Substance Abuse Treatment to HIV Care (SAT2HIV): The Implementation & Sustainment Facilitation Experiment

NCT03120598 | Completed

• 2 other identifiers: SAT2HIV-ISFR01DA038146
• Study Type: interventional
• Target: 190
• Locations: 1 country
• Sites: 39

Brief Summary

A cluster randomized experiment focused on testing the extent to which the organization-focused Implementation \& Sustainment Facilitation (ISF) strategy is an effective adjunct to the staff-focused Addiction Technology Transfer Center (ATTC) strategy.

Conditions

Substance Use

Keywords

preparation strategies; implementation strategies; sustainment strategies

Outcome Measures

Primary Outcomes (3)

• Time-to-Proficiency (TTP) Score

  A continuous measure representing the number of days between completion of the training workshop by targeted staff and targeted staff's demonstration of proficiency in the motivational interviewing-based brief intervention.

  Assessed at the end of the 2-month post-workshop preparation phase

• Implementation Effectiveness Index (IEI) Score

  A continuous measure representing the sum of the standardized cumulative number of motivational interviewing brief interventions delivered by targeted staff (i.e., consistency) and the cumulative integrity score of targeted staff's delivered of the motivational interviewing-based brief intervention (i.e., quality).

  Assessed at the end of the 6-month implementation phase

• Level of Sustainment (LOS) Score

  A continuous measure representing the number of Motivational Interviewing-based Brief Interventions targeted Brief Intervention Staff report delivery of the motivational interviewing-based brief intervention during the past 6-months following the end of the implementation phase.

  Assessed at the end of the 6-month sustainment phase

Study Arms (2)

ATTC strategy

ACTIVE COMPARATOR

Behavioral: Addiction Technology Transfer Center (ATTC) strategy: A staff-focused strategy that includes 10 discrete strategies (e.g., centralized technical assistance, conduct educational meetings, provide ongoing consultation).

Behavioral: ATTC strategy

ISF strategy

EXPERIMENTAL

Behavioral: Implementation \& Sustainment Facilitation (ISF) strategy: An organization-focused strategy that includes 7 discrete strategies (e.g., use of an implementation advisor, organize implementation team meetings, conduct cyclical small tests of change) and Addiction Technology Transfer Center (ATTC) strategy: A staff-focused strategy that includes 10 discrete strategies (e.g., centralized technical assistance, conduct educational meetings, provide ongoing consultation).

Behavioral: ATTC strategy; Behavioral: ISF strategy

Interventions

ATTC strategy BEHAVIORAL

Addiction Technology Transfer Center (ATTC) strategy: A staff-focused strategy that includes 10 discrete strategies (e.g., centralized technical assistance, conduct educational meetings, provide ongoing consultation).

ATTC strategy; ISF strategy

ISF strategy BEHAVIORAL

Implementation \& Sustainment Facilitation (ISF) strategy: An organization-focused strategy that includes 7 discrete strategies (e.g., use of an implementation advisor, organize implementation team meetings, conduct cyclical small tests of change).

ISF strategy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• AIDS service organizations have to
• serve a minimum of 100 individuals living with HIV/AIDS per year,
• have at least two frontline staff who were willing and able to be trained in the Motivational Interviewing-based Brief Intervention (MIBI) Experiment's MIBI for substance use, and
• have at least one leadership staff (i.e., supervisor, manager, director) willing and able to help ensure case-managers were given sufficient time for project participation.

Sponsors & Collaborators

• RTI International: lead
• National Institute on Drug Abuse (NIDA): collaborator

Study Sites (39)

HIV Care Directions

Phoenix, Arizona, 85014, United States

Location

Foothill AIDS Project

Claremont, California, 91711, United States

Location

AIDS Services Foundation, Orange County

Irvine, California, 92614, United States

Location

AIDS Project Los Angeles

Los Angeles, California, 90005, United States

Location

Shanti

San Francisco, California, 94109, United States

Location

AIDS Project Greater Danbury, Inc.

