Evidence map›Paper›PMID 34346729›Full record

Trial reportPsychiatric services (Washington, D.C.)2022

Sustainment of Integrated Care in Addiction Treatment Settings: Primary Outcomes From a Cluster-Randomized Controlled Trial.

Helene Chokron Garneau, Mehret T Assefa, Booil Jo, James H Ford, Lisa Saldana, Mark P McGovern

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03007940 (Using NIATx Strategies to Implement Integrated Services in Routine Care), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

NCT03007940 nacompletednot on this map

Using NIATx Strategies to Implement Integrated Services in Routine Care

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2015 to 2021Enrolled49ConditionsAddiction, Mental Health DisorderArmsCoach Site Visit, Walk-through, Learning Sessions, Coaching, Business as Usual
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
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.

Helene Chokron GarneauCenter for Behavioral Health Services and Implementation Research, Division of Public Health and Population Sciences (Chokron Garneau, Assefa, McGovern) and Center for Interdisciplinary Brain Sciences Research (Jo), Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California; School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison, Madison (Ford); Oregon Social Learning Center, Eugene (Saldana).
Mehret T AssefaCenter for Behavioral Health Services and Implementation Research, Division of Public Health and Population Sciences (Chokron Garneau, Assefa, McGovern) and Center for Interdisciplinary Brain Sciences Research (Jo), Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California; School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison, Madison (Ford); Oregon Social Learning Center, Eugene (Saldana).
Booil JoCenter for Behavioral Health Services and Implementation Research, Division of Public Health and Population Sciences (Chokron Garneau, Assefa, McGovern) and Center for Interdisciplinary Brain Sciences Research (Jo), Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California; School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison, Madison (Ford); Oregon Social Learning Center, Eugene (Saldana).
James H FordCenter for Behavioral Health Services and Implementation Research, Division of Public Health and Population Sciences (Chokron Garneau, Assefa, McGovern) and Center for Interdisciplinary Brain Sciences Research (Jo), Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California; School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison, Madison (Ford); Oregon Social Learning Center, Eugene (Saldana).
Lisa SaldanaCenter for Behavioral Health Services and Implementation Research, Division of Public Health and Population Sciences (Chokron Garneau, Assefa, McGovern) and Center for Interdisciplinary Brain Sciences Research (Jo), Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California; School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison, Madison (Ford); Oregon Social Learning Center, Eugene (Saldana).
Mark P McGovernCenter for Behavioral Health Services and Implementation Research, Division of Public Health and Population Sciences (Chokron Garneau, Assefa, McGovern) and Center for Interdisciplinary Brain Sciences Research (Jo), Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Palo Alto, California; School of Pharmacy, Social and Administrative Sciences Division, University of Wisconsin-Madison, Madison (Ford); Oregon Social Learning Center, Eugene (Saldana).

Funding

Facilitating Sustainment Through Implementation Feedback: The SIC Coaching ModelR01DA044745 · NIDA · OREGON SOCIAL LEARNING CENTER, INC. · PI SALDANA, LISA · 2018 to 2022
$3.8M
Stagewise Implementation-To-Target- Medications for Addiction Treatment (SITT-MAT)R01DA052975 · NIDA · STANFORD UNIVERSITY · PI FORD, JAMES H, MCGOVERN, MARK P · 2021 to 2025
$3.3M
Using NIATx Strategies to Implement Integrated Services in Routine CareR01DA037222 · NIDA · STANFORD UNIVERSITY · PI FORD, JAMES H, MCGOVERN, MARK P · 2015 to 2019
$2.9M
NIDA NIH HHS R01 DA037222NIDA NIH HHS R01 DA044745NIDA NIH HHS R01 DA052975
6 · The paper itself

Abstract

objectiveIntegrated treatment services are the gold standard for addressing co-occurring mental and substance use disorders, yet they are not readily available. The Network for the Improvement of Addiction Treatment (NIATx) was hypothesized to be an effective strategy to implement and sustain integrated mental health and substance use care in addiction treatment programs. This study examined sustainment of integrated services for up to 2 years after the active implementation phase.

methodsThe effectiveness of NIATx strategies to implement and sustain integrated services was evaluated by using a cluster-randomized, waitlist control group design. Forty-nine addiction treatment organizations were randomly assigned to either NIATx1 (active implementation strategy) or NIATx2 (waitlist control). The Dual Diagnosis Capability in Addiction Treatment Index was used to evaluate organizations' capability to provide integrated care. The NIATx Stages of Implementation Completion scale was used to assess participation in and adherence to the NIATx implementation process. Linear mixed-effects modeling was used to evaluate changes from baseline to end of the sustainment period.

resultsBoth cohorts sustained their capability to provide integrated treatment services. Both groups achieved successful implementation and sustained integrated services to a similar degree, regardless of sustainment year. Sustainment did not vary as a function of NIATx adherence.

conclusionsThe delivery of integrated treatment services was sustained for 2 years after receipt of active implementation support. Future research should consider how contextual factors may predict, mediate, and moderate sustainment outcomes.

Indexed as

Behavior, AddictiveDelivery of Health Care, IntegratedSubstance-Related DisordersDiagnosis, Dual (Psychiatry)HumansMental HealthCo-occurring mental and substance use disordersIntegrated treatment services

Identifiers

PMID34346729
PMCPMC8814048

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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.