Services Research

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Services Research the CTNWe keep getting
better!

• Redonna K. Chandler, Ph.D.
• Chief, Services Research Branch
• Division of Epidemiology, Services and Prevention
  Research
• National Institute on Drug Abuse
• Department of Health and Human Services

October 16, 2007 AHSR Conference
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Context
Services Research requires a different type of
laboratory
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NIDA Blue Ribbon Task Force on Health Services
Research
Co-Chairs Thomas McLellan, PhD, Constance
Weisner, DrPH, MSW Andrea Barthwell, MD
Caryn Blitz, PhD Rick Catalano, PhD
Mady Chalk, PhD Linda Chinnia,
MEd Lorraine Collins, PhD Wilson
Compton, MD, MPE Michael Dennis, PhD
Richard Frank, PhD Warren Hewitt, MS
James Inciardi, PhD Marguerita Lightfoot,
PhD Isaac Montoya, PhD Claire Sterk,
PhD Janet Wood, MBA, MEd
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Previous Strategies

• Encouraging applications
• Economics of Drug Abuse Treatment and Prevention
  Services (PA-05-111)
• Services Research in the National Drug Abuse
  Clinical Trials Network (PA-03-011)
• Economic Evaluation of Drug Abuse Treatment and
  Prevention Services for HIV/AIDS (PA-02-164)

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Why incorporate services measures in clinical
trial?

• Enhance results
• Clue to mechanism of action?
• Provide context
• Prepare for dissemination
• Cost and feasibility are key dimensions
• Prepare for future research
• Implementation science

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New Strategies

• Incorporate HS data points into protocol
• Partner HS researchers with CTN researchers
• Define HS question of interest
• Determine time sensitive data
• Determine data needed for larger R01

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Time Sensitive Data
Key concept Some data must be collected at
baseline, others can be collected later.
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Economic data that cant be collected later

• Client treatment costs
• Payment for services
• In-kind payment (e.g. volunteer time)
• Travel time and transportation costs to attend
  treatment
• Dollar value of lost wages due to treatment
  attendance
• Client DATCAP is typical instrument
  (www.datcap.com)

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Organizational Data that cant be collected later

• Readiness for change
• Baseline
• organizational climate culture
• job performance
• org structure business practices
• staff efficiency
• patient satisfaction
• Staff intent to quit

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Summary

• CTN provides rich lab for services research
• NIDA is very interested in maximizing the use of
  this resource
• We keep working collaborative to improve the
  process
• We will continue moving forward