Generalization of the Client Matching Protocol

客户端匹配协议的推广

• 批准号: 6865332
• 负责人: GEORGE DE LEON
• 金额: $ 24.85万
• 依托单位: NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC.
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-02-15 至 2007-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6865332
• 关键词: behavioral /social science research tag; clinical research; drug abuse therapy; health care model; health care service evaluation; health services research tag; human data; mathematical model; outcomes research; outpatient care; patient care; patient oriented research

DESCRIPTION (provided by applicant): This proposal tests the generalization of a standardized client-treatment matching interview and decision-tree algorithm (the Client Matching Protocol, or CMP) through an 18-month secondary analysis of the Drug Abuse Treatment Outcome Study (DATOS) database. The investigative team's previous study of Therapeutic Community (TC)-oriented agencies found that clients entering outpatient and residential treatment settings in which there was a concordance with the CMP algorithm (matched clients) showed significantly higher rates of treatment completion and long-term retention than clients entering settings that were discordant with the CMP algorithm (mismatched clients). The present study uses the DATOS variables to recreate the CMP algorithm. The study extends the previous research by 1) testing the generalization of the CMP to non-TC residential and outpatient programs, 2) determining the effect of matching on treatment process, and 3) testing the generalization of the matching effect to one- and five-year treatment outcomes. Additional research questions explore the extension of the CMP algorithm to short-term residential and methadone outpatient treatment, and to the interaction between the CMP match and organizational and client variables. Non-parametric statistics, ANOVA, logistic and multiple regression, and Structural Equation Modeling test the effects of matching and the interaction of matching and the program and client characteristics. The present study contains important research and clinical implications. This 18-month study contains significant implications for both treatment and research in that it will provide empirical clarification of whether and how matching contributes to treatment improvement. Specifically replicating a matching effect in the DATOS modalities will establish the empirical basis for a controlled study of matching and a refined version of the matching protocol for use in clinical practice.

描述(由申请人提供)： 该提案通过对药物滥用治疗结果研究(DATOS)数据库进行为期18个月的二次分析，测试标准化的客户-治疗配对面谈和决策树算法(客户配对协议，或CMP)的普适性。调查小组先前对以治疗社区(TC)为导向的机构的研究发现，进入与CMP算法一致的门诊和住院治疗环境的客户(匹配客户)比进入不符合CMP算法的客户(不匹配客户)的治疗完成率和长期保留率要高得多。本研究使用DATOS变量来重新创建CMP算法。本研究通过1)测试匹配对非TC住院和门诊项目的普适性，2)确定匹配对治疗过程的影响，以及3)测试匹配效果对一年和五年治疗结果的普适性，从而扩展了先前的研究。其他研究问题探讨了CMP算法扩展到短期住院和美沙酮门诊治疗，以及CMP匹配与组织和客户变量之间的相互作用。非参数统计、单因素方差分析、Logistic和多元回归以及结构方程模型检验匹配的效果以及匹配与节目和客户特征的交互作用。本研究包含重要的研究和临床意义。这项为期18个月的研究包含了对治疗和研究的重大影响，因为它将提供关于配对是否以及如何有助于治疗改进的实证澄清。具体地说，在DATOS模式中复制匹配效果将为匹配的对照研究和用于临床实践的匹配方案的改进版本建立经验基础。