Routine outcome measurement in specialist non-government alcohol and other drug treatment services: Establishing effectiveness indicators for the NADAbase
| Autor: | Esther L Davis, Laura Robinson, Frank P. Deane, Carol Keane, Briony Larance, Peter J. Kelly, Emma L. Hatton, Suzie Hudson |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health (social science) Substance dependence business.industry Substance-Related Disorders Online database Australia Medicine (miscellaneous) Sample (statistics) Benchmarking Service provider medicine.disease Quality of life (healthcare) Pharmaceutical Preparations Scale (social sciences) Family medicine Quality of Life Medicine Humans New South Wales business Quality assurance |
| Zdroj: | Drug and alcohol reviewReferences. 40(4) |
| ISSN: | 1465-3362 |
| Popis: | INTRODUCTION AND AIMS The collection of routine outcome measurement (ROM) data provides an opportunity for service providers to conduct benchmarking to inform quality assurance practices. To conduct comparative benchmarking, it is important that services have access to comparative data. This paper aims to establish effectiveness indicators for ROM data collected within the alcohol and other drug (AOD) sector. DESIGN AND METHODS ROM data were collected by specialist non-government AOD treatment services within the Network of Alcohol and other Drugs Agencies online database (i.e. NADAbase). All participants were attending treatment within New South Wales, Australia (N = 21 572). Effectiveness indicators were calculated by using effect sizes, standard error of measurement, and rates of reliable and clinically significant change. The study focused on quality of life (EUROHIS Quality of Life Scale), psychological distress (Kessler-10) and substance dependence (Substance Dependence Scale). RESULTS Since 2010, 21 572 unique people have completed at least one NADAbase Client Outcome Measure. Amphetamines (36%) and alcohol (32%) were the most commonly reported primary substances of concern. Effectiveness indicators were established for the total sample, as well as for people attending residential rehabilitation (n = 8161) and community-based (n = 10 306) treatment services. Standard error of measurement was the least stringent effectiveness indicator (i.e. a higher proportion of people demonstrated improvement), while the clinically significant change was the most stringent approach. DISCUSSION AND CONCLUSIONS The study demonstrated the utility of the NADAbase to establish effectiveness indicators for benchmarking purposes. Recommendations are provided for the use of benchmarking to inform quality assurance activities in the sector. |
| Databáze: | OpenAIRE |
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