Nina Pocuca, Calvert Tisdale, Gabrielle Campbell, Alison K Beck, Rhiannon Ellem, Catherine A Quinn, Peter J Kelly, Briony Larance, Amanda L Baker, Jason P Connor, John Marsden, Gary C K Chan, Luke Connelly, Sabrina Lenzen, Michael Farrell, Leanne Hides
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引用次数: 0
Abstract
Introduction: Routine outcome monitoring (ROM) and feedback is an evidence-supported strategy for evaluating alcohol and other drug (AOD) treatment outcomes. However, the implementation of ROM and feedback into AOD services remains a significant challenge. Research aimed at understanding client perspectives on ROM and feedback is needed to facilitate successful implementation. This study examined experiences with and perceptions of ROM and feedback in a sample of clients receiving AOD treatment.
Methods: Interviews and online surveys were conducted with N = 26 people (13 male; Mage = 36.12 years, SD = 10.29) enrolled in an AOD treatment program in Australia. Data analysis of the transcripts was guided by thematic analysis, while descriptive statistics were used to analyse quantitative survey data.
Results: Four major themes were identified in the qualitative data: (i) ROM and feedback is valuable to AOD treatment; (ii) clear and concise outcome measures with an integrated feedback loop are vital to reliable ROM; (iii) desire for visual and verbal feedback that highlights progress; and (iv) ROM and feedback can be emotionally challenging.
Discussion and conclusions: Participants valued ROM when it was clearly integrated within AOD treatment and they received feedback on their responses. Potential facilitators to implementing and improving the provision of ROM and feedback in AOD treatment include: (i) a clear, treatment-based rationale to foster client buy-in for ROM and maximise AOD treatment benefit; (ii) brief outcome measure surveys; and (iii) graphical visualisations of ROM feedback.
导言：常规结果监测（ROM）和反馈是一种有证据支持的评估酒精和其他药物（AOD）治疗结果的策略。然而，在 AOD 服务中实施 ROM 和反馈仍是一项重大挑战。需要开展研究，了解客户对 ROM 和反馈的看法，以促进成功实施。本研究以接受 AOD 治疗的客户为样本，考察了他们对 ROM 和反馈的体验和看法：对参加澳大利亚毒品和药物治疗项目的 26 人（13 名男性；年龄：36.12 岁，平均年龄：10.29 岁）进行了访谈和在线调查。对访谈记录的数据分析以主题分析为指导，而对定量调查数据的分析则采用描述性统计：在定性数据中确定了四大主题：(i) ROM 和反馈对 AOD 治疗很有价值；(ii) 简洁明了的结果测量和综合反馈环路对可靠的 ROM 至关重要；(iii) 希望获得能突出进展的视觉和口头反馈；(iv) ROM 和反馈可能在情感上具有挑战性：当 ROM 被明确地整合到 AOD 治疗中并得到对其反应的反馈时，参与者就会重视 ROM。在 AOD 治疗中实施和改进 ROM 和反馈的潜在促进因素包括(i)明确的、以治疗为基础的原理，以促进客户对 ROM 的认同，并最大限度地提高 AOD 治疗的效益；(ii)简短的结果测量调查；以及(iii)ROM 反馈的图形可视化。
期刊介绍：
Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.
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