Patrick M Flynn
Texas Christian University
Project start date: 1999-09-30
Project end date: 2014-12-31
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Grants awarded to Patrick M Flynn
Organizational And Resource Assessments For Tx. Provider
Patrick M Flynn, Senior Research Scientist
Texas Christian University 208 Sadler Hall Fort Worth, Tx 76129
Grant 1R01DA014468-01A2 from National Institute On Drug Abuse IRG: NIDA
Abstract: This proposal focuses on developing an assessment and information system for drug abuse treatment providers that will monitor organizational attributes and program resources, and link these factors to client performance and program changes over time. It uses our Program Change Model (Simpson, in press) as a conceptual framework for this technology transfer process. The proposed sample will consist of 120 outpatient drug-free community-based treatment providers. This work represents the next stage of research designed to better understand the treatment process and technology transfer research planned by our team. It expands applications of our client-level Treatment Process Model (i.e., a framework for integrating interventions with client assessments of needs and measures of performance changes over time) to include new elements that address program-level change. Our primary goal is to develop reliable instruments that can measure and provide feedback on program resources and organizational dynamics (along with aggregated client data) for the purpose of clinical management in real world community settings where the majority of substance abuse treatment occurs. These also are the major issues program directors rated as among their highest priorities in our recent surveys of training needs. While the ability to effectively use information technology is increasing at most agencies, integrated data systems that meet these crucial clinical management needs have not been developed and tested. Therefore, specific aims of this proposed project are to - (1) develop a set of field instruments and procedures (i.e., the Organizational and Resource Assessments, ORA) that treatment programs are willing to implement and use; (2) demonstrate the feasibility and utility of these assessments in a sample of 120 outpatient drug free treatment providers from two regions in the U.S.; (3) monitor organizational changes over time and relate them to client-level indicators of program effectiveness; (4) plan and evaluate a training protocol for program directors on how to use ORA information systems for improving program management and functioning; and (5) study the process of program change and the long-range implementation of this new technology.
Keywords: drug abuse information system, drug abuse therapy, information system analysis, community, data management, health care personnel, longitudinal human study, outpatient care, clinical research, human subject, outcomes research
Project start date: 2003-04-01
Project end date: 2008-03-31
EXTENDING DRUG ABUSE TREATMENT & ASSESSMENT RESOURCES (DATAR5)
Patrick M Flynn, Professor & Director
Texas Christian University, 208 Sadler Hall, Fort Worth, Tx 76129
Grant 2R01DA013093-11 from National Institute On Drug Abuse
Abstract: This application proposes to conduct "implementation science" research in a 5-year project and includes 2 major research phases. In the first phase, a manualized Treatment Retention and Induction Program (TRIP) which includes sets of interactive attention-focusing activities will be adapted, adopted, and implemented by adolescent service providers. It relies on cognitive tools that utilize visual-spatial rather than traditional didactic communication approaches. TRIP will focus on increasing treatment motivation and engagement, and will be evaluated in adolescent Therapeutic Communities (TCs) using a 2-group quasi-experimental design with 600 clients in each group. Consisting of treatment elements already tested in adult and young adult samples, TRIP will address knowledge, attitudes, and behaviors related to motivation and therapeutic engagement during the initial phase of TC treatment. TRIP will be introduced into 5 programs (experimental condition) and compared with "standard" orientation practices (SOP) in 5 other programs (control condition). Client- level change will be the key analytic focus and we will test hypotheses that (1) participation in TRIP, compared to SOP, will be associated with higher retention, motivation, and engagement, and (2) enhanced motivation and engagement will be associated with higher retention rates. Additional analyses will focus on differential success and change within- and between-adolescents in regards to mediating and moderating influences, and factors most likely contributing to leaving or staying in treatment. The second phase (to be conducted in the second half of the 5-year project) will examine the process of intervention implementation. A naturalistic design relying on organizational needs and functioning assessments (based on staff evaluations of the TRIP intervention training and utilization) will be launched to study implementation practices in different field settings. More specifically, a network of institution and community- based teams providing adolescent substance abuse treatment services from 6 ATTC regional networks (including 275 staff from 60 service teams) will provide information on implementation within their programs. A battery of assessments validated as effective tools for measuring structures, operations, training needs, organizational-level domains of needs and functioning, training satisfaction, and innovation utilization