Using NIATx strategies to implement integrated services in routine care: a study protocol

Table 2 Implementation and Fidelity Measures and Frequency of Data Collection

			Data Collection Time Periods
Aim	Construct	Measure	Baseline	Post-Implementation	Sustainment Period 1	Sustainment Period 2
1	Integrated Services: Fidelity	Dual Diagnosis Capability in Addiction Treatment (DDCAT) Index¹	X	X	X	X
2	Integrated services: Patients Screened	Proportion of program patients: screened using Gain Short Screener (GSS)	X	X	X	X
2	Integrated Services: Medications	Number of patients receiving a psychotropic or substance use disorder medication	X	X	X	X
2	Integrated Services: Chemical Dependency Services	Number of patients receiving chemical dependency services	X	X	X	X
2	Integrated Services: Mental Health Services	Number of patients receiving mental health services	X	X	X	X
3	Program Facilitators and Barriers to Implementation	Consolidated Framework for Implementation Research (CFIR) Index¹	X	X	X	X
3	NIATx Stages of Implementation Completion²	NIATx strategy fidelity and extent of and duration to complete activities (SIC)		X
3	NIATx Fidelity Scale³	NIATx strategy fidelity and extent of and duration to complete activities (SIC)		X
1	Program characteristics¹	Program Size (Admissions), Program Type, ASAM Levels of Care, Payment Sources	X	X	X	X
2	Patient Characteristics	Age, Gender, Race, Ethnicity	X	X	X	X

State of Washington staff will be trained on how to conduct DDCAT and CFIR Index assessments by co-PI (McGovern). Two-person teams will schedule and conduct each DDCAT assessment. Additional training or consultation will help answer questions identified at the site visits. Program characteristics are collected during the DDCAT assessments
Data will be collected by the state of Washington staff and NIATx coaches using standardized instruments for each program participating in the study
NIATx Fidelity scoring (Total and 7 subscale scores are organized by preparation, implementation and sustainment phases) will be assessed by two person teams at the end of the active implementation period for each program. Data sources will include a composite of interviews, review of walk-through results, change project forms, coach notes and sustainability plans

ISSN: 1472-6963