Historique
Article de Périodique
Matching patients with substance use disorder to optimal level of care with the ASAM Criteria software (2015)
Auteur(s) :
M. STALLVIK ;
D. R. GASTFRIEND ;
H. M. NORDAHL
Article en page(s) :
389-398
Domaine :
Alcool / Alcohol ; Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus géographique
NORVEGE
Thésaurus mots-clés
TRAITEMENT
;
ORIENTATION
;
PRISE EN CHARGE
;
ETUDE PROSPECTIVE
;
ALCOOL
;
CANNABIS
Résumé :
Great variation in assessment across Norwegian addiction programs necessitated a solution for harmonization. The American Society of Addiction Medicine (ASAM) Criteria Software is a computer-assisted structured interview and clinical decision support program. Using validated tools (e.g. Addiction Severity Index; ASI), it measures biopsychosocial conditions to match patients to an optimal level of care (LOC).
Methods: This prospective, 10-site, double-blind study assessed a convenience sample of eligible treatment-seekers with substance use disorders in central Norway at intake (n = 261) and three months after naturalistic LOC placement (n = 153) on: (1) retention, (2) severity on seven ASI Composite Subscale Scores (controlling for differential dropout and baseline values) and (3) readiness for step-down care.
Results: Retention differed significantly across groups and was lowest with under-matching vs. matching/over-matching (45% vs. 62% vs. 70%, p = 0.024). Matched patients reported less month-3 vs. baseline alcohol (p Conclusions: Although more research is needed. The ASAM Criteria Software demonstrates predictive validity using all three prospectively planned measures.
Methods: This prospective, 10-site, double-blind study assessed a convenience sample of eligible treatment-seekers with substance use disorders in central Norway at intake (n = 261) and three months after naturalistic LOC placement (n = 153) on: (1) retention, (2) severity on seven ASI Composite Subscale Scores (controlling for differential dropout and baseline values) and (3) readiness for step-down care.
Results: Retention differed significantly across groups and was lowest with under-matching vs. matching/over-matching (45% vs. 62% vs. 70%, p = 0.024). Matched patients reported less month-3 vs. baseline alcohol (p Conclusions: Although more research is needed. The ASAM Criteria Software demonstrates predictive validity using all three prospectively planned measures.
Affiliation :
R & D Department, Clinic of Substance Use and Addiction Medicine, St. Olav's University Hospital, Trondheim, Norway