Historique
Périodique
Allocating treatment options to patient profiles: clinical art or science?
(Déterminer des options de traitement en fonction du profil des patients : peut-on se fonder sur la science ou sur un art thérapeutique ?)
Auteur(s) :
BÜHRINGER, G.
Année
2006
Page(s) :
646-656
Langue(s) :
Anglais
Refs biblio. :
49
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
TRAITEMENT
;
PRISE EN CHARGE
;
PROGRAMME
;
DEMANDE
;
DIAGNOSTIC
;
METHODE
;
ORIENTATION
;
EFFICACITE
Note générale :
Addiction, 2006, 101, (5), 646-656
Résumé :
ENGLISH :
Background For many researchers, the disappointing results of Project MATCH were the death blow for any further activities in the field of patienttreatment interactions. On the other hand, we have an increased knowledge of patient heterogeneity and a greater variety of treatment options than before, and allocation guidelines for an ongoing process of patient-placement decisions are of high practical relevance. Aims To analyse deficits in the current research and to provide suggestions for future action. Findings It is argued that (1) certain major design aspects of Project MATCH and other research studiessuch as stringent patient exclusion criteria and low treatment 'dosage'minimize the chances of detecting possible patienttreatment interactions and (2) Project MATCH obscures our view of previous treatment-allocation research findings. Conclusions Several research strategies and specific research topics are suggested for (1) improving the theoretical and methodological basis for detecting possible patienttreatment interactions and (2) stimulating research on major treatment decision needs, such as site, setting, time in treatment (extensiveness and intensity), service components and specific treatment modules. More international research cooperation is needed to clarify the inconsistent findings. (Author' s abstract)
Affiliation :
Technische Univ. Dresden, Klinische Psychologie und Psychotherapie, Addiction Research Unit. Chemnitzer Str. 46, D-01187 Dresden. Email : buehringerpsychologie.tu-dresden.de
Allemagne. Germany.
Allemagne. Germany.