhttp://NCT01702142 (ClinicalTrials.gov registry, USA).

Indexed as

BuprenorphineClinical ProtocolsCluster AnalysisDelivery of Health CareDiffusion of InnovationEvidence-Based MedicineHumansNarcotic AntagonistsNursesOhioOpiate Substitution TreatmentOpioid-Related DisordersOrganizational InnovationPhysiciansReimbursement MechanismsSample SizeBuprenorphineNarcotic Antagonists

Identifiers

PMID23663749
PMCPMC3666944
OpenAlexW2128600907

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.