Placement matching of alcohol-dependent patients based on a standardized intake assessment: rationale and design of a randomized controlled trial

BMC Psychiatry

Jeanette Röhrig⁶  Fred Rist²  Daniela Piontek⁵  Heinrich Küfner⁵  Levente Kriston⁴  Ludwig Kraus¹  Alexander Konnopka³  Hans-Helmut König³  Michael Berner⁶  Anke Friedrichs⁴  Angela Buchholz⁴ 

[1] Centre for Social Research on Alcohol and Drugs, Stockholm University, Stockholm 106 91, Sweden;Department of Clinical Psychology and Psychotherapy, University of Münster, Fliednerstraße 21, Münster 48149, Germany;Department of Health Economics and Health Services Research, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, Hamburg 20246, Germany;Department of Medical Psychology, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, Hamburg 20246, Germany;IFT Institut für Therapieforschung, Parzivalstr. 25, Munich 80804, Germany;Department of Psychiatry and Psychotherapy, University Medical Centre, Hauptstraße 5, Freiburg 79104, Germany

关键词: Health-services research;    Alcohol dependence;    Level of care;    MATE;    Placement-matching guidelines;   

Others  :  1118300
DOI  :  10.1186/s12888-014-0286-8

 received in 2014-09-05, accepted in 2014-10-01,  发布年份 2014

【 摘 要 】

Background

Despite considerable research on substance-abuse placement matching, evidence is still inconclusive. The aims of this exploratory trial are to evaluate (a) the effects of following matching guidelines on health-care costs and heavy drinking, and (b) factors affecting the implementation of matching guidelines in the treatment of alcohol-dependent patients.

Methods

A total of 286 alcohol-dependent patients entering one of four participating detoxification units and having no arrangements for further treatment will be recruited. During the first week of treatment, all patients will be administered Measurements in the Addictions for Triage and Evaluation (MATE), European Quality of Life-Five Dimensions health status questionnaire (EQ-5D), and the Client Socio-Demographic and Service Receipt Inventory—European Version (CSSRI-EU). Patients who are randomly allocated to the intervention group will receive feedback regarding their assessment results, including clear recommendations for subsequent treatment. Patients of the control group will receive treatment as usual and, if requested, global feedback regarding their assessment results, but no recommendations for subsequent treatment. At discharge, treatment outcome and referral decisions will be recorded. Six months after discharge, patients will be administered MATE-Outcome, EQ-5D, and CSSRI-EU during a telephone interview.

Discussion

This trial will provide evidence on the effects and costs of using placement-matching guidelines based on a standardized assessment with structured feedback in the treatment of alcohol-dependent patients. A process evaluation will be conducted to facilitate better understanding of the relationship between the use of guidelines, outcomes, and potential mediating variables.

Trial registration

German Clinical Trials Register DRKS00005035 webcite. Registered 03 June 2013.