will be used to examine adoption and implementation processes. Analyses will focus on both institutional (i.e., juvenile justice) and community-based treatment programs and will test hypotheses that (1) greater training needs (specific to retention), higher staff functioning, and higher ratings of workshop quality will be associated with greater favorability and readiness to adopt TRIP components, and (2) favorable staff views of training, readiness to adopt, and lower perceived barriers will be associated with greater implementation progress. Because substance use is a significant problem among youth in the U.S., and treatment providers are faced with high drop-out rates, the proposed research has the potential to impact clinical practice by increasing treatment motivation, engagement, and retention, and improving outcomes. Indeed, the adolescent population is important to the NIH and NIDA, and improving the quality of substance abuse treatment service delivery through the use of research-tested interventions will benefit public health. This application proposes to adapt treatment induction and retention tools, determine their effectiveness, and examine the process of their transfer and implementation in substance abuse treatment programs from 6 geographic regions across the U.S
Keywords: 21+ years old; AOD use; Address; Adolescent; Adolescent Youth; Adopted; Adoption; Adult; African American; Afro American; Afroamerican; Alcohol or Other Drugs use; Americas; Attention; Attitude; Awareness of self; Black Populations; Black or African American; Client; Clinical Trials, Phase I; Cognitive; Collaborations; Communication; Communities; Curriculum; Drops; Drug abuse; Early-Stage Clinical Trials; Education for Intervention; Educational Curriculum; Educational Intervention; Educational workshop; Effectiveness; Elements; Equilibrium; Evaluation; Evidence based program; Evidence based treatment; Experimental Designs; Geographic Area; Geographic Locations; Geographic Region; Geographical Location; Health Care Providers; Health Knowledge, Attitudes, Practice; Health Personnel; Healthcare Providers; Healthcare worker; Hispanic Populations; Hispanics; Hispanics or Latinos; Human, Adult; Illinois; Institution; Instruction Intervention; Intervention; Intervention Strategies; Justice; Knowledge, Attitudes, Behaviors; Knowledge, Attitudes, Practice; Latino Population; Left; Life; Maps; MeSH Descriptors Class 4; Measures; Mediating; Motivation; NIDA; NIH; National Institute of Drug Abuse; National Institutes of Health; National Institutes of Health (U.S.); New Jersey; New York; Operation; Operative Procedures; Operative Surgical Procedures; Outcome; PROV; Participant; Personal awareness; Phase; Phase 1 Clinical Trials; Phase I Clinical Trials; Phase I Study; Population; Preparedness; Process; Programs (PT); Programs [Publication Type]; Provider; Public Health; Readiness; Recruitment Activity; Registries; Research; Research Resources; Resources; Rural; Sampling; Self Perception; Self image; Self view; Services; Spanish Origin; Structure; Substance abuse problem; Surgical; Surgical Interventions; Surgical Procedure; Technology Transfer; Testing; Texas; Therapeutic; Therapeutic Community; Therapeutic community technique; Training; Training Intervention; Treatment Effectiveness; Treatment Period; United States National Institutes of Health; Visuospatial; Workshop; Youth; Youth 10-21; abuse of drugs; abuse of substances; abuses drugs; addiction; adolescent substance abuse; adult human (21+); adult youth; balance; balance function; base; black American; clinical practice; community based treatment; coping; design; designing; geographic site; health care personnel; health care worker; health provider; healthcare personnel; high risk; hispanic community; implementation science; improved; innovate; innovation; innovative; instructional intervention; intervention program; interventional strategy; juvenile; juvenile human; medical personnel; meetings; phase 1 study; phase 1 trial; phase I trial; programs; protocol, phase I; public health medicine (field); public health relevance; recruit; satisfaction; self awareness; self knowledge; skills; substance abuse; substance use; success; surgery; tool; treatment center; treatment days; treatment duration; treatment program; treatment provider; urban American Indian; urban native american; visual spatial; young adult; youth substance abuse
Relevance: Because substance use is a significant problem among youth in the U.S., and treatment providers are faced with high drop-out rates, the proposed research has the potential to impact clinical practice by increasing treatment motivation, engagement, and retention, and improving outcomes. Indeed, the adolescent population is important to the NIH and NIDA, and improving the quality of substance abuse treatment service delivery through the use of research-tested interventions will benefit public health. This application proposes to adapt treatment induction and retention tools, determine their effectiveness, and examine the process of their transfer and implementation in substance abuse treatment programs from 6 geographic regions across the U.S
Project start date: 1999-09-30
Project end date: 2014-12-31
Budget start date: 15-JAN-2010
Budget end date: 31-DEC-2010
PFA/PA: PA-08-263
2R01DA013093-11 (2010): $567304
Organizational And Resource Assessments For Tx. Provider
Patrick M Flynn, Senior Research Scientist
Texas Christian University 208 Sadler Hall Fort Worth, Tx 76129
Grant 5R01DA014468-05 from National Institute On Drug Abuse IRG: NIDA
Project start date: 2003-04-01
Project end date: 2009-03-31