This K23 award application for Bryan Hartzler, Ph.D., proposes Stage III model development for integrating empirically-supported behavioral interventions for substance users. It concentrates on a specific example of how disparate conceptual bases challenge effective integration: concurrent use of motivational interviewing (MI) and contingency management (CM) in opiate agonist treatment (OAT). This focus is congruent with NIDA initiatives for integrative treatment design (PA-07-111), community-based practice improvements (PA-07-113) and cross-disciplinary translational research (PA-07-109). Interdisciplinary training will occur in strong University of Washington academic environments, with mentorship via Department of Psychiatry and Behavioral Sciences faculty, Alcohol and Drug Abuse Institute resources, and consultation from experts in the School of Social Work, Washington State University Program of Excellence in the Addictions, University of Virginia Psychiatry and Neurobehavioral Sciences, and Evergreen Treatment Services (a CTN-affiliate OAT treatment program). Proposed mentors are Dennis Donovan and Donald Calsyn, both highly-respected clinical researchers of behavioral interventions for substance users. John Roll, Steve Lash, and David Rosengren will consult as content experts in clinical application, measurement, and training in CM and MI. Consultation in biostatistics and OAT is also proposed. Given candidate background in MI, training objectives will foster: 1) exposure to OAT policies and practices, 2) appreciation for CM principles and applications, 3) knowledge of psychometric issues in scale design/measurement, and 4) understanding the manualization of behavioral interventions. Relevant professional activities will inform developmental research, to include a set of three studies to: a) explore organizational climate/characteristics and staff background in community OAT programs, b) design and test a CM fidelity instrument, and c) evaluate impact of a CM training workshop. Attainment of training objectives, conduct of developmental research, and an iterative series of panel meetings with mentoring/consultation team will aid design of an integrative model for MI/CM training and implementation to be tested by an independent funding mechanism.

Public Health Relevance

The proposed research is relevant to public health insofar as it ultimately seeks to foster more effective provision of therapeutic services to substance-using treatment-seekers in our communities.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Mentored Patient-Oriented Research Career Development Award (K23)
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Special Emphasis Panel (ZDA1-GXM-A (11))
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Aklin, Will
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University of Washington
Schools of Medicine
United States
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Hartzler, Bryan; Beadnell, Blair; Donovan, Dennis (2017) Predictive Validity of Addiction Treatment Clinicians' Post-Training Contingency Management Skills for Subsequent Clinical Outcomes. J Subst Abuse Treat 72:126-133
Hartzler, Bryan; Garrett, Sharon (2016) Interest and preferences for contingency management design among addiction treatment clientele. Am J Drug Alcohol Abuse 42:287-95
Hartzler, Bryan; Peavy, K Michelle; Jackson, T Ron et al. (2016) Finding harmony so the music plays on: pragmatic trial design considerations to promote organizational sustainment of an empirically-supported behavior therapy. Addict Sci Clin Pract 11:2
Hartzler, Bryan (2015) Building a bonfire that remains stoked: sustainment of a contingency management intervention developed through collaborative design. Subst Abuse Treat Prev Policy 10:30
Hartzler, Bryan (2015) Adapting the helpful responses questionnaire to assess communication skills involved in delivering contingency management: preliminary psychometrics. J Subst Abuse Treat 55:52-7
Hartzler, Bryan; Jackson, T Ron; Jones, Brinn E et al. (2014) Disseminating contingency management: impacts of staff training and implementation at an opiate treatment program. J Subst Abuse Treat 46:429-38
Hartzler, Bryan; Rabun, Carl (2014) Training addiction professionals in empirically supported treatments: perspectives from the treatment community. Subst Abus 35:30-6
Hartzler, Bryan; Beadnell, Blair; Calsyn, Donald A (2014) Use of sexual risk assessment and feedback at intake to promote counselor awareness of subsequent client risk behavior during early treatment. Subst Use Misuse 49:1270-7
Hatch-Maillette, Mary; Burlew, A Kathleen; Turnbull, Sharriann et al. (2013) Measuring fidelity to a culturally adapted HIV prevention intervention for men in substance abuse treatment. J Subst Abuse Treat 45:363-9
Hartzler, Bryan; Rabun, Carl (2013) Community opioid treatment perspectives on contingency management: perceived feasibility, effectiveness, and transportability of social and financial incentives. J Subst Abuse Treat 45:242-8

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