Bryan Garner

RTI International

One of the two NIDA-supported 2013 IRI fellows, Dr. Bryan Garner is currently a senior implementation research scientist in RTI International’s Behavioral Health Research Division. Between 2002 and 2006 Dr. Garner was trained as an Experimental Psychologist specializing in research design and statistical analysis. Since graduating in 2006, Dr. Garner has focused his program of implementation research on improving the implementation of evidence-based practices (EBPs) for substance use disorders. To date, Dr. Garner has been the Principal Investigator (PI) of six NIH-funded research grants (R01-AA017625; R01-DA030462; R01-DA038146; R01-DA038608; R01-DA044051; R01-DA046941). Between 2008 and 2012, Dr. Garner was the PI of a 29-site cluster randomized trial (R01-AA017625) testing the effectiveness of pay-for-performance as an implementation strategy. Results supported pay-for-performance as a highly effective and cost-effective strategy to improve the implementation and effectiveness of an EBP for adolescent substance use. According to a 2017 systematic review of quality improvement, implementation, and dissemination strategies to improve mental health care for children and adolescents, findings from this pay-for-performance experiment provided “The strongest evidence in the review” for the systematic review’s key question (i.e., What is the effectiveness of quality improvement, implementation, and dissemination strategies). Presently, Dr. Garner’s time is focused on four projects of importance. One is a NIDA-funded 39-site effectiveness-implementation hybrid trial focused on experimentally testing (a) the effectiveness of a motivational interviewing-based brief intervention for substance use within community-based AIDS Service Organizations and (b) testing the effectiveness of an organization-level implementation strategy called Implementation & Sustainment Facilitation. The second is a SAMHSA-funded project that is focused on improving the implementation of EBPs for opioid use disorders across the Unites States’ 57 states and territories. The third is a NIDA-funded 30-site cluster randomized implementation experiment focused on testing different implementation strategies to implement contingency management within opioid treatment centers. The fourth is a NIDA-funded 320 organization dissemination and implementation experiment focused on testing different strategies for improving substance use disorder service integration within HIV/AIDS organization across the United States. In addition to the projects he leads, Dr. Garner also serves as co-investigator on a number of other implementation research projects, as well as provides mentoring to colleagues seeking to develop a program of implementation research.