Developing the tools of implementation science in substance use disorders treatment: Applications of the consolidated framework for implementation research.
Open accessAbstract
The implementation of evidence-based treatments (EBTs) and practices (EBPs) depends on both top-down and bottom-up responsibilities. Many articles in this special section on Implementation Science in Substance Use Disorders address the interaction between these two approaches when implementing new substance use disorder (SUD) treatments. Generally the articles place this interaction within the Consolidated Framework for Implementation Research (CFIR), a relatively new and comprehensive synthesis of theories and conceptualizations of the components needed for successful implementation strategies. The range of SUD treatments covered includes well-established behavioral interventions, such as screening and brief interventions for alcohol, as well as new pharmacotherapies, such as buprenorphine for opiates. One contribution uses the CFIR to review continuing care interventions and self-help groups that can follow-up after more intensive clinical care. External and internal pressures for change drive implementation. The successful EBT/EBP implementations reviewed in these articles recognized these potential change drivers in designing their strategy for introducing the EBT/EBP, and they modified aspects of the EBT/EBP to satisfy many of these drivers. The CFIR model has limitations, as do the contributions to this special section. The implementation science field is new and developing rapidly, and many of the EBTs and EBPs were developed and tested through controlled studies evaluating the efficacy of interventions under controlled conditions, rather than examining their performance in the broader landscape of addiction treatment programs. These limitations may also be considered as boundary conditions to be explored in further research, implementation, and development of the next edition of the CFIR.
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The updated CFIR construct names and definitions were revised to make the framework more applicable across a range of innovations and settings.
“Construct names and definitions were updated in response to recommendations to make the framework more applicable across a range of innovations and settings [30–35].”
From The updated consolidated framework for implementation research based on user feedback (2022) · cites this paper as [34]
In IV. Concluding Comments, “Much to be Learned” (page unavailable), the paper says CFIR may not sufficiently reflect the diversity of treatments and settings and calls for exploring these limitations in a future edition. It does not report that construct names or definitions were updated, or that such updates were made in response to recommendations. (LLM, conf=0.77)
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- Authors
- Sorensen, J. L., & Kosten, T.
- Affiliations
- San Francisco General Hospital (US)
- Michael E. DeBakey VA Medical Center (US)
- Venue
- Psychology of Addictive Behaviors
- Published
- 2011-06
- Volume
- 25
- Issue
- 2
- Pages
- 262-268
- ISSN
- 0893-164X (ISSN-L)
- 1939-1501
- PMC
- PMC3126630
- OpenAlex
- W2085412492
- Cited by
- 40
- References
- 22
- Citations by year
- 2025: 1 · 2024: 4 · 2023: 1 · 2022: 4 · 2021: 1 · 2020: 7 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 3 · 2012: 3
- FWCI
- 5.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology of Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (P50DA09253, U10DA015815, R01DA020781, R21DA020369; T32DA07250)
- Robert Wood Johnson Foundation
- National Institute on Drug Abuse (P50DA18197; K05DA0454; R01DA25223)
- VHA
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Keywords
- implementation science, substance use disorders treatment, Consolidated Framework for Implementation Research, evidence-based treatment, evidence-based practice, drivers of change, self-help groups, buprenorphine, opioid use disorder, addiction treatment programs
- MeSH terms
- Humans, Mental Health Services, Psychotherapy, Substance-Related Disorders
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