Sydney School of Medicine (Central Clinical School), Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
Drug and Alcohol Services, South Eastern Sydney Local Health District, Sydney, Australia.
Drug Alcohol Rev. 2020 Jul;39(5):441-446. doi: 10.1111/dar.13088. Epub 2020 May 12.
The Australian Treatment Outcomes Profile (ATOP) is a brief clinical tool measuring recent substance use, health and wellbeing among clients attending alcohol and other drug (AOD) treatment services. It has previously been assessed for concurrent validity and inter-rater reliability. In this study we examine whether it is suitable for administration over the telephone.
We recruited a sample of 107 AOD clients across public sector specialist AOD treatment services in New South Wales, Australia between 2016 and 2018. Participants had a mean age of 47 years and 46% were female. Participants completed a face-to-face ATOP and a phone ATOP with a researcher within 5 days. Comparisons between the two administration modes were undertaken using Spearman's rank correlation coefficient for continuous or ordinal variables, and Cohen's Kappa for nominal variables.
Among 107 participants, 59% were attending for alcohol treatment and 41% for opioid treatment. Most ATOP items (76%) reached above 0.7 (good) or 0.9 (excellent) agreement between face-to-face and telephone use.
Our findings suggest that the ATOP is a suitable instrument for telephone monitoring of recent substance use, health and social functioning among AOD clients. Its validation for remote use over the telephone will support staff to monitor clients' risks and outcomes-of particular relevance in response to the COVID-19 pandemic in which services are increasingly relying on telework approaches to client monitoring.
澳大利亚治疗结果概况（ATOP）是一种简短的临床工具，用于衡量接受酒精和其他药物（AOD）治疗服务的患者最近的物质使用、健康和幸福感。它之前已经过了同时效度和评分者间信度的评估。在这项研究中，我们研究了它是否适合通过电话进行管理。
我们于 2016 年至 2018 年期间在澳大利亚新南威尔士州的公共部门专科 AOD 治疗服务机构招募了 107 名 AOD 患者。参与者的平均年龄为 47 岁，46%为女性。参与者在 5 天内完成了面对面的 ATOP 和电话 ATOP 与研究人员。对于连续或有序变量，我们使用斯皮尔曼等级相关系数进行两种管理模式之间的比较，对于名义变量，我们使用 Cohen 的 Kappa。
在 107 名参与者中，59%的人参加酒精治疗，41%的人参加阿片类药物治疗。大多数 ATOP 项目（76%）在面对面和电话使用之间达到了 0.7（良好）或 0.9（优秀）的一致性。
我们的研究结果表明，ATOP 是一种适合电话监测 AOD 患者最近物质使用、健康和社会功能的工具。它在电话远程使用方面的验证将支持工作人员监测客户的风险和结果，特别是在 COVID-19 大流行期间，服务越来越依赖于远程监测客户的方法。
