Abstract
The National Drug Abuse Treatment Clinical Trials Network (CTN), a collaborative federal research initiative that brings together universities and community-based treatment programs (CTPs), has conducted multiple clinical trials of buprenorphine for opioid dependence. Part of the CTN's mission is to promote the adoption of evidence-based treatment technologies. Drawing on a data collected during face-to-face interviews with administrators from a panel of 206 CTPs, this research examines the adoption of buprenorphine over a 2-year period. These data indicated that the adoption of buprenorphine doubled between the baseline and 24-month follow-up interviews. Involvement in a buprenorphine protocol continued to be a strong predictor of adoption at the 2-year follow-up, although adoption of buprenorphine tripled among those CTPs without buprenorphine-specific protocol experience. For-profit CTPs and those offering inpatient detoxification services were more likely to adopt buprenorphine over time. A small percentage of programs discontinued using buprenorphine. These findings point to the dynamic nature of service delivery in community-based addiction treatment and the continued need for longitudinal studies of organizational change.
Original language | English |
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Pages (from-to) | 307-312 |
Number of pages | 6 |
Journal | Journal of Substance Abuse Treatment |
Volume | 37 |
Issue number | 3 |
DOIs | |
State | Published - Oct 2009 |
Bibliographical note
Funding Information:The authors gratefully acknowledge the research support of the NIDA (Grant R01DA14482) and the participation of the CTPs affiliated with the National Drug Abuse Treatment CTN in this research.
Keywords
- Adoption of innovations
- Buprenorphine
- Clinical Trials Network
- Health services research
ASJC Scopus subject areas
- Psychiatric Mental Health
- Medicine (miscellaneous)
- Clinical Psychology
- Psychiatry and Mental health