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Health Services Research

Spanning a science-to-service continuum, Dr. Bryan Hartzler’s professional endeavors promote adoption and implementation of useful treatment and recovery practices in community settings where they may benefit persons with substance use disorders. 

Trained as a clinical psychologist, his two decades of scientific work at UW has principally focused on empirically supported behavior therapies (foremost among them applications of motivational interviewing, contingency management, and cognitive-behavioral therapy). This collective work has encompassed roles on 20+ NIH grants, including a career development award from the National Institute on Drug Abuse, and represents local, regional, national and international collaborations to foster dissemination and implementation of behavior therapies in diverse settings (i.e., addiction care, mental health, primary and specialty medical care, criminal justice, HIV care, schools). 

Below is a listing of his workforce-oriented health services research with links to selected publications, we invite you to contact Dr. Hartzler should you have interest in collaborating on a research proposal with CAAHS.

Implementing Contingency Management in a Supportive Housing Context to Promote Well-Being Amongst Residents with Mental Health and Substance Use Disorders, UW Garvey Institute

Peer Engagement in Methamphetamine Harm Reduction with Contingency Management, NIDA R01DA057670

Implementing Contingency Management in Opioid Treatment Centers Across New England: A Hybrid Type 3 Trial, NIDA R01DA046941

Selected publications

Becker, S.J., Garner, B.R., & Hartzler, B. (2021). Implementation of evidence-based treatments for opioid use disorder during COVID-19: Is necessity also the mother of implementation? Journal of Substance Abuse Treatment, 122, 108210. doi: 10.1016/j.jsat.2020.108210. Free online.

Becker, S.J., Murphy, C.M., Hartzler, B., Rash, C.J., Janssen, T., Roosa, M., Madden, L., & Garner, B.R. (2021). Project MIMIC (Maximizing Implementation of Motivational Incentives in Clinics): A Cluster-Randomized Type 3 Hybrid Effectiveness-Implementation Trial. Addiction Science and Clinical Practice, 16:61. doi: 10.1186/s13722-021-00268-0. Free online.

Hartzler, B., Hinde, J., Lang, S., Correia, N., Yermash, J., Yap, K., Murphy, C.M., Ruwala, R., Rash, C.J., Becker, S.J., & Garner, B. (2022). Virtual training is more cost-effective than in-person training for preparing addiction workforce to implement contingency management. Journal of Technology in Behavioral Science—Post-Pandemic Special Issue (in press). doi: 10.1007/s41347-022-00283-1. Free online.

Beliefs and Attitudes for Successful Implementation in Schools, NIMH R21MH108714

Selected publications

Lyon, A.R., Cook, C.R., Duong, M.T., Nicodimos, S., Pullmann, M.D., Brewer, S.K., Gaias, L.M., & Cox S. (2019). The influence of a blended, theoretically-informed pre-implementation strategy on school-based clinician implementation of an evidence-based trauma intervention. Implementation Science, 14(1), 44. doi: 10.1186/s13012-019-0905-3. Free online.

A Hybrid Effectiveness-Implementation Trial of a School-based Teen Marijuana Checkup, NIDA R01DA040650

Selected publications

Hartzler, B., Lyon, A., Walker, D.D., Matthews, L., King, K., & McCollister, K. (2017). Implementing the Teen Marijuana Check-Up in schools: A study protocol. Implementation Science, 12, 103. doi: 10.1186/s13012-017-0633-5. Free online.

Informing Dissemination of Behavior Therapies to Enhance HIV Care among Substance Abusers, NIDA R03DA039719

Selected publications

Hartzler, B., Dombrowski, J.C., & Donovan, D.M. (2019). Contextual compatibility for three empirically-supported behavior therapies for cART adherence among patients with substance use disorders. AIDS Care: Psychological and Socio-medical Aspects of AIDS/HIV, 31(1), 19-24. doi: 10.1080/09540121.2018.1545985. Free online.

Integrating Behavioral Interventions in Substance Abuse Treatment, NIDA K23DA025678

Selected publications

Hartzler, B., Lash, S.J., & Roll, J.M. (2012). Contingency management in substance abuse treatment: A structured review of the evidence for its transportability. Drug and Alcohol Dependence, 122, 1-10. doi: 10.1016/j.drugalcdep.2011.11.011. Free online.

Hartzler, B., & Rabun, C. (2014). Training addiction professionals in empirically-supported treatments: Perspectives from the treatment community. Substance Abuse, 35(1), 30-36. doi: 10.1080/08897077.2013.789816. Free online.

Hartzler, B., Jackson, T.R., Jones, B.E., Beadnell, B., & Calsyn, D.A. (2014). Disseminating contingency management: Impacts of staff training and implementation at an opiate treatment program. Journal of Substance Abuse Treatment, 46(4), 429-438. doi: 10.1016/j.jsat.2013.12.007. Free online.

Hartzler, B. (2015). Building a bonfire that remains stoked: Sustainment of a contingency management intervention through collaborative design. Substance Abuse Treatment, Prevention, and Policy, 10, 30. doi: 10.1186/s13011-015-0027-0. Free online.

Hartzler, B., Peavy, K.M., Jackson, T.R., & Carney, M. (2016). Finding harmony so the music plays on: Pragmatic trial design considerations to promote organizational sustainment of an empirically-supported behavior therapy. Addiction Science & Clinical Practice, 11, 2. doi: 10.1186/s13722-016-0049-6. Free online.

