"There Are Things I Want to Say But You Do Not Ask": a Comparison Between Standardised and Individualised Evaluations in Substance Use Treatment.

There has been an increasing call for service users to be more actively involved with the evaluation of treatment outcomes. One strategy to impove such involvement is to ask service users to contribute with their own criteria for evaluation by sharing their personal story and perspective about their...

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Publicado en:International Journal of Mental Health & Addiction Vol. 18; no. 4; pp. 861 - 875
Autores principales: Alves, Paula Cristina Gomes, Sales, Célia Maria Dias, Ashworth, Mark, Faísca, Luís
Formato: Artículo
Publicado: Springer Nature Aug2020
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2020
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      pub: Springer Nature
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        10.1007/s11469-018-9985-6
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        atl: "There Are Things I Want to Say But You Do Not Ask": a Comparison Between Standardised and Individualised Evaluations in Substance Use Treatment.
      aug:
        au:
          Alves, Paula Cristina Gomes
          Sales, Célia Maria Dias
          Ashworth, Mark
          Faísca, Luís
        affil:
          Research Department of Primary Care and Population Health, University College London, Upper 3rd Floor, Royal Free Campus, Rowland Hill Street, NW3 2PF, London, UK
          Faculdade de Psicologia e de Ciências da Educação, Centro de Psicologia da Universidade do Porto, Rua Alfredo Allen, 4200-135, Porto, Portugal
          Division of Health and Social Care Research
          Departamento de Psicologia (FCHS) e Centre for Biomedical Research (CBMR), Universidade do Algarve, Campus de Gambelas, 8005-139, Faro, Portugal
      su:
        Interpersonal relations
        Cross-sectional method
        Treatment effectiveness
        Comparator circuits
      sug:
        subj:
          Interpersonal relations
          Cross-sectional method
          Treatment effectiveness
          Comparator circuits
      keyword:
        Individualised measures
        Personalised assessment
        Standardised measures
        Substance use treatment evaluation
        Individualised measures
        Personalised assessment
        Standardised measures
        Substance use treatment evaluation
      ab: There has been an increasing call for service users to be more actively involved with the evaluation of treatment outcomes. One strategy to impove such involvement is to ask service users to contribute with their own criteria for evaluation by sharing their personal story and perspective about their clinical situation. In this cross-sectional study, we contrasted the contents elicited by service users completing two individualised measures against the contents of three widely used standardised measures. We also compared two methods to generate individualised data using self-report and interview-based instruments (PSYCHLOPS and PQ). Following a thematic comparison approach, we found that one quarter of the problems reported by patients in individualised measures were not covered by any of our standardised comparators. Also, half of our sample generated at least one problem whose theme was not covered by any of the three standardised measures. We also found that patients in this population have many other concerns beyond drug use. These included psychological (e.g. interpersonal relationships) and socio-economic (e.g. money) problems, which were frequently reported. Our study suggests that listening to service users' stories allows us to capture issues of importance to service users in substance use treatment, which may be underestimated by standardised measures.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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