Predictors of consent and engagement to participate in telephone delivered continuing care following specialist residential alcohol and other drug treatment

Kelly, Peter J.; Ingram, Isabella; Deane, Frank P.; Baker, Amanda; Robinson, Laura; Byrne, Gerard; Degan, Tayla; Osborne, Briony; Townsend, Camilla J.; Nunes, Jason L.; Lunn, Joanne

doi:10.1016/j.addbeh.2021.106840

Cited by 2 publications

(3 citation statements)

References 26 publications

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“…Furthermore, evidence has suggested that those who drop out of residential SUD treatment are often at risk of health literacy inadequacies (Batterham et al, 2016). Although the broader CCP had 99% of people attending the services wish to take part in the project (Kelly et al, 2021), many were lost to follow-up post-residential SUD treatment, and the sample included in the present study were only those who completed the HLQ at both first assessment and 6 months. This is a limitation, as a more motivated group of individuals may have been included in the present study.…”

Section: Limitations and Strengthsmentioning

confidence: 96%

“…Inclusion criteria for the CCP were residence in a treatment facility for a SUD for at least 4 weeks, access to a telephone and not at risk of suicide or experiencing unstable mental health symptoms. In total, 99% of people accessing the residential facilities indicated an interest in the CCP (Kelly et al, 2021). After determining participant eligibility, 80% of those indicating an interest in the study participated.…”

Section: Participantsmentioning

confidence: 99%

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Post-treatment Outcomes and Changes in Health Literacy of People Discharged from Specialist Substance Use Disorder Treatment Services

Degan

Robinson

Deane

et al. 2022

Int J Ment Health Addiction

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Health literacy comprises an individual’s ability to adequately access, understand and utilise health information, enabling effective navigation of the healthcare system. Low health literacy is a problem for people living with substance use disorders (SUDs). This study aims to examine whether health literacy changes for people discharged from specialist SUD treatment services. Two hundred thirty-one people recruited from residential SUD treatment services across New South Wales, Australia, completed a questionnaire upon entry into the service and again at 6 months post-treatment. Treatment outcomes were also measured. Three health literacy profiles were identified: lowest (n = 52, 22.5%), moderate (n = 111, 48.1%) and highest health literacy (n = 68, 29.4%). Lowest and moderate profiles showed improved health literacy at 6 months. However, the lowest profile still had significantly lower health literacy, quality of life and higher levels of psychological distress compared with participants in the highest profile at 6 months. People within the lowest health literacy profile improved, although they continued to experience lower health literacy and some poorer treatment outcomes. Health literacy interventions tailored for people within lowest health literacy profiles should be implemented and assessed for effectiveness within specialist SUD treatment services.

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Section: Limitations and Strengthsmentioning

confidence: 96%

Section: Participantsmentioning

confidence: 99%

Post-treatment Outcomes and Changes in Health Literacy of People Discharged from Specialist Substance Use Disorder Treatment Services

Degan

Robinson

Deane

et al. 2022

Int J Ment Health Addiction

Self Cite

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“…Recently, the telephone delivered continuing care intervention developed by McKay et al . [7] was trialled with individuals discharged from residential AOD treatment services in Australia [see 13,14]. Given the scarcity of literature examining clinician perspectives on implementing continuing care, the current study sought to understand CCW and supervisor perceptions of the barriers and facilitators to implementing the telephone‐based continuing care intervention.…”

Section: Introductionmentioning

confidence: 99%

Continuing care following residential alcohol and other drug treatment: Continuing care worker perceptions

Ingram

Kelly

Carradus

et al. 2021

Drug and Alcohol Review

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Introduction Little is known about the experiences of continuing care workers (CCW) in the implementation of continuing care programs. The current study sought to understand CCWs and supervisor perceptions of the successes and challenges of implementing a telephone‐based continuing care intervention following residential alcohol and other drug treatment services. It also aimed to provide recommendations for treatment providers wishing to integrate continuing care into their treatment model, including the resources, training and supervision needs of CCWs. Methods The participants were eight CCWs and two independent supervisors who completed semi‐structured interviews. Interview coding and analysis was guided by Iterative Categorisation procedures and an implementation framework. The Consolidated Framework for Implementation Research was used. Results Telephone delivery was advantageous, but even more enhanced, when there was a face‐to‐face session first to build rapport. Other key successes included CCWs who were confident and competent, as well as a match between the organisation's values and the philosophy of the continuing care program. Key challenges faced by CCWs related to a perceived lack of support from managers, difficulties accessing quiet office spaces and participant disengagement. Discussion and Conclusions Interviews revealed several factors that may influence successful delivery of continuing care as part of alcohol and other drug treatment. These included features of the intervention (e.g. telephone delivery, evidence‐based content), characteristics of the individual CCWs (e.g. flexibility in delivery of the intervention while maintaining fidelity), organisational culture (e.g. alignment of organisational values with continuing care) and resources (e.g. office space, flexible work schedules).

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Predictors of consent and engagement to participate in telephone delivered continuing care following specialist residential alcohol and other drug treatment

Cited by 2 publications

References 26 publications

Post-treatment Outcomes and Changes in Health Literacy of People Discharged from Specialist Substance Use Disorder Treatment Services

Post-treatment Outcomes and Changes in Health Literacy of People Discharged from Specialist Substance Use Disorder Treatment Services

Continuing care following residential alcohol and other drug treatment: Continuing care worker perceptions

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