Generalization of the Client Matching Protocol

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18个月的二次分析，测试标准化客户-治疗匹配访谈和决策树算法（客户匹配协议，或CMP）的通用性。调查小组先前对治疗社区（TC）导向机构的研究发现，进入门诊和住院治疗环境的客户与CMP算法（匹配客户）一致，其治疗完成率和长期保留率显着高于进入与CMP算法（不匹配客户）不一致的环境的客户。本研究使用DATOS变量重新创建CMP算法。该研究通过以下方式扩展了先前的研究：1）测试CMP对非TC住院和门诊项目的推广，2）确定匹配对治疗过程的影响，3）测试匹配效应对1年和5年治疗结果的推广。额外的研究问题探讨了CMP算法的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、方差分析、逻辑和多元回归以及结构方程模型测试匹配的效果以及匹配与程序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个月的研究对治疗和研究都有重要意义，因为它将为匹配是否以及如何有助于治疗改善提供经验性澄清。在DATOS模式中专门复制匹配效应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。

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.