It Takes a Village: Implementing a Pragmatic Trial to Evaluate a Group Telehealth Intervention for Family Members Affected by Opioid Use Disorder

Karen Osilla, PhD | February 27, 2024: Opioid use disorder (OUD) has devastating effects on individuals, families, and communities. This presentation describes eINSPIRE (INtegrating Support Persons Into REcovery), a pragmatic randomized trial that tests the Community Reinforcement Approach and Family Training (CRAFT) intervention delivered via group telehealth therapy compared to usual care. CRAFT is an…

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Eight Characteristics of Rigorous Multilevel Implementation Research: A Step-by-Step Guide

Gregory Aarons, PhD | February 20, 2024: Although healthcare is delivered in inherently multilevel contexts, implementation science has no widely endorsed methodological standards defining the characteristics of rigorous, multilevel implementation research. Presenters will identify and describe eight characteristics of high-quality, multilevel implementation research to encourage discussion, spur debate, and guide decision-making around study design and…

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Four Ways to Conceptualize and Study Policy in Implementation Science Research

Jonathan Purtle, DrPH, MSc | February 13, 2024: This presentation will offer a typology of four ways to conceptualize policy in implementation science research: 1) Policy as something to adopt, 2) Policy as something to implement, 3) Policy as context to understand, and 4) Policy as strategy to use. Examples will be provided of studies…

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Beyond Jacobson & Truax: Modern Methods for Estimating Clinically Significant Change

Antonio Morgan-Lopez, PhD | January 16, 2024: In the majority of randomized controlled trials (RCTs) the focus is on differences in the average change over time on outcomes across intervention conditions, with variation in individual trajectories often treated as nuisance. In contrast, a primary focus on inferences regarding the improvement (or worsening) of individual participants…

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Adapting to the Fentanyl Epidemic: Implications for Translation of a Multi-Component Intervention and RCT in the Emergency Department and Real World Lessons from an Implementation Practitioner

Lauren K. Whiteside, MD, MS | November 14, 2023: The opioid epidemic is rapidly evolving with the proliferation of nonpharmaceutical fentanyl. Simultaneously, researchers, public health officials, and clinicians are working to develop and implement interventions to improve clinical care for patients with opioid use disorder (OUD). The Emergency Department Longitudinal Integrated Care (ED-LINC) randomized clinical…

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Understanding and Reducing Inequities in Substance Use Treatment

Lesia Ruglass, PhD | October 31, 2023: Data from the United States National Survey on Drug Use and Health (NSDUH, 2021) indicate that while certain racial/ethnic minoritized populations may have equivalent or lower rates of substance use disorders (SUD) compared to White people, evidence suggests that once developed, and given structural inequities and barriers, racial/ethnic…

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Design Considerations in Embedded Pragmatic Trials: Separating Rigor from Idolatry

Gregory Simon, MD, MPH | September 12, 2023: This presentation will consider specific considerations in the design and implementation of embedded pragmatic trials, including: eligibility criteria, unit of allocation, method of allocation, standardization of “active” interventions, standardization of “control” interventions, blinding, and analytic strategy. For each of these design decisions, investigators must focus on the…

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