ACSW-Nijmegen Institute for Scientist Practitioners in Addiction, Radboud University Nijmegen, The Netherlands.
Subst Use Misuse. 2011;46(8):1037-8. doi: 10.3109/10826084.2011.552931. Epub 2011 Mar 3.
This study examines the effect of a shared decision-making intervention (SDMI) on patients' and clinicians' self-perceived interpersonal behavior. Clinicians (n = 34) in three addiction treatment centers in the Netherlands were randomly assigned to SDMI or treatment decision-making as usual. Patients receiving inpatient treatment in 2005-2006 were included (n = 212). Baseline characteristics were measured by the European Addiction Severity Index (EuropASI) and the Composite International Diagnostic Interview-Substance Abuse Module (CIDI-SAM). Treatment goals were assessed using the Goals of Treatment Questionnaire (GoT-Q) plus a Q-sort ranking procedure. Interpersonal behavior was measured by Interpersonal Checklist-Revised (ICL-R) at baseline, end of treatment, and 3-month follow-up. Repeated measures analyses of variance and multiple hierarchical linear regression analysis were used. The key finding of this study was that SDMI is associated with an increase of patient autonomy (independent behavior) and control behavior. The study limitations have been noted.
本研究考察了共享决策干预（SDMI）对患者和临床医生自我感知人际行为的影响。荷兰三家成瘾治疗中心的临床医生（n=34）被随机分配到 SDMI 或治疗决策的常规护理组。2005-2006 年接受住院治疗的患者被纳入研究（n=212）。使用欧洲成瘾严重程度指数（EuropASI）和复合国际诊断访谈-物质滥用模块（CIDI-SAM）测量基线特征。使用治疗目标问卷（GoT-Q）和 Q 分类排序程序评估治疗目标。在基线、治疗结束和 3 个月随访时使用人际行为检查表修订版（ICL-R）测量人际行为。采用重复测量方差分析和多重层次线性回归分析。这项研究的主要发现是，SDMI 与患者自主性（独立行为）和控制行为的增加有关。研究局限性已被注意到。
