Juvenile Justice—Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS): a cluster randomized trial targeting system-wide improvement in substance use services
Year: 2015
Type: article
Study design: Study Protocol
Abstract: BACKGROUND: The purpose of this paper is to describe the Juvenile Justice-Translational Research on Interventions for Adolescents in the Legal System (JJ-TRIALS) study, a cooperative implementation science initiative involving the National Institute on Drug Abuse, six research centers, a coordinating center, and Juvenile Justice Partners representing seven US states. While the pooling of resources across centers enables a robust implementation study design involving 36 juvenile justice agencies and their behavioral health partner agencies, co-producing a study protocol that has potential to advance implementation science, meets the needs of all constituencies (funding agency, researchers, partners, study sites), and can be implemented with fidelity across the cooperative can be challenging. This paper describes (a) the study background and rationale, including the juvenile justice context and best practices for substance use disorders, (b) the selection and use of an implementation science framework to guide study design and inform selection of implementation components, and (c) the specific study design elements, including research questions, implementation interventions, measurement, and analytic plan. METHODS/DESIGN: The JJ-TRIALS primary study uses a head-to-head cluster randomized trial with a phased rollout to evaluate the differential effectiveness of two conditions (Core and Enhanced) in 36 sites located in seven states. A Core strategy for promoting change is compared to an Enhanced strategy that incorporates all core strategies plus active facilitation. Target outcomes include improvements in evidence-based screening, assessment, and linkage to substance use treatment. DISCUSSION: Contributions to implementation science are discussed as well as challenges associated with designing and deploying a complex, collaborative project. TRIAL REGISTRATION: NCT02672150 .
Source: Implementation Science
Institutions: Texas Christian University, Temple University, National Institute on Drug Abuse, Mississippi State University, Council of State Governments, Chestnut Health Systems, The University of Texas at San Antonio, New York State Psychiatric Institute, Columbia University, University of Kentucky, Emory University
Language: English
Subfield: General Health Professions
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,390
Awards: Center for Prevention Implementation Methodology for Drug Abuse and HIV (Ce-PIM), KIIDS: Knowing about intervention implementation in Detention Sites, Temple University Center for Adolescent Implementation Research, G3130396163, Mississippi TRIALS Research Center, Texas Research Initiative for Adolescents in the Legal System (TRIALS), G6426209147, G6606010432, G661269291, Translational research to increase service access for NYS juvenile probationers, TRIALS Coordinating Center to Reduce Substance Use, HIV Risk Behaviors, & Crime, Kentucky TRIALS Research Center
OpenAlex ID: W2342917059