Peer-delivered Intervention to Improve Retention and Polysubstance Use in Mobile Telemedicine in Rural Maryland

Jessica Magidson, PhD
University of Maryland

Sarah Kattakuzhy, MD, MPH
University of Maryland

ABSTRACT:
There is a severe shortage of providers to treat opioid use disorder (OUD), which is further exacerbated in rural areas. Similar to the shortage of prescribers, there is also a severe shortage of trained behavioral health providers to meet the needs of patients with OUD. This talk will provide an overview of a newly launched NIDA-funded R01 trial “Peer Recovery to Improve Polysubstance Use and Mobile Telemedicine Retention” (PRISM)--a randomized Type 1 hybrid effectiveness-implementation trial (n=180) to examine a peer recovery specialist-delivered behavioral intervention to improve retention and polysubstance use on a mobile telemedicine treatment unit in rural Maryland. We will describe a novel telemedicine mobile treatment unit approach to expand access to OUD treatment in hard hit rural areas, as well as how our team is integrating an evidence-based, peer-delivered behavioral activation intervention to support retention and polysubstance use outcomes.

Design Considerations in Embedded Pragmatic Trials: Separating Rigor from Idolatry

Gregory E. Simon, MD, MPH
Kaiser Permanente Washington Health Research Institute

ABSTRACT:
This presentation will consider specific considerations in the design and implementation of embedded pragmatic trials, including: eligibility criteria, unit of allocation, method of allocation, standardization of “active” interventions, standardization of “control” interventions, blinding, and analytic strategy. For each of these design decisions, investigators must focus on the specific study question and consider scientific rigor, practical constraints, and ethical obligations to potential study participants.

Charting an Interdisciplinary Course to Advance Policy D&I and Reduce the Research to Policy Gap

Erika Crable, PhD
University of California San Diego

ABSTRACT:
The ‘research to policy gap’ describes the failure to translate research findings into real-world, evidence-informed policies. This gap is dangerous to health systems and population health, but dissemination and implementation science (D&I) is poised to address this pervasive problem by designing effective strategies that promote evidence-informed policy and policy implementation success. To be most efficient while advancing science, policy D&I efforts must meaningfully draw from lessons learned in other fields. This presentation will discuss: (1) how different social science disciplines have studied the research to policy gap, (2) how those theories and methods can be incorporated into policy D&I efforts, and (3) highlight an example of a current policy dissemination study at this multidisciplinary intersection. We hope to foster a discussion about challenges in studying policy and policy-level factors, and practical multidisciplinary research approaches to advance policy D&I.

The Economics of Efficiency in Implementation Science

Todd Wagner, PhD
Stanford University

ABSTRACT:
Efficiency is upheld as a cornerstone of high-quality care. Unfortunately, the term efficiency is used in different contexts, creating substantial confusion about what it means. In this talk, I define efficiency as it relates to the delivery of health care. I then review different frameworks for measuring it and common strategies that can be used to improve it.

C-DIAS, the Center for Dissemination & Implementation At Stanford: A new NIDA P50 Center of Excellence

Mark McGovern, PhD
Stanford University School of Medicine

Helene Chokron Garneau, PhD, MPH
Stanford University School of Medicine

ABSTRACT:
This presentation will introduce the new Center for Dissemination and Implementation At Stanford (C-DIAS), a NIDA P50 Center of Excellence. C-DIAS’ overarching mission is to expand equitable access to the most effective treatments available for addiction. It unites experts from implementation science and addiction treatment services research, and hosts three innovative, synergistic research projects at the PREPARATION, IMPLEMENTATION and SUSTAINMENT phases of the implementation process. In addition, C-DIAS aims to increase the expert capacity of D&I science in addiction, and will offer a stratified range of education, training and mentoring opportunities based on need. Audience will learn how to access C-DIAS open resources and programs, and understand how research findings can be integrated across the 3 C-DIAS research projects, as well as other D&I investigations with an addiction content focus.