Danbury, Connecticut, 06810, United States

Location

AIDS Connecticut, Inc.

Hartford, Connecticut, 06106, United States

Location

Delaware HIV Consortium

Wilmington, Delaware, 19801, United States

Location

The Women's Collective

Washington D.C., District of Columbia, 20020, United States

Location

Project Response, Inc.

Melbourne, Florida, 32901, United States

Location

Live Forward (AIDS Athens)

Athens, Georgia, 30601, United States

Location

Champaign-Urbana Public Health District (CUPHD)

Champaign, Illinois, 61820, United States

Location

The Project of the Quad Cities (TPQC)

Davenport, Iowa, 52808, United States

Location

AIDS Volunteers, Inc. (AVOL)

Lexington, Kentucky, 40504, United States

Location

Southwest Louisiana AIDS Council

Lake Charles, Louisiana, 70601, United States

Location

AIDS Project Worcester

Worcester, Massachusetts, 01604, United States

Location

Health Emergency Lifeline Programs (HELP)

Detroit, Michigan, 48216, United States

Location

Community Health Awareness Group (CHAG)

Detroit, Michigan, 48226, United States

Location

Community AIDS Resources and Education Services (CARES)

Kalamazoo, Michigan, 49008, United States

Location

Minnesota AIDS Project

Minneapolis, Minnesota, 55404, United States

Location

Burrell Behavioral Health

Springfield, Missouri, 65804, United States

Location

Doorways

St Louis, Missouri, 63108, United States

Location

Places for People (p4p)

St Louis, Missouri, 63108, United States

Location

Project ARK

St Louis, Missouri, 63110, United States

Location

St. Louis Effort For AIDS (EFA)

St Louis, Missouri, 63110, United States

Location

Nebraska AIDS Project (NAP)

Omaha, Nebraska, 68114, United States

Location

Southern NH HIV/AIDS Task Force a.k.a. NH Partnership

Nashua, New Hampshire, 03060, United States

Location

Caracole House

Cincinnati, Ohio, 45223, United States

Location

ARC Ohio

Columbus, Ohio, 43214, United States

Location

HIV Alliance

Eugene, Oregon, 97403, United States

Location

AID Upstate

Greenville, South Carolina, 29601, United States

Location

Chattanooga CARES

Chattanooga, Tennessee, 37403, United States

Location

Nashville CARES

Nashville, Tennessee, 37204, United States

Location

Panhandle AIDS Support Organization

Amarillo, Texas, 79101, United States

Location

Triangle Area Network

Beaumont, Texas, 77702, United States

Location

AIDS Foundation Houston

Houston, Texas, 77057, United States

Location

Alamo Area Resource Center

San Antonio, Texas, 78207, United States

Location

Utah AIDS Foundation

Salt Lake City, Utah, 84105, United States

Location

Vermont CARES

Burlington, Vermont, 05402, United States

Location

Related Publications (1)

• Garner BR, Zehner M, Roosa MR, Martino S, Gotham HJ, Ball EL, Stilen P, Speck K, Vandersloot D, Rieckmann TR, Chaple M, Martin EG, Kaiser D, Ford JH 2nd. Testing the implementation and sustainment facilitation (ISF) strategy as an effective adjunct to the Addiction Technology Transfer Center (ATTC) strategy: study protocol for a cluster randomized trial. Addict Sci Clin Pract. 2017 Nov 17;12(1):32. doi: 10.1186/s13722-017-0096-7.

  PMID: 29149909 DERIVED

MeSH Terms

Conditions

Substance-Related Disorders

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders

Study Officials

• Bryan Garner, PhD

  RTI International

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Cluster Randomized Trial

Study Record Dates

• First Submitted: April 18, 2017
• First Posted: April 19, 2017
• Study Start: January 5, 2015
• Primary Completion: August 22, 2018
• Study Completion: August 22, 2018
• Last Updated: October 9, 2018

Record last verified: 2018-10

Locations

US (39)