Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial
BackgroundResearchers have conducted numerous studies seeking to understand how to improve the implementation of changes in health care organizations, but less focus has been given to applying lessons already learned from implementation science. Finding innovative ways to app...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-07-01
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| Series: | JMIR Human Factors |
| Online Access: | https://humanfactors.jmir.org/2022/3/e35125 |
| _version_ | 1797734932364132352 |
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| author | David Gustafson Sr Julie Horst Deanne Boss Kathryn Fleddermann Nora Jacobson Mathew Roosa J Charles Ross Rachel Gicquelais Olivia Vjorn Tracy Siegler Todd Molfenter |
| author_facet | David Gustafson Sr Julie Horst Deanne Boss Kathryn Fleddermann Nora Jacobson Mathew Roosa J Charles Ross Rachel Gicquelais Olivia Vjorn Tracy Siegler Todd Molfenter |
| author_sort | David Gustafson Sr |
| collection | DOAJ |
| description |
BackgroundResearchers have conducted numerous studies seeking to understand how to improve the implementation of changes in health care organizations, but less focus has been given to applying lessons already learned from implementation science. Finding innovative ways to apply these findings efficiently and consistently will improve current research on implementation strategies and allow organizations utilizing these techniques to make changes more effectively.
ObjectiveThis research aims to compare a practical implementation approach that uses principles from prior implementation studies to more traditional ways of implementing change.
MethodsA total of 43 addiction treatment sites in Iowa were randomly assigned to 2 different implementation strategies in a randomized comparative effectiveness trial studying the implementation of an eHealth substance use disorder treatment technology. One strategy used an adaptation of the Network for the Improvement of Addiction Treatment (NIATx) improvement approach, while the other used a traditional product training model. This paper discusses lessons learned about implementation.
ResultsThis midterm report indicates that use of the NIATx approach appears to be leading to improved outcomes on several measures, including initial and sustained use of new technology by both counselors and patients. Additionally, this research indicates that seamlessly integrating organizational changes into existing workflows and using coaching to overcome hurdles and assess progress are important to improve implementation projects.
ConclusionsAt this interim point in the study, it appears that the use of the NIATx improvement process leads to better outcomes in implementation of changes within health care organizations. Moreover, some strategies used in this improvement process are particularly useful and should be drawn on more heavily in future implementation efforts.
Trial RegistrationClinicalTrials.gov NCT03954184; https://clinicaltrials.gov/ct2/show/NCT03954184 |
| first_indexed | 2024-03-12T12:50:38Z |
| format | Article |
| id | doaj.art-7f8faef88fd544ada69f96b6975ea703 |
| institution | Directory Open Access Journal |
| issn | 2292-9495 |
| language | English |
| last_indexed | 2024-03-12T12:50:38Z |
| publishDate | 2022-07-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Human Factors |
| spelling | doaj.art-7f8faef88fd544ada69f96b6975ea7032023-08-28T22:43:36ZengJMIR PublicationsJMIR Human Factors2292-94952022-07-0193e3512510.2196/35125Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled TrialDavid Gustafson Srhttps://orcid.org/0000-0002-0660-1902Julie Horsthttps://orcid.org/0000-0003-1679-2674Deanne Bosshttps://orcid.org/0000-0002-8935-0036Kathryn Fleddermannhttps://orcid.org/0000-0001-7937-693XNora Jacobsonhttps://orcid.org/0000-0002-5118-8475Mathew Roosahttps://orcid.org/0000-0002-3247-8821J Charles Rosshttps://orcid.org/0000-0003-4245-8362Rachel Gicquelaishttps://orcid.org/0000-0002-7022-6385Olivia Vjornhttps://orcid.org/0000-0002-3085-6067Tracy Sieglerhttps://orcid.org/0000-0002-9659-0142Todd Molfenterhttps://orcid.org/0000-0003-3033-416X BackgroundResearchers have conducted numerous studies seeking to understand how to improve the implementation of changes in health care organizations, but less focus has been given to applying lessons already learned from implementation science. Finding innovative ways to apply these findings efficiently and consistently will improve current research on implementation strategies and allow organizations utilizing these techniques to make changes more effectively. ObjectiveThis research aims to compare a practical implementation approach that uses principles from prior implementation studies to more traditional ways of implementing change. MethodsA total of 43 addiction treatment sites in Iowa were randomly assigned to 2 different implementation strategies in a randomized comparative effectiveness trial studying the implementation of an eHealth substance use disorder treatment technology. One strategy used an adaptation of the Network for the Improvement of Addiction Treatment (NIATx) improvement approach, while the other used a traditional product training model. This paper discusses lessons learned about implementation. ResultsThis midterm report indicates that use of the NIATx approach appears to be leading to improved outcomes on several measures, including initial and sustained use of new technology by both counselors and patients. Additionally, this research indicates that seamlessly integrating organizational changes into existing workflows and using coaching to overcome hurdles and assess progress are important to improve implementation projects. ConclusionsAt this interim point in the study, it appears that the use of the NIATx improvement process leads to better outcomes in implementation of changes within health care organizations. Moreover, some strategies used in this improvement process are particularly useful and should be drawn on more heavily in future implementation efforts. Trial RegistrationClinicalTrials.gov NCT03954184; https://clinicaltrials.gov/ct2/show/NCT03954184https://humanfactors.jmir.org/2022/3/e35125 |
| spellingShingle | David Gustafson Sr Julie Horst Deanne Boss Kathryn Fleddermann Nora Jacobson Mathew Roosa J Charles Ross Rachel Gicquelais Olivia Vjorn Tracy Siegler Todd Molfenter Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial JMIR Human Factors |
| title | Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial |
| title_full | Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial |
| title_fullStr | Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial |
| title_full_unstemmed | Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial |
| title_short | Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial |
| title_sort | implementation of smartphone systems to improve quality of life for people with substance use disorder interim report on a randomized controlled trial |
| url | https://humanfactors.jmir.org/2022/3/e35125 |
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