Recovery Management Checkup Scalability and Sustainability (RMC-SS) Hybrid Experiment: Evaluating Comparability of Client and Implementation Outcomes in Community Organizations Post-Arrest

Study Information

Recovery Management Checkup (RMC) uses a structured, motivational-interviewing based protocol delivered by linkage managers through regular check-ups. Chestnut Health Systems is conducting a hybrid type 2 effectiveness-implementation trial guided by the Exploration, Preparation, Implementation, and Sustainability (EPIS) framework which: 1) integrates RMC into community-based programs in four discrete areas in Chicago with the highest risk of substance-related fatality and arrest, and 2) tests the equivalence of client and implementation outcomes for RMC delivered by staff in community programs versus Chestnut research staff.


Grant number: 1RM1DA064527-01

Link to NIH Reporter record: https://reporter.nih.gov/project-details/9882684

Study Team

PI: Michael Dennis, Christine Grella, Dennis Watson

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Study Aims

  • Evaluate the equivalence of RMC provided by community organizations and research teams in terms of days of any SUD treatment (primary outcome) and structural equation modeling (SEM) invariance of effects on SUD intervention dose, public health outcomes, public safety outcomes
  • Assess the impact of multi-component facilitation-based strategies in support of RMC integration across pre-implementation, implementation, and sustainment phases on how pre-implementation and implementation-phase strategies for their impact on the final site intervention fidelity score (primary outcome) and the impact of pre-implementation- and implementation-phase duration and proportion of activities completed on RMC adopter’s time to competency, organizational-level determinants of achieving and maintaining RMC sustainment.

Research Type

Hybrid Type 2 Effectiveness-Implementation Trial