Abstract
Background Practitioners need brief instruments to monitor outcomes in both treatment of drugs and alcohol addiction because they are useful to guide decision making in a short time.Objectives This study aims to develop a brief questionnaire, based on Client Evaluation of Self and Treatment, to evaluate the treatment effectiveness in drug and alcohol addiction treatment settings.Methods A cross-sectional study using a convenience sample (N = 608) recruited from Division for Intervention on Addictive Behaviours and Dependencies (DICAD – ARS North).Results The results show a new four-factor solution that accounted for 54.4% of the total variance and that provides the best fit to the data (c2/df = 1.72, CFI = .94, GFI = .91, RMSEA = .048 [.040-.057]; prmsea = .623). It also revealed a high internal consistency (a = .82). It was found a significant negative correlation (r = - .52, p < .01) between the final version of the instrument and a self report measure of psychopathology symptoms.Discussion This brief questionnaire, with good psychometric properties, can be useful to provide a viable and rapid feedback of treatment outcomes. Further studies should be performed to continue the evaluation of the reliability of this measure.
Highlights
There have been significant changes in addiction treatment over the past three decades, where has been a significant movement from inpatient to outpatient programs
One is the rehabilitation-oriented model is the traditional paradigm where the method used to evaluate the effectiveness of addiction treatment is based on post-treatment follow-up outcomes, assuming that benefits were attained during treatment, and positive changes have occurred by the end of the treatment, and it is expected sustained abstinence at the time of follow-up[2]
The main goal of this article was to develop a brief questionnaire of treatment monitoring, suitable for both inpatient and outpatient programs, to assess critical indicators of treatment effectiveness in a short time period
Summary
There have been significant changes in addiction treatment over the past three decades, where has been a significant movement from inpatient to outpatient programs. One is the rehabilitation-oriented model is the traditional paradigm where the method used to evaluate the effectiveness of addiction treatment is based on post-treatment follow-up outcomes, assuming that benefits were attained during treatment, and positive changes have occurred by the end of the treatment, and it is expected sustained abstinence at the time of follow-up[2]. According to White[3] the problem is that “groups like Narcotics Anonymous (NA) have defined recovery in terms of abstinence from drug use, but addiction scientists have generally defined recovery from illicit drug dependence in terms of problem resolution rather than absence of drug use” This conceptualization “would allow measuring levels of outcomes over time and answer questions about the viability of particular problemresolution strategies for particular populations”[3]. Further studies should be performed to continue the evaluation of the reliability of this measure
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