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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…
Understanding Inequitable Healthcare: Methodological Approaches, Challenges, and Opportunities
This paper considers methodological approaches that can help better understand inequity in healthcare, focusing on five key domains: availability, patient-centeredness, access, effectiveness, and implementation. We…
Rollout Trial Designs in Implementation Research are Often Necessary and Sometimes Preferred
Background: Rollout designs, which include stepped wedge designs, are defined by staggered implementation of new or alternative programs or services. Critiques of stepped wedge and…