住院药物使用治疗中男性和女性患者报告经历与治疗满意度的关系

IF 2.6 3区 医学 Q2 SUBSTANCE ABUSE
Chloe J. Haynes, Alison K. Beck, Peter J. Kelly, Dennis Kaip, Megan Wells, Jaymee Issa, David Kelly, Leanne Hides, Briony Larance
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引用次数: 0

摘要

前言:了解妇女参加家庭酒精和其他药物(AOD)治疗的经历对于确保治疗有效满足妇女的需求非常重要。患者报告的经验措施有助于评估妇女的治疗经验,但通常用于量化妇女的治疗满意度,而没有关于具体治疗经验的额外背景。本研究考察了成瘾治疗患者报告经验测量(PREMAT)和整体治疗满意度之间的关系,包括关系是否因性别而异。方法:来自非营利性AOD住院治疗服务机构的138名参与者(30.9%为女性)完成了关于其治疗经历和满意度的调查,包括PREMAT。描述性、卡方和Mann-Whitney U统计检验了人口统计学中的性别差异。广义线性模型评估PREMAT域分数与总体治疗满意度(客户满意度问卷)之间的关系,控制年龄和治疗周数,包括关系是否因性别而不同。相对权重统计检查了每个PREMAT域对总体满意度的相对统计重要性。结果:在PREMAT单项得分、领域得分和总分上无性别差异。在控制治疗年龄和治疗周数的情况下,PREMAT“自决和授权”和“个人责任”领域是总体治疗满意度的重要预测因子。与男性相比,女性的“个人责任”对整体满意度的影响较弱。讨论和结论:促进个性化护理和支持、自决、赋权和个人护理责任,是男女住院治疗的重要方面。有必要进一步开发针对女性的PREMs,以解决治疗的性别经历。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Relationship Between Patient-Reported Experiences and Treatment Satisfaction Among Men and Women in Residential Substance Use Treatment

Relationship Between Patient-Reported Experiences and Treatment Satisfaction Among Men and Women in Residential Substance Use Treatment

Introduction

Understanding the experiences of women participating in residential alcohol and other drug (AOD) treatment is important in ensuring treatment effectively meets women's needs. Patient-reported experience measures aid in assessing women's experiences of treatment but are often used to quantify women's treatment satisfaction without additional context regarding specific treatment experiences. This study examined the relationship between the domains of the Patient Reported Experience Measure for Addiction Treatment (PREMAT) and overall treatment satisfaction, including whether relationships differed by gender.

Methods

N = 138 participants (30.9% women) from a not-for-profit residential AOD treatment service completed a survey regarding their experiences of and satisfaction with treatment, including the PREMAT. Descriptives, chi-square and Mann–Whitney U statistics examined gender differences in demographics. A generalised linear model assessed the relationship between PREMAT domain scores and overall treatment satisfaction (Client Satisfaction Questionnaire), controlling for age and weeks in treatment, including whether relationships differed by gender. Relative weight statistics examined the relative statistical importance of each PREMAT domain to overall satisfaction.

Results

There were no gender differences on PREMAT item, domain or total scores. Controlling for age and weeks in treatment, significant predictors of overall treatment satisfaction were the PREMAT ‘self-determination and empowerment’ and ‘personal responsibility’ domains. The impact of ‘personal responsibility’ on overall satisfaction was weaker for women compared to men.

Discussion and Conclusions

Fostering individualised care and support, self-determination, empowerment and personal responsibility for care, are important aspects of residential treatment for both men and women. Further development of women-specific PREMs that address gendered experiences of treatment is warranted.

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来源期刊
Drug and alcohol review
Drug and alcohol review SUBSTANCE ABUSE-
CiteScore
4.80
自引率
10.50%
发文量
151
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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