Browsing by Author "Glass, Joseph E"
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- ItemIntegrating addiction treatment into primary care using mobile health technology: protocol for an implementation research study.(2014-06-27) Quanbeck, Andrew R; Gustafson, David H; Marsch, Lisa A; McTavish, Fiona; Brown, Randall T; Mares, Marie-Louise; Johnson, Roberta; Glass, Joseph E; Atwood, Amy K; McDowell, HeleneBACKGROUND Healthcare reform in the United States is encouraging Federally Qualified Health Centers and other primary care practices to integrate treatment for addiction and other behavioral health conditions into their practices The potential of mobile health technologies to manage addiction and comorbidities such as HIV in these settings is substantial but largely untested This paper describes a protocol to evaluate the implementation of an E Health integrated communication technology delivered via mobile phones called Seva into primary care settings Seva is an evidence based system of addiction treatment and recovery support for patients and real time caseload monitoring for clinicians METHODS DESIGN Our implementation strategy uses three models of organizational change the Program Planning Model to promote acceptance and sustainability the NIATx quality improvement model to create a welcoming environment for change and Rogers s diffusion of innovations research which facilitates adaptations of innovations to maximize their adoption potential We will implement Seva and conduct an intensive mixed methods assessment at three diverse Federally Qualified Healthcare Centers in the United States Our non concurrent multiple baseline design includes three periods pretest ending in four months of implementation preparation active Seva implementation and maintenance with implementation staggered at six month intervals across sites The first site will serve as a pilot clinic We will track the timing of intervention elements and assess study outcomes within each dimension of the Reach Effectiveness Adoption Implementation and Maintenance framework including effects on clinicians patients and practices Our mixed methods approach will include quantitative e g interrupted time series analysis of treatment attendance with clinics as the unit of analysis and qualitative e g staff interviews regarding adaptations to implementation protocol methods and assessment of implementation costs DISCUSSION If implementation is successful the field will have a proven technology that helps Federally Qualified Health Centers and affiliated organizations provide addiction treatment and recovery support as well as a proven strategy for implementing the technology Seva also has the potential to improve core elements of addiction treatment such as referral and treatment processes A mobile technology for addiction treatment and accompanying implementation model could provide a cost effective means to improve the lives of patients with drug and alcohol problems TRIAL REGISTRATION ClinicalTrials gov NCT01963234
- ItemMeasuring the Implementation of Behavioral Intervention Technologies: Recharacterization of Established Outcomes.(0000-00-00) Hermes, Eric DA; Lyon, Aaron R; Schueller, Stephen M; Glass, Joseph EBehavioral intervention technologies BITs are websites software mobile apps and sensors designed to help users address or change behaviors cognitions and emotional states BITs have the potential to transform health care delivery and early research has produced promising findings of efficacy BITs also favor new models of health care delivery and provide novel data sources for measurement However there are few examples of successful BIT implementation and a lack of consensus on as well as inadequate descriptions of BIT implementation measurement The aim of this viewpoint paper is to provide an overview and characterization of implementation outcomes for the study of BIT use in routine practice settings Eight outcomes for the evaluation of implementation have been previously described acceptability adoption appropriateness feasibility fidelity implementation cost penetration and sustainability In a proposed recharacterization of these outcomes with respect to BIT implementation definitions are clarified expansions to the level of analysis are identified and unique measurement characteristics are discussed Differences between BIT development and implementation an increased focus on consumer level outcomes the expansion of providers who support BIT use and the blending of BITs with traditional health care services are specifically discussed BITs have the potential to transform health care delivery Realizing this potential however will hinge on high quality research that consistently and accurately measures how well such technologies have been integrated into health services This overview and characterization of implementation outcomes support BIT research by identifying and proposing solutions for key theoretical and practical measurement challenges