Practical factors determining adolescent substance use treatment settings: Results from four online stakeholder panels.
Practical factors determining adolescent substance use treatment settings: Results from four online stakeholder panels.
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DOI：
10.1016/j.jsat.2019.11.007
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发表时间：
2020-03
影响因子：
3.9
通讯作者：
Griffin BA
中科院分区：
文献类型：
--
作者：
Grant S;Hunter SB;Pedersen ER;Griffin BA
实际因素可以显着影响青少年接受药物滥用治疗的环境或护理水平。本研究旨在确定利益相关者在规划青少年药物滥用治疗时最需要考虑的实际因素。我们与四个利益相关者群体进行了在线小组讨论：提供者、政策制定者、研究人员和家长。参与者对可能影响治疗设置决策的 10 个实际因素的重要性进行了提名、评级和评论。我们使用兰德/加州大学洛杉矶分校适当性方法评估了对实际因素重要性评级的共识，并专题分析了利益相关者的评论，以解释他们如何区分相对重要性。总体而言，153 名利益相关者（66 名提供者、38 名政策制定者、27 名研究人员和 22 名家长）将护理的连续性、跨服务部门的护理协调以及护理质量视为最重要的实际因素。当参与者认为实际因素更重要时，他们认为实际因素可以：超越临床适当性作为将青少年置于特定环境中的原因，引导青少年走向特定环境，或引导青少年远离特定环境。相反，参与者对他们认为适用于临床干预而不是治疗环境、与最初建议无关、与任何环境相关或仅适用于某些背景和亚人群的实际因素的评分较低。这些发现有助于阐明为什么利益相关者认为某些实际因素在现实世界的青少年药物使用治疗环境决策中至关重要。未来的研究应该调查如何将这些实际因素与临床需求和治疗目标一起纳入安置标准和治疗匹配中。
Practical factors can significantly influence the setting, or level of care, in which an adolescent receives substance use treatment. This study aimed to identify the practical factors that stakeholders find most critical to consider when planning substance use treatment for adolescents. We conducted online panels with four stakeholder groups: providers, policymakers, researchers, and parents. Participants nominated, rated, and commented on the importance of 10 practical factors that could influence treatment setting decisions. We assessed consensus on the rated importance of practical factors using the RAND/UCLA Appropriateness Method, and we thematically analyzed comments made by stakeholders to explain how they differentiated relative importance. Overall, 153 stakeholders (66 providers, 38 policymakers, 27 researchers, and 22 parents) identified continuity of care, coordination of care across service sectors, and quality of care as the practical factors of highest importance. Participants considered practical factors to be of higher importance when they perceived a practical factor to: trump clinical appropriateness as the reason for placing an adolescent in a given setting, steer an adolescent toward a specific setting, or steer an adolescent away from specific settings. Conversely, participants rated lower the practical factors they perceived applicable to clinical intervention rather than treatment setting, unrelated to initial recommendations, relevant to any setting, or applicable only to certain contexts and sub-populations. These findings help elucidate why stakeholders view certain practical factors as critical to consider in real-world decisions about substance use treatment settings for adolescents. Future research should investigate how to incorporate these practical factors alongside clinical needs and treatment goals in placement criteria and treatment matching.
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DOI：
10.1016/j.jaac.2010.03.019
发表时间：
2010-07
影响因子：
13.3
作者：
Sterling S;Weisner C;Hinman A;Parthasarathy S
通讯作者：
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影响因子：
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作者：
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DOI：
10.1002/j.2161-1874.2011.tb00069.x
发表时间：
2011-04-01
影响因子：
1.6
作者：
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影响因子：
4
作者：
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影响因子：
10.6
作者：
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