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Sponsors and Collaborators: |
University of Pennsylvania New York University School of Medicine |
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Information provided by: | University of Pennsylvania |
ClinicalTrials.gov Identifier: | NCT00622154 |
The purpose of this study is to assess whether the use of a performance improvement intervention (Patient Feedback) increases clinician performance (as assessed by average clinician caseload rates of reduced drug and alcohol use and attendance) in community-based substance abuse treatment programs.
Condition | Intervention |
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Substance Abuse |
Behavioral: Patient Feedback system |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Open Label, Parallel Assignment |
Official Title: | Patient Feedback: A Quality Improvement Study in Outpatient Settings |
Estimated Enrollment: | 125 |
Study Start Date: | May 2006 |
Estimated Study Completion Date: | May 2009 |
Estimated Primary Completion Date: | May 2008 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Intervention: Experimental
Clinics which utilize the full patient feedback system for a 12 week period.
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Behavioral: Patient Feedback system
Patient Feedback is a bundled intervention designed to rapidly capture and feed back patient ratings of therapeutic alliance, treatment satisfaction, and patient attendance rates. Additionally, the Patient Feedback News and website provide social recognition for organizational achievements. Patient Feedback is composed of seven interrelated components: 1) Patient Feedback Survey; 2) Attendance Form; 3) Feedback Reports; 4) Team Meetings; 5) Patient Feedback News; 6) Patient Feedback Website; and 7) Internet-based Conferencing
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Delayed: Active Comparator
Clinics which experience a 12 week delay before having access to the full patient feedback system.
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Behavioral: Patient Feedback system
Patient Feedback is a bundled intervention designed to rapidly capture and feed back patient ratings of therapeutic alliance, treatment satisfaction, and patient attendance rates. Additionally, the Patient Feedback News and website provide social recognition for organizational achievements. Patient Feedback is composed of seven interrelated components: 1) Patient Feedback Survey; 2) Attendance Form; 3) Feedback Reports; 4) Team Meetings; 5) Patient Feedback News; 6) Patient Feedback Website; and 7) Internet-based Conferencing
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Using clinician performance data obtained from the PF Survey, patient attendance data, and staff measures, we propose to achieve the following specific aims:
The primary endpoints to be measured in this study include:
1. Levels of patient drug and alcohol use per clinician. Patients report their own substance abuse within the past week on items 11 and 12 of the PF survey. The weekly averaged drug and alcohol use, averaged for all patients (and for the subset of patients in treatment for 1 month or less) for each clinician, will be used.
The secondary endpoints to be measured in this study include:
The study consists of a pre-intervention phase lasting several weeks and an intervention phase lasting 12 weeks (or as many weeks as is necessary to collect 12 assessments, noting that clinic closures may occur for holidays, etc.). A final optional sustainability phase examines clinic use of the PF system over a one year period.
Individual clinics will be initiated on a rolling enrollment basis, in three cohorts of 10-12 clinics each.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
United States, New York | |
New York University School of Medicine | |
New York, New York, United States, 10010 | |
United States, Pennsylvania | |
University of Pennsylvania | |
Philadelphia, Pennsylvania, United States, 19104 |
Principal Investigator: | Paul F Crits-Christoph, Ph.D. | University of Pennsylvania |
Principal Investigator: | John Rotrosen, M.D. | New York University School of Medicine |
Responsible Party: | University of Pennsylvania ( Paul Crits-Christoph, PhD ) |
Study ID Numbers: | 804615, 1-R01-DA-020799-01, 1-R01-DA-020809-1 |
Study First Received: | February 7, 2008 |
Last Updated: | October 28, 2008 |
ClinicalTrials.gov Identifier: | NCT00622154 History of Changes |
Health Authority: | United States: Federal Government |
Substance abuse Quality control Patient Feedback Community mental health |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |
Mental Disorders Substance-Related Disorders Disorders of Environmental Origin |