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Travel Time to Opioid Treatment Programs in Connecticut—Still Waiting for Methadone
Methadone is a life-saving treatment for opioid use disorder, yet in the United States it imposes an exceptional burden on patients due to restrictive and…
Design of a Cluster-Randomized, Hybrid Type 1 Effectiveness-Implementation Trial of a Care Navigation Intervention to Increase Substance Use Disorder Treatment Engagement
Background: Practical and motivational barriers can deter people from engaging in substance use disorder (SUD) treatment, even those who seek treatment. Care navigation is a…
Tracking Implementation Determinants Over Time Using the IFASIS: Multi-Site Analysis of Opioid Treatment Programs Implementing a Digital Contingency Management Platform
Background: Contingency management (CM) is the most effective treatment for stimulant use, but is underutilized due to implementation challenges. Digital CM platforms have shown promise…
Challenges With Buprenorphine Initiation in the Fentanyl Era—Adapting Effectively to the Moment
Buprenorphine is a cornerstone medication for opioid use disorder (OUD) but carries a known risk of precipitated withdrawal (PW) during initiation, a concern that appears…
Implementation Outcomes Included in NIDA Clinical Trials Network (CTN) Studies: A Systematic Review of Studies Conducted Over 20 Years
The National Institute on Drug Abuse (NIDA) Clinical Trials Network (CTN) has supported clinical trials of substance use disorder (SUD) interventions for 25 years. This…
Integrating Implementation Outcomes into Effectiveness Studies: A Practical Guide for Clinical Interventionists
Designing effectiveness studies with implementation in mind can allow interventionists to translate their research into real-world practice. Implementation outcomes measure how much and how well…
From Glitter to Gold: Recommendations for Effective Dashboards from Design through Sustainment
Dashboards—tools that compile and summarize key performance data—have become increasingly utilized for supporting data organization and decision-making processes across various fields, such as business, economics,…
Using the IFASIS (Inventory of Factors Affecting Successful Implementation and Sustainment) to Advance Context-Specific and Generalizable Knowledge of Implementation Determinants: Case Study of a Digital Contingency Management Platform
Background: Contingency management (CM) is the most effective treatment for stimulant use disorder but is underutilized by opioid treatment programs (OTPs) despite the high prevalence…
A Pragmatic Measure of Context at the Organizational Level: The Inventory of Factors Affecting Successful Implementation and Sustainment (IFASIS)
Background: Successful implementation and sustainment of interventions is heavily influenced by context. Yet the complexity and dynamic nature of context make it challenging to connect…
Systemic Barriers and Stigma: Healthcare Provider Perspectives on Perinatal and Neonatal Care in the Fentanyl Crisis
The rise in fentanyl use during pregnancy has introduced new and complex challenges in caring for women with opioid use disorders (OUD) and their infants…