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首页> 外文期刊>Substance Abuse Treatment, Prevention, and Policy >Variation in brief treatment for substance use disorder: a qualitative investigation of four federally qualified health centers with SBIRT services
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Variation in brief treatment for substance use disorder: a qualitative investigation of four federally qualified health centers with SBIRT services

机译：用于物质使用障碍的简要治疗变异：对SBIRT服务的四个联邦合格的医疗中心进行定性调查

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Brief treatment (BT) can be an effective, short-term, and low-cost treatment option for many people who misuse alcohol and drugs. However, inconsistent implementation is suggested to result in BT that often looks and potentially costs similar to regular outpatient care. Prior research is also rife with inconsistent operationalizations regarding the measurement of BT received by patients. As such, there is a need to more explicitly identify and document variations in BT practice. A qualitative investigation of BT in four Federally Qualified Health Centers (FQHC) was undertaken as a sub study of a larger clinical trial. Researchers interviewed 12 staff (administrators and clinicians) involved in BT oversight, referral, or delivery within the four FQHCs. Data were analyzed following an inductive approach guided by the primary research questions. Findings demonstrate considerable differences in how BT was conceptualized and implemented within the FQHCs. This included a variety of ways in which BT was presented and described to patients that likely impacts how they perceive the BT they receive, including potentially not understanding they received substance use disorder treatment at all. The findings raise questions regarding the validity of prior research, demonstrating more objective definitions of BT and fidelity checklists are needed to ensure integrity of results. Future work in this area should seek to understand BT as practiced among a larger sample of providers and the direct experiences and perspectives of patients. There is also a need for more consistent implementation, quality assurance guidelines, and standardized stage of change assessments to aid practitioners.
机译：对于许多滥用酒精和药物的人来说，简要治疗（BT）可以是有效的，短期和低成本的处理选择。然而，建议不一致的实施，以导致BT通常看起来和潜在的成本类似于常规门诊护理。目前的研究还具有关于患者收到的BT的测量的不一致的运作。因此，需要更明确地识别和记录BT实践中的变化。在四个联邦合格的健康中心（FQC）中对BT进行定性调查是对临床试验的次临床研究。研究人员采访了12名员工（管理员和临床医生）参与了BT监督，推荐或在四个FQCS内交付。通过初级研究问题指导的归纳方法进行分析数据。调查结果证明了BT如何在FQCS内概念化和实施的相当大的差异。这包括各种方式，其中BT被提出并描述给可能影响他们如何感知他们所接受的BT的患者，包括可能并不理解他们收到物质使用障碍治疗。这些调查结果提出了关于现有研究的有效性的问题，证明需要更多客观的定义，以确保结果的完整性。该地区的未来工作应寻求理解BT，如在更大的提供商样本和患者的直接经验和视角之间实践。还需要更加一致的实施，质量保证指南和改变评估的标准化阶段，以援助从业者。

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