Methods for transferring new technology and research findings into the general practice of substance abuse treatment are in need of improvement. This proposal represents a direct extension of work conducted over the past 10 years at Texas Christian University (TCU) for developing and implementing cognitive and behavioral interventions that improve client engagement and outcomes in community-based treatment programs. It is conceptually integrated and focuses on (1) measurement of client engagement and performance during treatment, (2) intervention manuals that address special needs of clients, (3) a cognitive-based tool to improve counseling, and (4) a behavioral protocol for increasing early engagement of clients. Transferring these research-based innovations to practice, however, requires new studies of """"""""organizational factors and process."""""""" We propose the development of systematic assessments (i.e., from the program director and clinical staff) of motivational readiness, personal attributes, institutional resources, and organizational climate to use as predictors in a series of technology transfer studies that will focus on 4 dimensions of treatment program management and service delivery. Through collaboration with the Texas Commission on Alcohol and Drug Abuse (TCADA) and the large state-wide network of 193 substance abuse programs it funds, a set of interrelated studies are planned. Follow-up surveys of implementation outcomes will be based on information collected from staff as well as related TCADA records from clients at participating programs. Our objectives are to (1) develop a comprehensive assessment instrument of organizational readiness for change, based on motivation and personality attributes of program leaders and staff, institutional resources, and organizational climate, (2) document the predictive validity of this instrument across different types of innovations, (3) examine changes in organizational readiness over time in relation to interventions designed to raise motivation, (4) develop and test the effectiveness of transfer strategies that address different levels of readiness for change, (5) assess the differential effectiveness of various transfer strategies for innovations that vary in complexity, counseling demands, and organizational resource requirements, and (6) in the case of partial or complete failure to adopt an intervention, identify the reasons involved.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Research Project (R01)
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Study Section
Special Emphasis Panel (ZDA1-KXN-G (08))
Program Officer
Hilton, Thomas
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Texas Christian University
Organized Research Units
Fort Worth
United States
Zip Code
Joe, George W; Becan, Jennifer E; Knight, Danica K et al. (2017) A structural model of treatment program and individual counselor leadership in innovation transfer. BMC Health Serv Res 17:230
Knight, Danica K; Joe, George W; Crawley, Rachel D et al. (2016) The Effectiveness of the Treatment Readiness and Induction Program (TRIP) for Improving During-Treatment Outcomes. J Subst Abuse Treat 62:20-7
Flynn, Patrick M; Brown, Barry S (2016) Matching Treatment to Rhetoric - A Challenge to Policy and Programming. J Subst Abuse Treat 64:1-2
Becan, Jennifer E; Knight, Danica K; Crawley, Rachel D et al. (2015) Effectiveness of the Treatment Readiness and Induction Program for increasing adolescent motivation for change. J Subst Abuse Treat 50:38-49
Knight, Danica K; Dansereau, Donald F; Becan, Jennifer E et al. (2015) Effectiveness of a theoretically-based judgment and decision making intervention for adolescents. J Youth Adolesc 44:1024-38
Crawley, Rachel D; Becan, Jennifer Edwards; Knight, Danica Kalling et al. (2015) Predictors of Physical Altercation among Adolescents in Residential Substance Abuse Treatment. Deviant Behav 36:996-1018
Knight, Danica K; Becan, Jennifer E; Landrum, Brittany et al. (2014) Screening and assessment tools for measuring adolescent client needs and functioning in substance abuse treatment. Subst Use Misuse 49:902-18
Joe, George W; Knight, Danica Kalling; Becan, Jennifer E et al. (2014) Recovery among adolescents: models for post-treatment gains in drug abuse treatments. J Subst Abuse Treat 46:362-73
Landrum, Brittany; Knight, Danica K; Becan, Jennifer E et al. (2014) To Stay or Not To Stay: Adolescent Client, Parent, and Counselor Perspectives on Leaving Substance Abuse Treatment Early. J Child Adolesc Subst Abuse 23:347-358
Dansereau, Donald F; Knight, Danica K; Flynn, Patrick M (2013) Improving Adolescent Judgment and Decision Making. Prof Psychol Res Pr 44:

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