Hartzler, B. & Garrett, S. (2016). Interest and preferences for contingency management design among addiction treatment clientele. American Journal on Drug & Alcohol Abuse, 42(3), 287-95. doi: 10.3109/00952990.2015.1096365. Free online.

Hartzler, B., Beadnell, B., Donovan, D.M. (2017). Predictive validity of addiction treatment clinicians’ post-training contingency management skills for subsequent clinical outcomes. Journal of Substance Abuse Treatment, 72, 126-133. doi: 10.1016/j.jsat.2015.11.010. Free online.

Computerized Assistance for Treatment Professionals in Assessment of Sexual Risk, NIDA R21DA022940

Selected publications

Hartzler, B., Beadnell, B., & Calsyn, D.A. (2014). Use of sexual risk assessment and feedback at intake to promote counselor awareness of subsequent client risk behavior during early treatment. Substance Use and Misuse, 49(10), 1270-1277. doi: 10.3109/10826084.2014.891622. Free online.

Computer-Adapted Standardized Patient Instrument, NIDA R41DA020284

Selected publications

Baer, J.S., Carpenter, K., Beadnell, B., Stoner, S., Ingalsbe, M., Hartzler, B., Rosengren, D.R., & Drager, Z. (2012). Computer Assessment of Simulated Patient Interviews (CASPI): Psychometric properties of a web-based system for the assessment of motivational interviewing skills. Journal of Studies on Alcohol and Drugs, 73(1), 154-164. doi: 10.15288/jsad.2012.73.154. Free online.

Drinking Trajectories and Mechanisms of Behavior Change During and One Year Following Behavioral Interventions, NIAAA R21AA017137

Selected publications

Witkiewitz, K., Donovan, D.M., & Hartzler, B. (2012). Drink refusal training as part of a combined behavioral intervention: Effectiveness and mechanisms of change. Journal of Consulting and Clinical Psychology, 80(3), 440-449. doi: 10.1037/a0026996. Free online.

Modeling Individual Heterogeneity in the Alcohol Relapse Process, NIAAA R03AA016322

Selected publications

Witkiewitz, K., Hartzler, B., & Donovan, D.M. (2010).  Matching motivation enhancement treatment to client motivation:  Re-examining the Project MATCH motivation matching hypothesis. Addiction, 105(8), 1403-1413. doi: 10.1111/j.1360-0443.2010.02954.x. Free online.

Asthma Management Support Training in Pediatrics, NHLBI R21HL080067

Selected publications

Lozano, P., McPhillips, H.A., Hartzler, B., Robertson, A.S., Runkle, C., Scholz, K.A., Stout, J.W., & Kieckhefer, G.M. (2010). A randomized trial of teaching brief motivational interviewing to pediatric trainees to promote health behaviors in families. Archives of Pediatric and Adolescent Medicine, 164(6), 561-566. doi: 10.1001/archpediatrics.2010.86. Read abstract | Request a copy of this article.

Computer-Adapted Standardized Patient Instrument for MI Skills Assessment, NIDA R42DA020284

Selected publications

Imel, Z.E., Baldwin, S., Baer, J., Hartzler, B., Dunn, C., Rosengren, D., & Atkins, D. (2014). Evaluating therapist adherence in motivational interviewing by comparing performance with standardized and real patients. Journal of Consulting and Clinical Psychology, 82(3), 472-481. doi: 10.1037/a0036158. Free online.

Development and Evaluation of Context-Tailored Training, NIDA R01DA016360

Selected publications

Baer, J.S., Rosengren, D. B., Dunn, C.W., Wells, E.A., Ogle, R.L., & Hartzler, B. (2004). An evaluation of workshop training in motivational interviewing for addiction and mental health clinicians. Drug & Alcohol Dependence, 73(1), 99-106. doi: 10.1016/j.drugalcdep.2003.10.001. Read abstract | Request a copy of this article

Rosengren, D.B., Baer, J.S., Hartzler, B., Dunn, C.W., & Wells, E.A. (2005). The Video Assessment of Simulated Encounters (VASE): Development and validation of a group-administered method for evaluating clinician skills in motivational interviewing. Drug and Alcohol Dependence, 79(3), 321-330. doi: 10.1016/j.drugalcdep.2005.02.004. Read abstract | Request a copy of this article

Hartzler, B., Baer, J.S., Dunn,.C., Rosengren, D.B., & Wells, E.A. (2007). What is seen through the looking glass: The impact of training on practitioner self-rating of motivational interviewing skills. Behavioural and Cognitive Psychotherapy, 35 (4), 431-445. doi: 10.1017/S1352465807003712. Read abstract | Request a copy of this article

MacLeod, J.B.A., Hungerford, D.W., Dunn, C., & Hartzler, B. (2008). Evaluation of training of surgery interns to perform brief alcohol interventions for trauma patients. Journal of the American College of Surgeons, 207(5), 639-45. doi: 10.1016/j.jamcollsurg.2008.06.327. Read abstract | Request a copy of this article

Baer, J.S., Wells, E.A., Rosengren, D.B., Hartzler, B., Beadnell, B., & Dunn, C. (2009). Agency context and tailored training in technology transfer: A pilot evaluation of motivational interviewing training for community counselors. Journal of Substance Abuse Treatment, 37(2), 191-202. doi: 10.1016/j.jsat.2009.01.003. Free online.