Patient-centered feedback on the results of personality testing increases early engagement in residential substance use disorder treatment: A pilot randomized controlled trial

被引：24
作者：
Blonigen D.M. [1 ,2 ]
Timko C. [1 ,4 ]
Jacob T. [2 ,3 ]
Moos R.H. [1 ,4 ]
机构：
[1] Center for Innovation to Implementation, Veterans Affairs Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, 94025, CA
[2] Family Research Center, VA Palo Alto Health Care System, 795 Willow Road (152-MPD), Menlo Park, 94025, CA
[3] Palo Alto University, 1791 Arastradero Road, Palo Alto, 94304, CA
[4] Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, 401 Quarry Road, Palo Alto, 94304, CA
来源：
Addiction Science & Clinical Practice | / 10卷 / 1期
关键词：
Feedback; Patient-centered care; Personality testing; Substance use disorders; Therapeutic assessment; Treatment engagement;
D O I：
10.1186/s13722-015-0030-9
中图分类号：
学科分类号：
摘要：
Background: Patient-centered models of assessment have shown considerable promise for increasing patients' readiness for mental health treatment in general, but have not been used to facilitate patients' engagement in substance use disorder (SUD) treatment. We developed a brief patient-centered intervention using assessment and feedback of personality data and examined its acceptability and efficacy to increase early engagement in residential SUD treatment. Methods: Thirty patients entering a 90-day residential SUD treatment program were randomly assigned to a feedback (n = 17) or control (n = 13; assessment-only) condition. Normal-range personality was assessed with the NEO Personality Inventory-Revised (NEO PI-R). Patients were re-interviewed one month after treatment entry to obtain information on their satisfaction with the intervention, as well as their adjustment to the residential milieu. Electronic medical records were reviewed to obtain information on patients' length of stay in the program and discharge status. Univariate ANOVAs and chi-square tests were conducted to examine group differences on outcomes. Results: Patients' ratings indicated strong satisfaction with the feedback intervention and expectations that it would have a positive impact on their treatment experiences. Among patients who had not previously been treated in the residential program, the feedback intervention was associated with more positive relationships with other residents in treatment and a stronger alliance with the treatment program one month after treatment entry. The feedback intervention was also associated with a longer length of stay in treatment, although this effect did not reach statistical significance. Conclusions: The findings highlight the clinical utility of providing SUD patients with patient-centered feedback based on the results of personality testing, and provide preliminary support for the acceptability and efficacy of this intervention to facilitate early engagement in residential SUD treatment. © 2015 Blonigen et al.; licensee BioMed Central.
引用
收藏
相关论文
共 27 条
[1]  
Moos R.H., Moos B.S., Long-term influence of duration and intensity of treatment on previously untreated individuals with alcohol use disorders, Addiction, 98, pp. 325-337, (2003)
[2]  
Simpson D.D., A conceptual framework for drug treatment process and outcomes, J Subst Abuse Treat, 27, pp. 99-121, (2004)
[3]  
Hser Y.I., Evans E., Huang D., Anglin D.M., Relationship between drug treatment services, retention, and outcomes, Psychiatr Serv, 55, pp. 767-774, (2004)
[4]  
Gifford E.V., Ritsher J.B., McKellar J.D., Moos R.H., Acceptance and relationship context: A model of substance use disorder treatment outcome, Addiction, 101, pp. 1167-1177, (2006)
[5]  
Harris A.H., McKellar J.D., Moos R.H., Schaefer J.A., Cronkite R.C., Predictors of engagement in continuing care following residential substance use disorder treatment, Drug Alcohol Depend, 84, pp. 93-101, (2006)
[6]  
Moos R.H., King M.J., Participation in community residential treatment and substance abuse patients' outcomes at discharge, J Subst Abuse Treat, 14, pp. 71-80, (1997)
[7]  
Moos R., Finney J., Cronkite R., Alcoholism Treatment: Context, Process, and Outcome, (1990)
[8]  
Ball S.A., Carroll K.M., Canning-Ball M., Rounsaville B.J., Reasons for dropout from drug abuse treatment: Symptoms, personality, and motivation, Addict Behav, 31, pp. 320-330, (2006)
[9]  
Samuel D.B., Lapaglia D.M., Maccarelli L.M., Moore B.A., Ball S.A., Personality disorders and retention in a therapeutic community for substance dependence, Am J Addict, 20, pp. 555-562, (2011)
[10]  
Finn S.E., Manual for Using the MMPI-2 As A Therapeutic Intervention, (1996)
123