%0 Journal Article %J J Subst Abuse Treat %D 2014 %T Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program. %A Hartzler, Bryan %A Jackson, T Ron %A Jones, Brinn E %A Beadnell, Blair %A Calsyn, Donald A %K Aged %K Clinical Competence %K Cooperative Behavior %K Diffusion of Innovation %K Feasibility Studies %K Female %K Follow-Up Studies %K Humans %K Male %K Middle Aged %K Opioid-Related Disorders %K Program Development %K Program Evaluation %K Substance Abuse Treatment Centers %X

Guided by a comprehensive implementation model, this study examined training/implementation processes for a tailored contingency management (CM) intervention instituted at a Clinical Trials Network-affiliate opioid treatment program (OTP). Staff-level training outcomes (intervention delivery skill, knowledge, and adoption readiness) were assessed before and after a 16-hour training, and again following a 90-day trial implementation period. Management-level implementation outcomes (intervention cost, feasibility, and sustainability) were assessed at study conclusion in a qualitative interview with OTP management. Intervention effectiveness was also assessed via independent chart review of trial CM implementation vs. a historical control period. Results included: 1) robust, durable increases in delivery skill, knowledge, and adoption readiness among trained staff; 2) positive managerial perspectives of intervention cost, feasibility, and sustainability; and 3) significant clinical impacts on targeted patient indices. Collective results offer support for the study's collaborative intervention design and the applied, skills-based focus of staff training processes. Implications for CM dissemination are discussed.

%B J Subst Abuse Treat %V 46 %P 429-38 %8 2014 Apr %G eng %N 4 %R 10.1016/j.jsat.2013.12.007 %0 Journal Article %J Am J Addict %D 2013 %T Differences between men and women in condom use, attitudes, and skills in substance abuse treatment seekers. %A Calsyn, Donald A %A Peavy, Michelle %A Wells, Elizabeth A %A Campbell, Aimee N C %A Hatch-Maillette, Mary A %A Greenfield, Shelly F %A Tross, Susan %K Adolescent %K Adult %K Condoms %K Female %K Health Behavior %K Health Knowledge, Attitudes, Practice %K Humans %K Male %K Sex Characteristics %K Substance-Related Disorders %K Surveys and Questionnaires %K Unsafe Sex %X

BACKGROUND: For substance abuse treatment-seekers engaging in high risk sexual behavior, their inconsistent condom use may be related to their condom use attitudes and skills.

OBJECTIVE: This study compared treatment-seeking male and female substance abusers in their reported barriers to condom use and condom use skills.

METHODS: Men and women (N = 1,105) enrolled in two multi-site HIV risk reduction studies were administered the Condom Barriers Scale, Condom Use Skills, and an audio computer-assisted structured interview assessing sexual risk behavior.

RESULTS: Men endorsed more barriers to condom use, especially on the Effects on Sexual Experience factor. For both men and women, stronger endorsement of barriers to condom use was associated with less use of condoms. However, the difference between condom users and non-users in endorsement of condom barriers in general is greater for men than women, especially for those who report having casual partners.

CONCLUSIONS: Findings support the need to focus on gender-specific barriers to condom use in HIV/STI prevention interventions, especially risk behavior intervention techniques that address sexual experience with condoms.

SCIENTIFIC SIGNIFICANCE: Results provide additional information about the treatment and prevention needs of treatment-seeking men and women.

%B Am J Addict %V 22 %P 150-7 %8 2013 Mar-Apr %G eng %N 2 %R 10.1111/j.1521-0391.2013.00312.x %0 Journal Article %J J Subst Abuse Treat %D 2010 %T Study results from the Clinical Trials Network's first 10 years: where do they lead? %A Wells, Elizabeth A %A Saxon, Andrew J %A Calsyn, Donald A %A Jackson, Thomas R %A Donovan, Dennis M %K Clinical Trials as Topic %K Humans %K National Institute on Drug Abuse (U.S.) %K Quality Assurance, Health Care %K Research Design %K Risk-Taking %K Substance-Related Disorders %K Treatment Outcome %K United States %X

The National Drug Abuse Treatment Clinical Trials Network (CTN) began in 2000 with the goal of "improv[ing] the quality of drug abuse treatment throughout the country using science as the vehicle." Since then, 24 discrete clinical trials were launched, 20 are completed, and 15 have published main outcome papers. Of the latter, 4 tested pharmacological treatment, 8 psychosocial/behavioral treatment, 1 a combination of medication and counseling, and 2 targeted HIV/hepatitis C virus risk behavior. We review main study findings for these trials, including treatment retention, substance use or risk behavior outcomes, and secondary outcomes when analyzed. The purpose of this review is to identify the incremental progress toward improving drug treatment made by these trials and to propose next steps for the CTN and for the field arising from these studies. The CTN provides a unique opportunity to systematically design trials that incorporate treatment improvements from previous trials and to direct efforts toward innovations most likely to be incorporated into practice.

%B J Subst Abuse Treat %V 38 Suppl 1 %P S14-30 %8 2010 Jun %G eng %R 10.1016/j.jsat.2009.12.009