Measuring Outcomes in a Health Service Addiction Clinic
Abstract
The aim of the study was to identify a method for the routine monitoring of outcomes in a busy city centre health service addiction clinic. The setting for the study was a health service addiction clinic serving a population of seven hundred and fifty thousand people. Study participants were two hundred and thirty consecutive attenders for treatment of alcohol and heroin dependence and misuse. A brief interview to obtain demographic and use data and a short battery of self completion questionnaires measuring dependence, psychological health and social satisfaction were administered at three data collection points. Different methods of follow-up were explored. The instruments used were capable of measuring change in levels of consumption, degrees of dependence, psychological health and social satisfaction over a three month period in over sixty-five per cent of the original sample while over eighty per cent of the original sample were accounted for. It was concluded that routine monitoring of outcomes of a busy National Health Service can provide meaningful clinical data for an acceptable sample of patients within a realistic resource limit.
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The LDQ has high internal consistency (α=.93).
“The ability to capture dependence severity simultaneously across all substance classes, including alcohol, sensitivity to change, high internal consistency (α=.93), and clinical and research utility for young adults were identified as advantages [36,46].”
From Feasibility and Acceptability of the Aboriginal and Islander Mental Health Initiative for Youth App: Nonrandomized Pilot With First Nations Young People (2023) · cites this paper as [46]
Cites
The detection of psychiatric illness by questionnaire
Levy, R. (1973) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(73)90039-1 · Cited by 2,707 · see citing works
Clinical governance and the drive for quality improvement in the new NHS in England
Scally, G., & Donaldson, L. J. (1998) · BMJ · doi:10.1136/bmj.317.7150.61 · Cited by 1,072 · see citing works
Therapist Success and Its Determinants
Luborsky, L. B. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790290084010 · Cited by 766 · see citing works
Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles
Miller, W. R., Benefield, R. G., & Tonigan, J. S. (1993) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.61.3.455 · Cited by 566 · see citing works
Raistrick, D., Bradshaw, J., Tober, G., Weiner, J., ALLISON, J., & Healey, C. (1994) · Addiction · doi:10.1111/j.1360-0443.1994.tb03332.x · Cited by 295 · see citing works
Self-citationNetwork support for drinking, Alcoholics Anonymous and long‐term matching effects
Longabaugh, R., Wirtz, P. W., Zweben, A., & Stout, R. L. (1998) · Addiction · doi:10.1046/j.1360-0443.1998.93913133.x · Cited by 267 · see citing works
Internal validity of project MATCH treatments: Discriminability and integrity.
Carroll, K. M., Connors, G. J., Cooney, N. L., DiClemente, C. C., Donovan, D. M., Kadden, R. R., Longabaugh, R. L., Rounsaville, B. J., Wirtz, P. W., & Zweben, A. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.2.290 · Cited by 208 · see citing works
Achieving a 96.6 percent follow-up rate in a longitudinal study of drug abusers
Cottler, L. B., Compton, W. M., Abdallah, A. B., Horne, M., & Claverie, D. (1996) · Drug and Alcohol Dependence · doi:10.1016/0376-8716(96)01254-9 · Cited by 147 · see citing works
DIFFICULT-TO-RECRUIT RESPONDENTS AND THEIR EFFECT ON PREVALENCE ESTIMATES IN AN EPIDEMIOLOGIC SURVEY
Cottler, L. B., Zipp, J. F., Robins, L. N., & Spitznagel, E. L. (1987) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a114534 · Cited by 130 · see citing works
Issues in the definition and measurement of drinking outcomes in alcoholism treatment research.
Babor, T. F., Longabaugh, R., Zweben, A., Fuller, R. K., Stout, R. L., Anton, R. F., & Randall, C. L. (1994) · Journal of Studies on Alcohol Supplement · doi:10.15288/jsas.1994.s12.101 · Cited by 116 · see citing works
The construction, development and testing of a self-report questionnaire to identify social problems
Corney, R., & Clare, A. W. (1985) · Psychological Medicine · doi:10.1017/s0033291700031494 · Cited by 113 · see citing works
Finney, J. W., & Moos, R. H. (1992) · Journal of Studies on Alcohol · doi:10.15288/jsa.1992.53.142 · Cited by 111 · see citing works
Integrating psychotherapy and pharmacotherapy to improve drug abuse outcomes
Carroll, K. M. (1997) · Addictive Behaviors · doi:10.1016/s0306-4603(96)00038-x · Cited by 85 · see citing works
Gossop, M., Marsden, J., & Stewart, D. (2001) · PubMed · Cited by 53 · see citing works
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Psychometric validation of the Leeds Dependence Questionnaire (LDQ) in a young adult clinical sample
Kelly, J. F., Magill, M., Slaymaker, V., & Kahler, C. (2010) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.11.005 · Cited by 32 · see citing works
Dingwall, K. M., Povey, J., Sweet, M., Friel, J., Shand, F., Titov, N., Wormer, J., Mirza, T., & Nagel, T. (2023) · JMIR Human Factors · doi:10.2196/40111 · Cited by 21 · see citing works
“93), and clinical and research utility for young adults were identified as advantages [36,46].”
- Authors
- Tober, G., Brearley, R., Kenyon, R., Raistrick, D., & Morley, S.
- Affiliations
- University of Leeds (GB)
- Venue
- Addiction Research
- Publisher
- Informa UK Limited
- Published
- 2000-01
- Volume
- 8
- Issue
- 2
- Pages
- 169-182
- ISSN
- 1058-6989 (ISSN-L)
- OpenAlex
- W2054699353
- Cited by
- 11
- References
- 14
- Citations by year
- 2023: 1 · 2017: 1 · 2016: 1 · 2012: 1
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction Research & Theory (publishedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Keywords
- outcome measurement, addiction treatment centers, alcoholism, heroin addiction, addiction treatment, follow-up methods, patient retention, mental health, social satisfaction, National Health Service, routine outcome monitoring
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