【 授权许可】

   
2014 Buchholz et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]UK alcohol treatment trial: client–treatment matching effects Addiction 2008, 103:228-238.
• [2]Project MATCH: comments on project MATCH: matching alcohol treatments to client heterogeneity.Addiction 1999, 94:31–69.
• [3]McLellan AT, Grissom GR, Zanis D, Randall M, Brill P, O’Brien CP: Problem-Service ‘Matching’ in Addiction Treatment: a prospective study in 4 programs. Arch Gen Psychiatry 1997, 54:730-735.
• [4]Hser Y-I, Polinsky ML, Maglione M, Anglin MD: Matching Clients’ needs with drug treatment services. J Subst Abuse Treat 1999, 16:299-305.
• [5]Rychtarik RG, Connors GJ, Whitney RB, McGillicuddy NB, Fitterling JM, Wirtz PW: Treatment settings for persons with alcoholism: evidence for matching clients to inpatient versus outpatient care. J Consult Clin Psychol 2000, 68:277-289.
• [6]Drummond C, Coulton S, James D, Godfrey C, Parrott S, Baxter J, Ford D, Lervy B, Rollnick S, Russell I, Peters T: Effectiveness and cost-effectiveness of a stepped care intervention for alcohol use disorders in primary care: pilot study. Br J Psychiatry 2009, 195:448-456.
• [7]Sobell MB, Sobell LC: Stepped care as a heuristic approach to the treatment of alcohol problems. J Consult Clin Psychol 2000, 68:573-579.
• [8]Magura S, Staines G, Kosanke N, Rosenblum A, Foote J, DeLuca A, Bali P: Predictive validity of the ASAM patient placement criteria for naturalistically matched vs mismatched alcoholism patients. Am J Addict 2003, 12:386-397.
• [9]McKay JR, Donovan DM, McLellan T, Krupski A, Hansten M, Stark KD, Geary K, Cecere J: Evaluation of full vs. partial continuum of care in the treatment of publicly funded substance abusers in Washington State. Am J Drug Alcohol Abuse 2002, 28:307-338.
• [10]Schippers GM, Schramade M, Walburg JA: Reforming Dutch substance abuse treatment services. Addict Behav 2002, 27:995-1007.
• [11]Merkx MJM, Schippers GM, Koeter MJW, Vuijk PJ, Oudejans S, De Vries CCQ, Van Den Brink W: Allocation of substance use disorder patients to appropriate levels of care: feasibility of matching guidelines in routine practice in Dutch treatment centres. Addiction 2007, 102:466-474.
• [12]Merkx MJM, Schippers GM, Koeter MWJ, Vuijk PJ, Oudejans SCC, Stam RK, Van den Brink W: Guidelines for allocating outpatient alcohol abusers to levels of care: predictive validity. Addict Behav 2011, 36:570-575.
• [13]Schippers GM, Broekman T, Buchholz A: MATE 2.1 Manual and Protocol. Bêta Boeken, Nijmegen; 2011.
• [14]Schippers GM, Broekman TG, Buchholz A, Koeter MWJ, Van den Brink W: Measurements in the Addictions for Triage and Evaluation (MATE): an instrument based on the World Health Organization family of international classifications. Addiction 2010, 105:862-871.
• [15]Merkx MJM, Schippers GM, Koeter MWJ, Vuijk PJ, Poch M, Kronemeijer H, van den Brink W: Predictive validity of treatment allocation guidelines on drinking outcome in alcohol-dependent patients. Addict Behav 2013, 38:1691-1698.
• [16]Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M: Developing and evaluating complex interventions: the new Medical Research Council guidance. Br Med J 2008, 337:979-983.
• [17]Schulte B, Schäfer I, Reimer J: Platzierungskriterien in der Suchttherapie in Deutschland - ein Diskussionsvorschlag. Suchttherapie 2003, 4:3.
• [18]Mann K, Loeber S, Croissant B, Kiefer F: Qualifizierte Entzugsbehandlung von Alkoholabhängigen: Ein Manual zur Pharmako- und Psychotherapie. Deutscher Ärzte Verlag, Köln; 2006.
• [19]Röhrig J, Buchholz A, Wahl S, Berner M: Placement matching for patients with alcohol use disorders using standardized assessment: a pilot study. Journal of Substance Use 2013. 2013. Early Online, 1-9 [Posted online on December 16, 2013. (doi:10.3109/14659891.2013.866175)
• [20]Friedrichs A, Kraus L, Berner M, Schippers GM, Broekman TG, Rist F, Piontek D, Röhrig J, Buchholz A: Adaptation of Dutch Allocation Guideline for Patients after Alcohol Detoxification – results of a Delphi survey [Adaption einer niederländischen Zuweisungsleitlinie für Patienten nach qualifi ziertem Alkoholentzug – Ergebnisse einer Delphi-Befragung]. Suchttherapie 2013, 14:1-7.
• [21]Oakley A, Strange V, Bonell C, Allen E, Stephenson J: RIPPLE study team: process evaluation in randomised controlled trials of complex interventions. Br Med J 2006, 332:413-416.
• [22]International Classification of Functioning, Disability and Health: ICF. WHO, Geneva; 2001.
• [23]Buchholz A, Rist F, Küfner H, Kraus L: Die deutsche Version des Measurements in the Addictions for Triage and Evaluation (MATE): Reliabilität, Validität und Anwendbarkeit. Sucht: Zeitschrift für Wissenschaft und Praxis 2009, 55:219-242.
• [24]Chisholm D, Knapp MRJ, Knudsen HC, Amaddeo F, Gaite L, Wijngaarden B: Client socio-demographic and service receipt inventory - European Version: development of an instrument for international research: EPSILON study 5. Br J Psychiatry 2000, 177:28-33.
• [25]Roick C, Kilian R, Matschinger H, Bernert S, Mory C, Angermeyer MC: Die deutsche Version des Client Sociodemographic and Service Receipt Inventory [German adaptation of the client sociodemographic and service receipt inventory - an instrument for the cost of mental health care]. Psychiat Prax 2001, 28:84,90.
• [26]Heinrich S, Deister A, Birker T, Hierholzer C, Weigelt I, Zeichner D, Angermeyer MC, Roick C, Konig HH: Accuracy of self-reports of mental health care utilization and calculated costs compared to hospital records. Psychiatry Res 2011, 185:261-268.
• [27]Prieto L, Novick D, Sacristán JA, Edgell ET, Alonso J: Prieto: a Rasch model analysis to test the cross-cultural validity of the EuroQoL-5D in the Schizophrenia Outpatient Health Outcomes Study. Acta Psychiatr Scand 2003, 107:24-29.
• [28]Brooks R: EuroQol-the current state of play. Health Policy 1996, 37:53-72.
• [29]Günther O, Roick C, Angermeyer MC, König HH: The EQ-5D in alcohol dependent patients: relationships among health-related quality of life, psychopathology and social functioning. Drug Alcohol Depend 2007, 86:253-264.
• [30]Spyra K, Kohn S, Ammelburg N, Schmidt C, Missel P, Lindenmeyer J: [Rehabilitee-management-categories (RMK)–results of the development phase and of the first clinical implementation in alcohol rehabilitation centres]. Rehabilitation (Stuttg) 2011, 50:298-307.
• [31]Degner LF, Sloan JA, Venkatesh P: The control preferences scale. Can J Nurs Res 1997, 29:21-43.
• [32]Sobell LC, Sobell MB, Connors GJ, Agrawal S: Assessing drinking outcomes in alcohol treatment efficacy studies: selecting a yardstick of success. Alcohol Clin Exp Res 2003, 27:1661-1666.
• [33]World Medical Association Declaration of Helsinki ethical principles for medical research involving human subjects JAMA 2013, 310:2191-2194.