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Assessing the validity of the Australian Treatment Outcomes Profile for telephone administration in drug health treatment populations

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Abstract
Introduction and Aims: The Australian Treatment Outcomes Profile (ATOP) is a brief clinical tool measuring recent substance use, health and wellbeing among clients attending alcohol and other drug (AOD) treatment services. It has previously beenassessed for concurrent validity and inter-rater reliability. In this study we examine whether it is suitable for administration over thetelephone. Design and Methods: We recruited a sample of 107 AOD clients across public sector specialist AOD treatment services in New South Wales, Australia between 2016 and 2018. Participants had a mean age of 47 years and 46% were female.Participants completed a face-to-face ATOP and a phone ATOP with a researcher within 5 days. Comparisons between the twoadministration modes were undertaken using Spearman’s rank correlation coefficient for continuous or ordinal variables, andCohen’s Kappa for nominal variables. Results. Among 107 participants, 59% were attending for alcohol treatment and 41%for opioid treatment. Most ATOP items (76%) reached above 0.7 (good) or 0.9 (excellent) agreement between face-to-faceand telephone use. Discussion and Conclusions: Our findings suggest that the ATOP is a suitable instrument for telephonemonitoring of recent substance use, health and social functioning among AOD clients. Its validation for remote use over the telephone will support staff to monitor clients’ risks and outcomes—of particular relevance in response to the COVID-19 pandemic inwhich services are increasingly relying on telework approaches to client monitoring.
Item Type: | Article |
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Authors/Creators: | Deacon, RM and Mammen, K and Holmes, J and Dunlop, A and Bruno, R and Mills, L and Graham, R and Lintzeris, N |
Keywords: | telemedicine, outcome assessment, health care, psychometric, substance-related disorder |
Journal or Publication Title: | Drug and Alcohol Review |
Publisher: | Carfax Publishing |
ISSN: | 0959-5236 |
DOI / ID Number: | https://doi.org/10.1111/dar.13088 |
Copyright Information: | © 2020 Australasian Professional Society on Alcohol and other Drugs |
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