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Advisor(s)
Abstract(s)
There has been an increasing call for service users to be more actively involved with the
evaluation of treatment outcomes. One strategy to impove such involvement is to ask service
users to contribute with their own criteria for evaluation by sharing their personal story and
perspective about their clinical situation. In this cross-sectional study, we contrasted the
contents elicited by service users completing two individualised measures against the contents
of three widely used standardised measures. We also compared two methods to generate
individualised data using self-report and interview-based instruments (PSYCHLOPS and PQ).
Following a thematic comparison approach, we found that one quarter of the problems
reported by patients in individualised measures were not covered by any of our standardised
comparators. Also, half of our sample generated at least one problem whose theme was not
covered by any of the three standardised measures. We also found that patients in this
population have many other concerns beyond drug use. These included psychological (e.g.
interpersonal relationships) and socio-economic (e.g. money) problems, which were frequently
reported. Our study suggests that listening to service users’ stories allows us to capture issues
of importance to service users in substance use treatment, which may be underestimated by
standardised measures.
Description
Keywords
Substance use treatment evaluation Substance use treatment evaluation Personalised assessment Standardised measures Individualised measures
Citation
Publisher
Springer