TY - JOUR
T1 - A feasibility study of a web-based performance improvement system for substance abuse treatment providers
AU - Forman, Robert
AU - Crits-Christoph, Paul
AU - Kaynak, Övgü
AU - Worley, Matt
AU - Hantula, Donald A.
AU - Kulaga, Agatha
AU - Rotrosen, John
AU - Chu, Melissa
AU - Gallop, Robert
AU - Potter, Jennifer
AU - Muchowski, Patrice
AU - Brower, Kirk
AU - Strobbe, Stephen
AU - Magruder, Kathy
AU - Chellis, A'Delle H.
AU - Clodfelter, Tad
AU - Cawley, Margaret
N1 - Funding Information:
This study was funded in part by NIDA grants U01-DA130431 and R01-DA018935. We wish to thank all of the clinicians and clinic staff who participated in this study.
PY - 2007/12
Y1 - 2007/12
N2 - We report here on the feasibility of implementing a semiautomated performance improvement system-Patient Feedback (PF)-that enables real-time monitoring of patient ratings of therapeutic alliance, treatment satisfaction, and drug/alcohol use in outpatient substance abuse treatment clinics. The study was conducted in six clinics within the National Institute on Drug Abuse Clinical Trials Network. It involved a total of 39 clinicians and 6 clinic supervisors. Throughout the course of the study (consisting of five phases: training period [4 weeks], baseline [4 weeks], intervention [12 weeks], postintervention assessment [4 weeks], sustainability [1 year]), there was an overall collection rate of 75.5% of the clinic patient census. In general, the clinicians in these clinics had very positive treatment satisfaction and alliance ratings throughout the study. However, one clinic had worse drug use scores at baseline than other participating clinics and showed a decrease in self-reported drug use at postintervention. Although the implementation of the PF system proved to be feasible in actual clinical settings, further modifications of the PF system are needed to enhance any potential clinical usefulness.
AB - We report here on the feasibility of implementing a semiautomated performance improvement system-Patient Feedback (PF)-that enables real-time monitoring of patient ratings of therapeutic alliance, treatment satisfaction, and drug/alcohol use in outpatient substance abuse treatment clinics. The study was conducted in six clinics within the National Institute on Drug Abuse Clinical Trials Network. It involved a total of 39 clinicians and 6 clinic supervisors. Throughout the course of the study (consisting of five phases: training period [4 weeks], baseline [4 weeks], intervention [12 weeks], postintervention assessment [4 weeks], sustainability [1 year]), there was an overall collection rate of 75.5% of the clinic patient census. In general, the clinicians in these clinics had very positive treatment satisfaction and alliance ratings throughout the study. However, one clinic had worse drug use scores at baseline than other participating clinics and showed a decrease in self-reported drug use at postintervention. Although the implementation of the PF system proved to be feasible in actual clinical settings, further modifications of the PF system are needed to enhance any potential clinical usefulness.
KW - Alliance
KW - Feedback
KW - Performance improvement
KW - Substance abuse
KW - Treatment satisfaction
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UR - http://www.scopus.com/inward/citedby.url?scp=35648995430&partnerID=8YFLogxK
U2 - 10.1016/j.jsat.2007.01.007
DO - 10.1016/j.jsat.2007.01.007
M3 - Article
C2 - 17499954
AN - SCOPUS:35648995430
SN - 0740-5472
VL - 33
SP - 363
EP - 371
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
IS - 4
ER -