Patient Feedback Effectiveness Study
2012年1月18日 更新者:Paul Crits-Christoph、University of Pennsylvania
The purpose of the study is to determine if a semi-automated quality improvement system that provides addiction counselors with feedback on their average treatment satisfaction and therapeutic alliance (as rated by patients currently in treatment) is superior to no feedback in 32 community-based outpatient addiction treatment clinics.
研究概览
详细说明
Quality improvement (Ql) methods are a cornerstone of business and healthcare management throughout the United States yet there have been few studies of Ql interventions in addiction treatment settings.
The proposed study tests the effectiveness of one Ql system - Patient Feedback (PF) - at increasing outpatient group therapy attendance and self-reported abstinence.
The feasibility and acceptability of PF was established in a six-site study conducted within the National Drug Abuse Treatment Clinical Trials Network.
In the proposed study, 32 community-based outpatient treatment programs with approximately 250 clinicians will be randomly assigned to PF, or usual clinic practices.
In the PF condition, every week fro 12 weeks clinic patients are invited to complete a 12-item, self-administered survey in which they rate therapeutic alliance and treatment satisfaction, and report past week substance use.
These anonymous surveys are faxed by clinic staff to a University of Pennsylvania data center where a custom software application converts the surveys into feedback reports and posts them to a password protected website.
Clinicians can access their caseload feedback reports and aggregated reports for the whole clinic; supervisors can only access the aggregated clinic reports.
On a monthly basis staff meet as a team to review the feedback reports and develop Ql plans intended to yield improvements in select Ql indicators.
The PF website and the monthly PF e-newsletter provide social recognition, clinical resources, and a virtual community for participating clinicians.
After 12 weeks, participants in both conditions complete follow-up measures and then both groups are given open access to PF for 12 additional months.
During "sustainability phase" staff usage of the PF website is monitored.
Alternate versions of the PF Survey are introduced during the sustainability study, including one that monitors HIV risk behavior.
The rapid processing of surveys enables near real time feedback to clinic staff.
Organizations may share their feedback reports with funding sources, regulatory agencies, policy makers, and other stakeholders.
This centralized, semi-automated feedback system eases fulfillment of accreditation requirements and as such, reduces the cost of clinic operations.
研究类型
介入性
注册 (实际的)
118
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。
学习地点
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New York
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New York、New York、美国、10010
- New York University School of Medicine
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Pennsylvania
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Philadelphia、Pennsylvania、美国、19104
- University of Pennsylvania
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参与标准
研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
描述
Inclusion Criteria:
- program: adult, outpatient, non-methadone maintenance substance abuse treatment programs
- clinician: must be leading at least one weekly group with minimum of 5 patients
- must be working at least 20% time at facility
Exclusion Criteria:
- clinics with fewer than 5 clinicians who conduct weekly group counseling
- clinics in which fewer than 50% of clinicians agree to participate
学习计划
本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。
研究是如何设计的?
设计细节
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Feedback to counselors
substance abuse counselors received feedback reports on their average performance and on the average performance of the clinic as a whole.
Feedback reports contained information on average alliance, treatment satisfaction, and drug/alcohol use.
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Surveys patients regarding treatment experiences.
Weekly feedback reports provided to counselors
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无干预:Treatment as Usual
No feedback reports were provided in this arm.
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
---|---|
clinician average weekly caseload patient-rated therapeutic alliance
大体时间:12 weeks
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12 weeks
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员:Paul Crits-Christoph, Ph.D.、University of Pennsylvania
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2006年11月1日
初级完成 (实际的)
2008年11月1日
研究完成 (实际的)
2009年4月1日
研究注册日期
首次提交
2008年11月24日
首先提交符合 QC 标准的
2008年11月24日
首次发布 (估计)
2008年11月25日
研究记录更新
最后更新发布 (估计)
2012年1月20日
上次提交的符合 QC 标准的更新
2012年1月18日
最后验证
2012年1月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.