1. Services Research & the CTN: We 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

2. Services Research requires a different type of laboratory Services Research requires a different type of laboratory Context:

3. 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

4. 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)

5. 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

6. 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

7. Time Sensitive Data Key concept: Some data must be collected at baseline, others can be collected later.

8. 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)www.datcap.com

9. 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

10. 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