Evidence map›Paper›PMID 37705093›Full record

ArticleImplementation science : IS2023

Implementing contingency management for stimulant use in opioid treatment programs: protocol of a type III hybrid effectiveness-stepped-wedge trial.

Sara J Becker, Kira DiClemente-Bosco, Kelli Scott, Tim Janssen, Sarah M Salino, Fariha N Hasan, Kimberly R Yap, Bryan R Garner

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Implementation science : IS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05702021 (Implementing Contingency Management for Stimulant Use in Specialty Addiction Treatment Organizations), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.8field-weighted citation impact, top 5% 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.

NCT05702021 narecruitingnot on this map

Implementing Contingency Management for Stimulant Use in Specialty Addiction Treatment Organizations (Center for Dissemination and Implementation Science at Stanford, Research Component #2)

TypeinterventionalSponsorNorthwestern UniversityRan2023 to 2027Enrolled76ConditionsStimulant Use (Diagnosis)ArmsScience to Service Laboratory
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 11 citations in OpenAlex.

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  10. Contingency management needs implementation science.Addiction (Abingdon, England) · 2024
    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

8 authors at 3 institutions in 1 country.

Sara J BeckerCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, 60611, USA. Sara.Becker@Northwestern.edu.ORCID http://orcid.org/0000-0002-1827-4662
Kira DiClemente-BoscoCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, 60611, USA.
Kelli ScottCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, 60611, USA.
Tim JanssenDepartment of Behavioral and Social Sciences, Brown University School of Public Health, 121 S Main Street, Providence, RI, 02906, USA.
Sarah M SalinoCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, 60611, USA.
Fariha N HasanCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, 60611, USA.
Kimberly R YapCenter for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, 633 N St Clair Street, Chicago, IL, 60611, USA.
Bryan R GarnerDivision of General Internal Medicine, Department of Internal Medicine, The Ohio State University College of Medicine, 2050 Kenny Road, Columbus, 43221, USA.
Northwestern University · USBrown University · USThe Ohio State University · US

Funding

Transforming health equity rhetoric to rigor: Development and validation of a novel measure assessing health equity in implementation of health interventionsP50DA054072 · NIDA · STANFORD UNIVERSITY · PI Mark P McGovern · 2022 to 2026
$18.1M
Pilot Implementation of Measurement-Based Care in Community Opioid Treatment ProgramsK23DA050729 · NIDA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI SCOTT, KELLI · 2021 to 2025
$946k
Informing treatment adaptation based on the interplay between behavioral undercontrol and context: an event-level studyK01AA026335 · NIAAA · BROWN UNIVERSITY · PI JANSSEN, TIM · 2018 to 2022
$904k
NIAAA NIH HHS K01 AA026335NIDA NIH HHS K23 DA050729NIDA NIH HHS P50 DA054072NIH HHS P50DA054072Project
6 · The paper itself

Abstract

backgroundContingency management (CM) is an evidence-based intervention for stimulant use and is highly effective in combination with medication for opioid use disorder. Yet, uptake of CM in opioid treatment programs that provide medication for opioid use disorder remains low. This paradox in which CM is one of the most effective interventions, yet one of the least available, represents one of the greatest research-to-practice gaps in the addiction health services field. Multi-level implementation strategies are needed to address barriers to CM implementation at both the provider- and organization-level. This type III hybrid effectiveness-implementation trial was funded by the National Institute on Drug Abuse to evaluate whether a multi-level implementation strategy, the Science of Service Laboratory (SSL), can effectively promote CM implementation in opioid treatment programs. Specific aims will test the effectiveness of the SSL on implementation outcomes (primary aim) and patient outcomes (secondary aim), as well as test putative mediators of implementation outcomes (exploratory aim).

methodsUtilizing a fully powered type III hybrid effectiveness-implementation trial with a stepped wedge design, we propose to randomize a cohort of 10 opioid treatment programs to receive the SSL across four steps. Each step, an additional 2-3 opioid treatment programs will receive the SSL implementation strategy, which has three core components: didactic training, performance feedback, and external facilitation. At six intervals, each of the 10 opioid treatment programs will provide de-identified electronic medical record data from all available patient charts on CM delivery and patient outcomes. Staff from each opioid treatment program will provide feedback on contextual determinants influencing implementation at three timepoints. DISCUSSION: Between planning of this protocol and receipt of funding, the landscape for CM in the USA changed dramatically, with multiple Departments of Health launching state-wide CM initiatives. We therefore accelerated the protocol timeline and offered some cursory training resources to all sites as a preparation activity. We also began partnering with multiple Departments of Health to evaluate their rollout of CM using the measures outlined in this protocol.

trial registrationThis study protocol is registered via ClinicalTrials.gov Identifier: NCT05702021. Date of registration: January 27, 2023.

Indexed as

Behavior, AddictiveOpioid-Related DisordersAnalgesics, OpioidBehavior TherapyElectronic Health RecordsHumansAnalgesics, OpioidHybrid effectiveness-implementationImplementationStepped wedge trialSubstance use disorders

Identifiers

PMID37705093
PMCPMC10498624
OpenAlexW4386712218

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.