TY - JOUR
T1 - Hepatitis C testing in substance use disorder treatment
T2 - The role of program managers in adoption of testing services
AU - Frimpong, Jemima A.
AU - D'Aunno, Thomas
N1 - Funding Information:
Support for this research and manuscript preparation was provided by the National Institute of Drug Abuse research grants (R34DA038530, PI: Jemima A. Frimpong) and (1R01DA030459, PI: Thomas D’Aunno). This publication was also supported by the National Center for Advancing Translational Sciences, National Institutes of Health (grant KL2 TR000081), formerly, the National Center for Research Resources (grant KL2 RR024157) and National Institute on Drug Abuse of the National Institutes of Health under Award Number R25DA035163. We thank Whitney Peters, who assisted with the preparation and proofreading of an earlier version the manuscript.
Publisher Copyright:
© 2016 Frimpong and D'Aunno.
PY - 2016
Y1 - 2016
N2 - Background: Health care organizations do not adopt best practices as often or quickly as they merit. This gap in the integration of best practices into routine practice remains a significant public health concern. The role of program managers in the adoption of best practices has seldom been investigated. Methods: We investigated the association between characteristics of program managers and the adoption of hepatitis C virus (HCV) testing services in opioid treatment programs (OTPs). Data came from the 2005 (n = 187) and 2011 (n = 196) National Drug Abuse Treatment System Survey (NDATSS). We used multivariate regression models to examine correlates of the adoption of HCV testing. We included covariates describing program manager characteristics, such as their race/ethnicity, education, and their sources of information about developments in the field of substance use disorder treatment. We also controlled for characteristics of OTPs and the client populations they serve. Results: Program managers were predominantly white and female. A large proportion of program managers had postgraduate education. Program managers expressed strong support for preventive services, but they reported making limited use of available sources of information about developments in the field of substance use disorder (SUD) treatment. The provision of any HCV testing (either on-site or off-site) in OTPs was positively associated with the extent to which a program manager was supportive of preventive services. Among OTPs offering any HCV testing to their clients, on-site HCV testing was more common among programs with an African American manager. It was also more common when program managers relied on a variety of information sources about developments in SUD treatment. Conclusions: Various characteristics of program managers are associated with the adoption of HCV testing in OTPs. Promoting diversity among program managers, and increasing managers' access to information about developments in SUD treatment, may help foster the adoption of best practices.
AB - Background: Health care organizations do not adopt best practices as often or quickly as they merit. This gap in the integration of best practices into routine practice remains a significant public health concern. The role of program managers in the adoption of best practices has seldom been investigated. Methods: We investigated the association between characteristics of program managers and the adoption of hepatitis C virus (HCV) testing services in opioid treatment programs (OTPs). Data came from the 2005 (n = 187) and 2011 (n = 196) National Drug Abuse Treatment System Survey (NDATSS). We used multivariate regression models to examine correlates of the adoption of HCV testing. We included covariates describing program manager characteristics, such as their race/ethnicity, education, and their sources of information about developments in the field of substance use disorder treatment. We also controlled for characteristics of OTPs and the client populations they serve. Results: Program managers were predominantly white and female. A large proportion of program managers had postgraduate education. Program managers expressed strong support for preventive services, but they reported making limited use of available sources of information about developments in the field of substance use disorder (SUD) treatment. The provision of any HCV testing (either on-site or off-site) in OTPs was positively associated with the extent to which a program manager was supportive of preventive services. Among OTPs offering any HCV testing to their clients, on-site HCV testing was more common among programs with an African American manager. It was also more common when program managers relied on a variety of information sources about developments in SUD treatment. Conclusions: Various characteristics of program managers are associated with the adoption of HCV testing in OTPs. Promoting diversity among program managers, and increasing managers' access to information about developments in SUD treatment, may help foster the adoption of best practices.
KW - Adoption
KW - Best practices
KW - Hepatitis C (HCV)
KW - Management
KW - Opioid treatment programs
KW - Program managers
KW - Substance use disorder treatment
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U2 - 10.1186/S13011-016-0057-2
DO - 10.1186/S13011-016-0057-2
M3 - Article
C2 - 27036115
AN - SCOPUS:85007568874
SN - 1747-597X
VL - 11
JO - Substance Abuse: Treatment, Prevention, and Policy
JF - Substance Abuse: Treatment, Prevention, and Policy
IS - 1
M1 - 13
ER -