Transcript Open slides - CTN Dissemination Library

Services Research & the CTN:
We keep getting better!
Redonna K. Chandler, Ph.D.
Chief, Services Research Branch
Division of Epidemiology, Services and Prevention Research
National Institute on Drug Abuse
Department of Health and Human Services
October 16, 2007
AHSR Conference
Context:
Services Research requires a
different type of laboratory
NIDA Blue Ribbon Task Force on
Health Services Research
Co-Chairs:
Thomas McLellan, PhD,
Constance Weisner, DrPH, MSW
Andrea Barthwell, MD
Caryn Blitz, PhD
Rick Catalano, PhD
Mady Chalk, PhD
Linda Chinnia, MEd
Lorraine Collins, PhD
Wilson Compton, MD, MPE
Michael Dennis, PhD
Richard Frank, PhD
Warren Hewitt, MS
James Inciardi, PhD
Marguerita Lightfoot, PhD
Isaac Montoya, PhD
Claire Sterk, PhD
Janet Wood, MBA, MEd
Previous Strategies
• Encouraging applications:
− Economics of Drug Abuse Treatment and
Prevention Services (PA-05-111)
− Services Research in the National Drug Abuse
Clinical Trials Network (PA-03-011)
− Economic Evaluation of Drug Abuse Treatment and
Prevention Services for HIV/AIDS (PA-02-164)
Why incorporate services
measures in clinical trial?
• Enhance results
– Clue to mechanism of action?
– Provide context
• Prepare for dissemination
– Cost and feasibility are key dimensions
• Prepare for future research
– Implementation science
New Strategies:
• Incorporate HS data points into protocol
• Partner HS researchers with CTN
researchers
• Define HS question of interest
• Determine time sensitive data
• Determine data needed for larger R01
Time Sensitive Data
Key concept:
Some data must be collected at
baseline, others can be collected
later.
Economic data that can’t be collected later
• Client treatment costs
– Payment for services
– In-kind payment (e.g. volunteer time)
– Travel time and transportation costs to
attend treatment
– Dollar value of lost wages due to
treatment attendance
• Client DATCAP is typical instrument
(www.datcap.com)
Organizational Data that can’t be
collected later
– Readiness for change
– Baseline
• organizational climate & culture
• job performance
• org structure & business practices
• staff efficiency
• patient satisfaction
– Staff intent to quit
Summary
• CTN provides rich lab for services research
• NIDA is very interested in maximizing the
use of this resource
• We keep working collaborative to improve
the process
• We will continue moving forward