Patient Feedback Effectiveness Study

NCT ID: NCT00798044

Last Updated: 2012-01-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 118 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2006-11-30
• Study Completion Date: 2009-04-30

Brief Summary

The purpose of the study is to determine if a semi-automated quality improvement system that provides addiction counselors with feedback on their average treatment satisfaction and therapeutic alliance (as rated by patients currently in treatment) is superior to no feedback in 32 community-based outpatient addiction treatment clinics.

Detailed Description

Quality improvement (Ql) methods are a cornerstone of business and healthcare management throughout the United States yet there have been few studies of Ql interventions in addiction treatment settings. The proposed study tests the effectiveness of one Ql system - Patient Feedback (PF) - at increasing outpatient group therapy attendance and self-reported abstinence. The feasibility and acceptability of PF was established in a six-site study conducted within the National Drug Abuse Treatment Clinical Trials Network. In the proposed study, 32 community-based outpatient treatment programs with approximately 250 clinicians will be randomly assigned to PF, or usual clinic practices. In the PF condition, every week fro 12 weeks clinic patients are invited to complete a 12-item, self-administered survey in which they rate therapeutic alliance and treatment satisfaction, and report past week substance use. These anonymous surveys are faxed by clinic staff to a University of Pennsylvania data center where a custom software application converts the surveys into feedback reports and posts them to a password protected website. Clinicians can access their caseload feedback reports and aggregated reports for the whole clinic; supervisors can only access the aggregated clinic reports. On a monthly basis staff meet as a team to review the feedback reports and develop Ql plans intended to yield improvements in select Ql indicators. The PF website and the monthly PF e-newsletter provide social recognition, clinical resources, and a virtual community for participating clinicians. After 12 weeks, participants in both conditions complete follow-up measures and then both groups are given open access to PF for 12 additional months. During "sustainability phase" staff usage of the PF website is monitored. Alternate versions of the PF Survey are introduced during the sustainability study, including one that monitors HIV risk behavior. The rapid processing of surveys enables near real time feedback to clinic staff. Organizations may share their feedback reports with funding sources, regulatory agencies, policy makers, and other stakeholders. This centralized, semi-automated feedback system eases fulfillment of accreditation requirements and as such, reduces the cost of clinic operations.

Conditions

Substance Use Disorders

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Blinding Strategy: NONE

Study Groups

Feedback to counselors

substance abuse counselors received feedback reports on their average performance and on the average performance of the clinic as a whole. Feedback reports contained information on average alliance, treatment satisfaction, and drug/alcohol use.

Group Type: EXPERIMENTAL

Other: quality improvement feedback system

Intervention Type: BEHAVIORAL

Surveys patients regarding treatment experiences.

Patient Feedback

Intervention Type: BEHAVIORAL

Weekly feedback reports provided to counselors

Treatment as Usual

No feedback reports were provided in this arm.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Other: quality improvement feedback system

Surveys patients regarding treatment experiences.

Intervention Type: BEHAVIORAL

Patient Feedback

Weekly feedback reports provided to counselors

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• program: adult, outpatient, non-methadone maintenance substance abuse treatment programs
• clinician: must be leading at least one weekly group with minimum of 5 patients
• must be working at least 20% time at facility

Exclusion Criteria

• clinics with fewer than 5 clinicians who conduct weekly group counseling
• clinics in which fewer than 50% of clinicians agree to participate

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institute on Drug Abuse (NIDA)

NIH

Sponsor Role: collaborator

University of Pennsylvania

OTHER

Sponsor Role: lead

Responsible Party

Paul Crits-Christoph

Professor of Psychology in Psychiatry

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Paul Crits-Christoph, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

New York University School of Medicine

New York, New York, United States

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Countries

United States

Other Identifiers

R01DA020799

Identifier Type: NIH

Identifier Source: secondary_id

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R01DA020799

Identifier Type: NIH

Identifier Source: org_study_id

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NCT00622154

Identifier Type: -

Identifier Source: nct_alias