Radboud University Nijmegen, Academic Centre for Social Sciences, Nijmegen Institute for Scientist-Practitioners in Addiction, Nijmegen, The Netherlands.
Int J Soc Psychiatry. 2011 May;57(3):263-76. doi: 10.1177/0020764009354835. Epub 2010 Jan 12.
Little is known about the perspectives of either patients or clinicians regarding treatment goals in addiction healthcare. In general, treatment goals involve abstinence or at least reduction of substance use.
To examine and compare the treatment goals indicated by both patients and clinicians at baseline, interim and exit measurement.
A descriptive study was performed with multiple measurements of treatment goals. Patients (n = 111) and clinicians (n = 20) were recruited from three addiction treatment centres in the Netherlands. A Shared Decision Making Intervention (SDMI) was undertaken to promote and evaluate treatment agreement.
Patients identified treatment goals of daytime activities and abstinence or reduced alcohol consumption as most important. Clinicians indicated psychological distress, daytime activities and substance use as most important. Differences between patients and clinicians were found for the treatment goals of physical health (patient > clinician) and psychological distress (clinician > patient). The results further showed that treatment goals of both patients and clinicians become more closely aligned during the course of treatment.
SDMI provides a method to explore and discuss discrepancy between patients' and clinicians' goals of treatment which leads to convergence. Such convergence is likely to be a necessary prerequisite for positive treatment outcomes.
对于成瘾治疗中的患者或临床医生来说，关于治疗目标的观点知之甚少。一般来说，治疗目标涉及戒除或至少减少物质使用。
在基线、中期和结束测量时，检查和比较患者和临床医生所表示的治疗目标。
对治疗目标进行了多次测量的描述性研究。从荷兰的三个成瘾治疗中心招募了患者（n=111）和临床医生（n=20）。采用共同决策干预（SDMI）来促进和评估治疗协议。
患者将日间活动和戒除或减少饮酒作为最重要的治疗目标。临床医生则认为心理困扰、日间活动和物质使用最重要。患者和临床医生在治疗目标上存在差异，包括身体健康（患者>临床医生）和心理困扰（临床医生>患者）。结果还表明，在治疗过程中，患者和临床医生的治疗目标变得更加一致。
SDMI 提供了一种探索和讨论患者和临床医生治疗目标差异的方法，从而导致目标趋同。这种趋同很可能是积极治疗结果的必要前提。
