Deering Daryle E, Sellman J Douglas, Adamson Simon J, Horn Jacqueline, Frampton Christopher M A
National Addiction Centre (NAC), Department of Psychological Medicine, Christchurch School of Medicine & Health Sciences, Christchurch, New Zealand.
Subst Use Misuse. 2008;43(11):1666-80. doi: 10.1080/10826080802116098.
Routine measurement of treatment outcome between clinician and client in alcohol and drug user treatment services is an important quality improvement initiative. It is particularly important for clients receiving long-term treatment such as methadone maintenance treatment, as fluctuations in substance use, functioning, and health are to be expected. Although there are a number of standardized alcohol and drug user treatment outcome instruments available for research and clinical use, a key challenge is to develop clinical instruments that will actually be used routinely in busy practice settings by a range of staff. Such instruments need to be brief, acceptable to staff and clients, easy to use, provide immediate feedback, and meet adequate psychometric requirements. This report describes development work undertaken in three studies of the Methadone Treatment Index (MTI). The MTI is a brief instrument comprising measures of recent substance use, aspects of social and behavioral functioning, and physical and psychological health. The MTI was designed in consultation with clinicians and clients for use in monitoring treatment progress with clients receiving methadone maintenance treatment. Key findings were that the MTI was acceptable to clients, produced clinically relevant information, and has satisfactory psychometric properties, although it was not used to measure change in this study. Further evaluation of the MTI on a longitudinal basis is supported.
在酒精和药物使用者治疗服务中，临床医生与服务对象之间对治疗效果进行常规测量是一项重要的质量改进举措。对于接受长期治疗（如美沙酮维持治疗）的服务对象而言尤为重要，因为预计其物质使用、功能及健康状况会出现波动。尽管有许多标准化的酒精和药物使用者治疗效果评估工具可用于研究及临床，但一个关键挑战是要开发出能被各类工作人员在繁忙的实际工作场景中常规使用的临床工具。这类工具需要简短、工作人员和服务对象均可接受、易于使用、能提供即时反馈且满足足够的心理测量学要求。本报告描述了在美沙酮治疗指数（MTI）的三项研究中所开展的开发工作。MTI是一种简短工具，包含近期物质使用情况、社会和行为功能方面以及身体和心理健康状况的测量指标。MTI是在与临床医生和服务对象协商后设计的，用于监测接受美沙酮维持治疗的服务对象的治疗进展。主要研究结果是，MTI为服务对象所接受，能产生与临床相关的信息，且具有令人满意的心理测量学特性，不过在本研究中它未用于测量变化情况。支持对MTI进行纵向的进一步评估。
