Perceptions of discriminatory treatment by staff as predictors of drug treatment completion: Utility of a mixed methods approach
Perceptions of discriminatory treatment by staff as predictors of drug treatment completion: Utility of a mixed methods approach
复制标题
DOI：
10.1111/j.1465-3362.2010.00173.x
复制
发表时间：
2010-09-01
影响因子：
3.8
通讯作者：
Treloar, Carla
中科院分区：
文献类型：
--
作者：
Brener, Loren;von Hippel, William;Treloar, Carla
引言和目的。工作人员与其客户的互动是向接受药物治疗的人提供护理质量的一个重要因素。然而，很少有研究涉及工作人员的态度或客户对工作人员对治疗结果的歧视和偏见的看法。本研究旨在评估工作人员对歧视的认知是否能预测药物治疗的完成情况。设计和方法。这项研究采用了混合方法。对悉尼住宅康复机构的92名客户进行了一系列定量测量，评估其吸毒史、吸毒严重程度、治疗史、对工作人员歧视的看法和治疗动机。定期对客户进行随访，直到获得整个样本的结果（退出或完成）。结果。对歧视的感知是治疗完成的重要预测因素，更大的感知歧视与辍学率的增加有关。然后对来自这些治疗服务的13名客户和8名保健工作者进行定性访谈，以深入了解感知到的歧视如何影响治疗经验。客户和工作人员讨论了他们将如何解决当前治疗过程中感知到的歧视问题。讨论和结论。采用混合方法有助于从客户和保健工作者的角度探讨歧视对治疗的影响。这种方法也可以加强对这些发现在药物治疗中的解释和利用。[Brener L, von Hippel W, von Hippel C, Resnick I, Treloar C.员工对歧视性待遇的感知与药物治疗完成度的预测：混合方法的效用。]药物酒精Rev 2010；29日;491 - 497年)
Introduction and Aims. Staff interactions with their clients are an important factor in the quality of care that is provided to people in drug treatment. Yet there is very little research that addresses staff attitudes or clients' perceptions of discrimination and prejudice by staff with regard to treatment outcomes. This research aimed to assess whether perceptions of discrimination by staff predict drug treatment completion. Design and Methods. The study used a mixed methods approach. Ninety-two clients in residential rehabilitation facilities in Sydney were administered a series of quantitative measures assessing drug history, severity of drug use, treatment history, perceptions of staff discrimination and treatment motivation. Clients were followed up regularly until an outcome (dropout or completion) was obtained for the full sample. Results. Perceptions of discrimination were a significant predictor of treatment completion, with greater perceived discrimination associated with increased dropout. Qualitative interviews with 13 clients and eight health-care workers from these treatment services were then conducted to gain insight into how perceived discrimination may impact on treatment experiences. Clients and staff discussed how they would address the issue of perceived discrimination during the current treatment experience. Discussion and Conclusions. Adopting a mixed methods approach facilitated exploration of the impact of perceived discrimination on treatment from both clients' and health-care workers' perspectives. This methodology may also enhance interpretation and utilisation of these findings in drug treatment. [Brener L, von Hippel W, von Hippel C, Resnick I, Treloar C. Perceptions of discriminatory treatment by staff as predictors of drug treatment completion: Utility of a mixed methods approach. Drug Alcohol Rev 2010; 29; 491-497]