The Concerns Based Adoption Model (CBAM) has been used to assess technology integration effectiveness in various settings. The purpose of this paper is to document these findings and discuss the feasibility of using the CBAM model, especially as they relate to long-tern implementation and high-level concerns. Preliminary results include: 1) early interventions that focus on Informational and Personal (low-level) concerns are effective but not sufficient; 2) Management (mid-level) concerns can be persistent and must be addressed through long-term interventions, which are institutionalized (i.e., computer support staff and instructional support staff); 3) pairing LoU (technology use data) with SoCQ (concerns data) can lead to more individualized interventions and perhaps faster progression to higher-level concerns; and 4) technology represents an ever-changing innovation and just as it is possible to have multiple concerns, it is possible to progress with one technology and stagnate in another.