Table 3.
Research studies focused on implementation of EBTs.
| Author(s)/Year | Article Title | Sample | Study Aim(s) | Key Finding(s) |
|---|---|---|---|---|
| Keller & Galanter (1999) b | Technology transfer of Network Therapy to community-based addictions counselors | 5 counselors and 30 clients | Examined client outcomes of treatment as usual (TAU) and TAU plus Network Therapy in community-based setting | * Clients who received Network Therapy in addition to TAU had significantly more negative urines compared to clients who received TAU only. * Clients who received Network Therapy in addition to TAU did not have significantly longer lengths of stay in treatment. |
| Andrzejewski, Kirby, Morral, & Iguchi (2001)b | Technology transfer through performance management: the effects of graphical feedback and positive reinforcement on drug treatment counselors’ behavior | 10 drug treatment counselors | Examined the extent to which graphical feedback and contingency management techniques (i.e., cash prize drawing) increased staff implementation | * Graphical feedback increased staff implementation by 69% (from 41% to 71%). * Cash prize drawing increased implementation by 93% (41% to 81%). |
| Hayashi, Suzuki, Hubbard, Huang, & Cobb (2003)b | A qualitative study of the treatment improvement protocols (TIPs): An assessment of the use of TIPs by individuals affiliated with the Addiction Technology Transfer Centers (ATTCs) | 55 curriculum developers and or trainers from six ATTCs | Assessed how ATTCs incorporated TIPs into curriculum development and/or the delivery of trainings | * TIP #9: Assessment and treatment of patients with coexisting mental illness and alcohol and other drug abuse was reported being the most frequently used (40%). * Qualitative interviews identified several advantages (e.g., useful for target users, current and timely), as well as several directly contradictory disadvantages (e.g., not useful for targeted users, not current and timely). |
| Brown (2004)b | Integrating research and practice in the CSAT Methamphetamine Treatment Project | 85 staff members | Assessed how participants view the integration of the manual-based Matrix Model, as well as how they characterize ideal drug treatment | * Nearly everyone interviewed expressed concern about the ability to meet clients’ needs within the context of a research study. * Focus groups also discussed how research study assistants may have important implications for the integrity of research in clinical settings. |
| Obert et al. (2005)b | When treatment meets research: Clinical perspectives from the CSAT Methamphetamine Treatment Project | 85 staff members | Assessed concerns about implementation of the manual-based Matrix Model | * Conducting a randomized clinical trial within a research-naïve clinical setting may not be an ideal way to introduce evidence-based practices. |
| Liddle et al. (2006)b | Changing provider practices, program environment, and improving outcomes by transporting Multidimensional Family Therapy to an adolescent drug treatment setting | 10 program staff and 104 clients within one adolescent Day Treatment Program | Examined the extent to which a technology transfer intervention changed clinical practices, outcomes, and the organizational climate of an adolescent day treatment program | * Several significant improvements were found regarding the number sessions, content focus of sessions, and adherence to MDFT interventions. * Clients reported significantly greater program control, clarity, practical orientation in the implementation and durability phases compared to the baseline phase. * A significantly larger proportion of client’s reported abstaining from drugs in both the implementation and durability phases compared to those in the baseline phase. |
| Guydish, Tajima, Manser, & Jessup (2007)b | Strategies to encourage adoption in multisite clinical trials | 71 staff members (42 from Methamphetamine Treatment Project [MTP] and 29 from the CTN Motivational Interviewing and Motivational Enhancement Treatment [MI/MET] protocols | Assessed and described how technologies of multisite clinical trials might be modified to better support the adoption of evidence-based practices | * Identified six strategies that may provide greater support for clinics in adopting tested interventions, including: 1) planning for adoption, 2) training senior staff how to deliver the EBT, 3) use a regional training model, 4) use a local supervision model, 5) bring EBT training back to the clinic, and 6) bring study findings back to clinic. |
| Kovas, McFarland, McCarty, Boverman, & Thayer (2007)a | Buprenorphine for acute heroin detoxification: Diffusion of research into practice | 200 patients treatment for opiate dependence | Examined client outcomes of heroin detoxification with buprenorphine versus clonidine. | * Clients treated with buprenorphine had significantly longer lengths of stay in treatment (5.7 vs. 3.5 days), as well as “completed” discharges (67% vs. 46%). |
| Riley, Rieckmann, & McCarty (2008) b | Implementation of MET/CBT5 for Adolescents | 25 clinical and administrative directors from nine agencies within the second cohort of the Effective Adolescent Treatment (EAT) initiative | Assessed the extent of MET/CBT5 protocol implementation | * Implementation of the MET/CBT5 protocol appeared to be substantially different from the protocol of the originally tested intervention given eight of the nine sites reported making adaptations to the protocol (e.g., added sessions, changed session content, used individual sessions). * Clinician qualifications and initial certified performance were the two most consistently implemented protocol components. * Protocol delivery appeared to be impacted by lack of consistent monitoring of adherence. |
Note: Sub-classification are indicated by superscripts
a
pharmacological EBTs only;
b
psychosocial EBTs only; both pharmacological and psychosocial EBTs.