Broome Kirk M, Flynn Patrick M, Knight Danica K, Simpson D Dwayne
Institute of Behavioral Research, Texas Christian University, Fort Worth, TX 76129, USA.
J Subst Abuse Treat. 2007 Sep;33(2):149-58. doi: 10.1016/j.jsat.2006.12.030. Epub 2007 Apr 16.
A key goal of drug abuse treatment providers is getting their clients to engage and participate in therapeutic activities as a first step toward deriving longer-term benefits. Much research had focused on personal characteristics that relate to client engagement; program characteristics have received less attention. This study explored client and program differences in engagement ratings using data from a nationwide set of 94 outpatient drug-free treatment programs in a hierarchical linear model analysis. The results show that elements of program context, including structural features (e.g., smaller size and Joint Commission on the Accreditation of Healthcare Organizations/Commission on Accreditation of Rehabilitation Facilities accreditation) and staff's perceptions of personal efficacy, organizational climate, and communal workplace practices, relate to better overall client engagement. These findings add further evidence that treatment providers should also address the workplace environment for staff as part of quality improvement efforts.
药物滥用治疗提供者的一个关键目标是让他们的客户参与并投身于治疗活动，这是获得长期益处的第一步。许多研究都聚焦于与客户参与度相关的个人特征；而项目特征受到的关注较少。本研究使用来自全国94个无药物门诊治疗项目的数据，在分层线性模型分析中探讨了客户和项目在参与度评级方面的差异。结果表明，项目背景因素，包括结构特征（如规模较小以及获得医疗机构评审联合委员会/康复设施评审委员会的认证）以及工作人员对个人效能、组织氛围和公共工作场所实践的认知，与客户总体上更好的参与度相关。这些发现进一步证明，作为质量改进工作的一部分，治疗提供者还应关注工作人员的工作环境。
