Services Research & the CTN:We keep getting better!

Redonna K. Chandler, Ph.D.Chief, Services Research Branch

Division of Epidemiology, Services and Prevention ResearchNational Institute on Drug Abuse

Department of Health and Human Services

October 16, 2007

AHSR Conference

Services Research requires a different type of laboratory

Services Research requires a different type of laboratory

Context: Context:

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

NIDA Blue Ribbon Task Force on Health Services Research

NIDA Blue Ribbon Task Force on Health Services Research

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)

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

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

Time Sensitive Data

Key concept:

Some data must be collected at baseline, others can be collected later.

Economic data that can’t 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)

Organizational Data that can’t be collected later

– Readiness for change– Baseline

• organizational climate & culture• job performance • org structure & business practices• staff efficiency• patient satisfaction

– Staff intent to quit

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