NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled...

Area of Science:

• Digital Health
• Implementation Science
• Addiction Treatment

Background:

• Substance use disorders (SUDs) cause significant mortality and economic burden in the USA.
• Limited treatment seeking and long-term sobriety success rates highlight a treatment gap.
• E-health shows potential for sustained treatment but faces poor adoption, especially in SUD care.

Purpose of the Study:

• To test two implementation strategies for adopting an evidence-based mobile e-health technology for SUD treatment.
• To evaluate the effectiveness of the Network for the Improvement of Addiction Treatment-Technology Implementation (NIATx-TI) Framework.
• To enhance the uptake of patient-centered, evidence-based addiction treatment e-health technologies.

Main Methods:

• A cluster randomized control trial comparing a standard training approach to the NIATx-TI implementation model.
• The NIATx-TI model includes change management training and coaching for mobile app implementation.
• Focus on implementing the Addiction Comprehensive Health Enhancement Support System (A-CHESS) app framework across 46 sites in Iowa.

Main Results:

• The study is designed to compare the effectiveness of two implementation strategies.
• Results will indicate which strategy better facilitates the adoption of SUD e-health tools.
• Data collection and analysis are ongoing to determine the impact on treatment sustainment.

Conclusions:

• Effective implementation strategies are crucial for integrating e-health into SUD treatment.
• The NIATx-TI framework may offer a prospective approach to guide e-health implementation.
• This research aims to improve public health by increasing access to digital addiction treatment solutions.