Đang chuẩn bị liên kết để tải về tài liệu:
Báo cáo y học: "The Reinforcing Therapist Performance (RTP) experiment: Study protocol for a cluster randomized trial"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: The Reinforcing Therapist Performance (RTP) experiment: Study protocol for a cluster randomized trial | Garner et al. Implementation Science 2010 5 5 http www.implementationscience.eom content 5 1 5 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access The Reinforcing Therapist Performance RTP experiment Study protocol for a cluster randomized trial Bryan R Garner1 Susan H Godley1 Michael L Dennis1 Mark D Godley1 Donald S Shepard2 Abstract Background Rewarding provider performance has been recommended by the Institute of Medicine as an approach to improve the quality of treatment yet little empirical research currently exists that has examined the effectiveness and cost-effectiveness of such approaches. The aim of this study is to test the effectiveness and costeffectiveness of providing monetary incentives directly to therapists as a method to improve substance abuse treatment service delivery and subsequent client treatment outcomes. Design Using a cluster randomized design substance abuse treatment therapists from across 29 sites were assigned by site to either an implementation as usual IAU or pay-for-performance P4P condition. Participants Substance abuse treatment therapists participating in a large dissemination and implementation initiative funded by the Center for Substance Abuse Treatment. Intervention Therapists in both conditions received comprehensive training and ongoing monitoring coaching and feedback. However those in the P4P condition also were given the opportunity to earn monetary incentives for achieving two sets of measurable behaviors related to quality implementation of the treatment. Outcomes Effectiveness outcomes will focus on the impact of the monetary incentives to increase the proportion of adolescents who receive a targeted threshold level of treatment months that therapists demonstrate monthly competency and adolescents who are in recovery following treatment. Similarly cost-effectiveness outcomes will focus on cost per adolescent receiving targeted threshold level of treatment cost per month of demonstrated .