Variation in brief treatment for substance use disorder: a qualitative investigation of four federally qualified health centers with SBIRT services.
Variation in brief treatment for substance use disorder: a qualitative investigation of four federally qualified health centers with SBIRT services.
复制标题
DOI：
10.1186/s13011-021-00381-y
复制
发表时间：
2021-07-14
期刊：
影响因子：
--
通讯作者：
Scott CK
中科院分区：
文献类型：
--
作者：
Watson DP;Staton MD;Dennis ML;Grella CE;Scott CK
对于许多酗酒和吸毒的人来说，短期治疗 (BT) 是一种有效、短期且低成本的治疗选择。然而，不一致的实施可能会导致 BT 的外观和潜在费用与常规门诊护理相似。先前的研究在患者接受的 BT 测量方面也存在不一致的操作。因此，需要更明确地识别和记录 BT 实践中的变化。作为一项更大规模临床试验的子研究，我们在四个联邦合格健康中心 (FQHC) 中对 BT 进行了定性调查。研究人员采访了 4 个 FQHC 内参与 BT 监督、转介或交付的 12 名工作人员（管理员和临床医生）。在主要研究问题的指导下，采用归纳法对数据进行分析。调查结果表明，FQHC 内 BT 的概念化和实施方式存在显着差异。这包括向患者呈现和描述 BT 的各种方式，这些方式可能会影响他们对所接受的 BT 的看法，包括可能根本不了解他们接受了药物滥用障碍治疗。这些发现对先前研究的有效性提出了质疑，表明需要更客观的 BT 定义和保真度检查表来确保结果的完整性。该领域未来的工作应寻求了解更多提供者样本中实践的 BT 以及患者的直接体验和观点。还需要更一致的实施、质量保证指南和变革评估的标准化阶段来帮助从业者。
Brief treatment (BT) can be an effective, short-term, and low-cost treatment option for many people who misuse alcohol and drugs. However, inconsistent implementation is suggested to result in BT that often looks and potentially costs similar to regular outpatient care. Prior research is also rife with inconsistent operationalizations regarding the measurement of BT received by patients. As such, there is a need to more explicitly identify and document variations in BT practice. A qualitative investigation of BT in four Federally Qualified Health Centers (FQHC) was undertaken as a sub study of a larger clinical trial. Researchers interviewed 12 staff (administrators and clinicians) involved in BT oversight, referral, or delivery within the four FQHCs. Data were analyzed following an inductive approach guided by the primary research questions. Findings demonstrate considerable differences in how BT was conceptualized and implemented within the FQHCs. This included a variety of ways in which BT was presented and described to patients that likely impacts how they perceive the BT they receive, including potentially not understanding they received substance use disorder treatment at all. The findings raise questions regarding the validity of prior research, demonstrating more objective definitions of BT and fidelity checklists are needed to ensure integrity of results. Future work in this area should seek to understand BT as practiced among a larger sample of providers and the direct experiences and perspectives of patients. There is also a need for more consistent implementation, quality assurance guidelines, and standardized stage of change assessments to aid practitioners.
登录
查看更多内容
影响因子：
6
作者：
Babor, Thomas F.;Del Boca, Frances;Bray, Jeremy W.
通讯作者：
Bray, Jeremy W.
DOI：
10.1080/1533256x.2019.1590703
发表时间：
2019-01-01
影响因子：
0.8
作者：
Farmer, Antoinette Y.;Powell, Kristen Gilmore;Borys, Suzannesss
通讯作者：
Borys, Suzannesss
影响因子：
105.7
作者：
Kaner, Eileen;Bland, Martin;Drummond, Colin
通讯作者：
Drummond, Colin
影响因子：
4.2
作者：
Madras, Bertha K.;Compton, Wilson A.;Clark, H. Westley
通讯作者：
Clark, H. Westley
影响因子：
5.7
作者：
Grimshaw, J;Eccles, M;Vale, L
通讯作者：
Vale, L