Chestnut Health Systems, Normal, IL 61761, USA.
J Subst Abuse Treat. 2012 Mar;42(2):201-12. doi: 10.1016/j.jsat.2011.10.017. Epub 2011 Dec 3.
The purpose of this study was to evaluate the impact of an assessment training and certification program on the quality of data collected from clients entering substance abuse treatment. Data were obtained from 15,858 adult and adolescent clients entering 122 treatment sites across the United States using the Global Appraisal of Individual Needs-Initial (GAIN-I). GAIN Administration and Fidelity Index (GAFI) scores were predicted from interviewer certification status, interviewer experience, and their interactions. We controlled for client characteristics expected to lengthen or otherwise complicate interviews. Initial bivariate analyses revealed effects for certification status and experience. A significant interaction between certification and experience indicates interviewers attaining certification and having more experience far outperformed certified interviewers with low experience. Although some client characteristics negatively impacted fidelity, interviewer certification and experience remained salient predictors of fidelity in the multivariate model. The results are discussed with regard to the importance of ongoing monitoring of interviewer skill.
本研究旨在评估评估培训和认证计划对从进入药物滥用治疗的客户收集的数据质量的影响。从美国 122 个治疗点的 15858 名成年和青少年客户那里获得了使用全球个体需求评估-初始版(GAIN-I)的数据。GAIN 管理和保真度指数(GAFI)得分由访谈员认证状态、访谈员经验及其相互作用预测。我们控制了可能延长或使访谈复杂化的客户特征。初步的双变量分析显示了认证状态和经验的影响。认证和经验之间的显著相互作用表明,获得认证且经验丰富的访谈员远远优于经验不足的认证访谈员。尽管一些客户特征对保真度有负面影响,但在多变量模型中,访谈员认证和经验仍然是保真度的重要预测因素。结果与不断监测访谈员技能的重要性有关。