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dc.contributor.authorO'Brien, Lauren Alyce
dc.date.accessioned2014-03-04T20:00:17Z
dc.date.available2014-03-04T20:00:17Z
dc.date.issued2011-05
dc.identifier.otherobrien_lauren_a_201105_phd
dc.identifier.urihttp://purl.galileo.usg.edu/uga_etd/obrien_lauren_a_201105_phd
dc.identifier.urihttp://hdl.handle.net/10724/27253
dc.description.abstractThe result of the parallel but disparate development of the SUD treatment field and SUD research field has been the development of a gap between research and practice. A salient consequence of this research to practice gap is the lack of addiction pharmacotherapy adoption among SUD treatment providers. One effective pharmacotherapy with a suboptimal adoption rate is tablet naltrexone. My study is the first to directly test the organizational-level hypotheses of Neo-institutional Theory to determine what institutional pressures are successful in influencing private SUD treatment centers to adopt tablet naltrexone using a longitudinal design. Using generalized estimating equations (GEE), I obtained the odds of tablet naltrexone adoption over time in a panel of (244) private SUD treatment centers as a function of three isomorphic pressures: coercive, mimetic, and normative. My findings reveal strong support for the influence of coercive pressures on adoption, partial support for normative pressures, and no support for the influence of mimetic pressures on adoption behaviors. The implications of my study findings are discussed along with suggestions for future research.
dc.languageeng
dc.publisheruga
dc.rightspublic
dc.subjectNEO-INSTITUTIONAL THEORY, SUBSTANCE ABUSE TREATMENT, PHARAMCOTHERAPY, TABLET NALTREXONE
dc.titleThe adoption of tablet naltrexone in the private substance abuse treatment sector
dc.title.alternativea neo-institutional analysis
dc.typeDissertation
dc.description.degreePhD
dc.description.departmentSociology
dc.description.majorSociology
dc.description.advisorPaul Roman
dc.description.committeePaul Roman
dc.description.committeeRonald Simons
dc.description.committeeThomas McNulty
dc.description.committeeAmanda Abraham


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