The relationship of counselor-level variables to intervention adoption. Joseph Guydish, Holly Fussell, Sarah Turcotte Manser, Lynn E. Kunkel, Mable Chan, & Dennis McCarty AHSR 2010 Lexington, Kentucky
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The relationship of counselor-level variables to intervention adoption
Joseph Guydish, Holly Fussell, Sarah Turcotte Manser,
Lynn E. Kunkel, Mable Chan, & Dennis McCarty
This work was supported by NIDA R01DA025600 and the Western States Research Node of the NIDA Clinical Trials Network (U10 DA015815)
Matrix Clinical Trial Interviews (n=42)
Interviews were completed 2-12 months after treatment phase completion
Adoption of Matrix at Clinic Sites
Guydish, J.,Turcotte Manser, S., Jessup, M., Tajima, B., Sears, C., & Montini, T. (2005) Multi-level assessment protocol (MAP) for adoption in multi-site clinical trials, Journal of Drug Issues. 35, 529-546.
Adoption of MI/MET at Clinic Sites
Guydish, J., Jessup, M., Tajima, B., Turcotte Manser, S. (2010) Adoption of Motivational Interviewing and Motivational Enhancement Therapy following clinical trials. Journal of Psychoactive Drugs, 6, 215-226.
During STAGE 12 Study
Post STAGE 12
Pre-STAGE 12 Staff Survey (119 Counselors)
During STAGE 12 Implementation Fidelity (29 Counselors)
During STAGE 12 Client Outcomes: Days stimulant use in past 30
Post-STAGE 12 Adoption: Qualitative Interviews
Descriptive Statistics for STAGE-12 counselors as compared to non-STAGE-12 counselors in survey data (n=119)
Simple Regression Models (n=29): Baseline variables predicting fidelity outcomes
Regression Models (n=29): Baseline variables predicting fidelity outcomes
*significant at 0.05 level
STAGE 12 counselors older, + 12 step attitudes, higher goal commitment
For 12 step counselors
Women had lower proscribed behaviors
and higher overall fidelity implementation
In regression predicting implementation:
Goal Commitment, gender predict proscribed beh.
Progress towards completion