Evidence map›Paper›PMID 40216298›Full record

Trial reportJournal of substance use and addiction treatment2025

Facilitating implementation of a substance use intervention for youth: Outcomes from a randomized trial of the SIC-coaching implementation strategy.

Lisa Saldana, Gayle Dakof, Gracelyn Cruden, Holle Schaper, Wambũi Young, Madison Liddle, Jason Chapman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance use and addiction treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Lisa SaldanaChestnut Health Systems, Lighthouse Institute, 1255 Pearl St., Eugene, OR 97401, USA. Electronic address: lsaldana@chestnut.org.
Gayle DakofMDFT International, 6619 South Dixie Highway, #117, Miami, FL 33143, USA.
Gracelyn CrudenChestnut Health Systems, Lighthouse Institute, 1255 Pearl St., Eugene, OR 97401, USA.
Holle SchaperChestnut Health Systems, Lighthouse Institute, 1255 Pearl St., Eugene, OR 97401, USA.
Wambũi YoungChestnut Health Systems, Lighthouse Institute, 1255 Pearl St., Eugene, OR 97401, USA.
Madison LiddleMDFT International, 6619 South Dixie Highway, #117, Miami, FL 33143, USA.
Jason ChapmanChestnut Health Systems, Lighthouse Institute, 1255 Pearl St., Eugene, OR 97401, USA.

Funding

Translational Drug Abuse Prevention CenterP50DA035763 · NIDA · OREGON SOCIAL LEARNING CENTER, INC. · PI CHAMBERLAIN, PATRICIA, FISHER, PHILIP A · 2013 to 2017
$9.5M
Community Development Teams to Scale-Up MTFC in CaliforniaR01MH076158 · NIMH · CENTER FOR RESEARCH TO PRACTICE, INC. · PI CHAMBERLAIN, PATRICIA · 2006 to 2011
$5.7M
Facilitating Sustainment Through Implementation Feedback: The SIC Coaching ModelR01DA044745 · NIDA · OREGON SOCIAL LEARNING CENTER, INC. · PI SALDANA, LISA · 2018 to 2022
$3.8M
The Stages of Implementation Completion for Evidence-Based PracticeR01MH097748 · NIMH · OREGON SOCIAL LEARNING CENTER, INC. · PI SALDANA, LISA · 2013 to 2016
$2.0M
NIDA NIH HHS P50 DA035763NIDA NIH HHS R01 DA044745NIMH NIH HHS R01 MH076158NIMH NIH HHS R01 MH097748
6 · The paper itself

Abstract

backgroundThe sustainable implementation of evidence-based practice continues to plague the field of substance use treatment. In particular, effective treatments for adolescents with substance use and associated behaviors, is lacking. Multidimensional Family Therapy (MDFT) is one treatment that has demonstrated consistent positive outcomes for youth, but like other evidence-based programs historically has far fewer programs that reach sustainment than those that set out to implement. The Stages of Implementation Completion ® (SIC) is a measure of implementation process fidelity and has been used by numerous evidence-based programs to track the completion of pre-determined implementation activities. It has shown consistent ability to accurately predict whether newly adopting sites will launch a program and reach competency in program delivery for sustainment. The SIC-Coaching approach was developed as an implementation strategy to facilitate implementation with the use of SIC data to provide feedback throughout the implementation process.

methodsA web-based platform was developed to show real-time implementation performance data. Using a randomized design, sites interested in implementing MDFT were randomized to receive SIC-Coaching versus standard technical assistance and consultation. Partway through recruitment, COVID-19 disruptions occurred and were considered in analyses for all sites (n = 32). Historical MDFT implementation process data ((n = 108) was used as a comparison group.

resultsResults suggest that compared to historical performance of sites implementing MDFT, sites implementing with the support of a coach exposed to SIC-Coaching were less likely to discontinue. Moreover, sites that initiated implementation during COVID-19 restrictions did not experience reported disruptions to implementation and were just as likely to reach competency in program delivery as sites initiating implementation prior to pandemic restrictions.

conclusionsImplementation strategies such as SIC-Coaching hold promise for increasing rates of successful implementation of adolescent substance use treatment programs.

Indexed as

Family TherapyMentoringSubstance-Related DisordersAdolescentCOVID-19Evidence-Based PracticeFemaleHumansMaleProgram EvaluationImplementation fidelityMultidimensional family therapy (MDFT)SIC-coaching

Identifiers

PMID40216298
PMCPMC12086100

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.