The Problem-Oriented Record

Fowler, D. Robert; Longabaugh, Richard

doi:10.1001/archpsyc.1975.01760250023001

Cited by 24 publications

(5 citation statements)

References 9 publications

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“…The details of patient recruitment and the patient population are presented elsewhere . Criteria for study inclusion were that the patient (a) be at least 18 years old, (b) have sufficient functioning to be treated in an outpatient setting, (c) have a positive score on the Alcohol Impairment Index (Armor, Polich, & Stambul, 1978), and (d) have alcohol abuse or dependence listed as a problem to be treated on the problem list of the patient's problem-oriented medical record used at this medical facility (Fowler & Longabaugh, 1975;Longabaugh, Fowler, Stout, & Kreibel, 1983). Of the 279 patients who met the criteria for study inclusion and who gave informed consent to participate in the research protocol, 229 patients (82%) completed the baseline assessment and were randomized to treatment condition.…”

Section: Methods Patient Populationmentioning

confidence: 99%

Matching treatment focus to patient social investment and support: 18-month follow-up results.

Longabaugh¹,

Wirtz²,

Beattie³

et al. 1997

Addictive Behaviors: Readings on Etiology, Prevention, and Treatment.

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In recent years, there has been an increasing focus in psychotherapy research toward identifying combinations of patient and treatment factors that increase treatment effectiveness (butler, 1991;Blatt & Felsen, 1993; Dance & Neufeld, 1988). As indicated by an examination of attributetreatment interactions conducted previously in educational testing research (Cronbach & Snow, 1977), such study requires sophistication in research Reprinted from the J o u d of Consulting and Clinical Psychology, 63, 296-307. (1995).

show abstract

Section: Methods Patient Populationmentioning

confidence: 99%

Matching treatment focus to patient social investment and support: 18-month follow-up results.

Longabaugh¹,

Wirtz²,

Beattie³

et al. 1997

Addictive Behaviors: Readings on Etiology, Prevention, and Treatment.

View full text Add to dashboard Cite

show abstract

“…The details of patient recruitment and the patient population are presented elsewhere (Longabaugh et al, 1993). Criteria for study inclusion were that the patient (a) be at least 18 years old, (b) have sufficient functioning to be treated in an outpatient setting, (c) have a positive score on the Alcohol Impairment Index (Armor, Polich, & Stambul, 1978), and (d) have alcohol abuse or dependence listed as a problem to be treated on the problem list of the patient's problem-oriented medical record used at this medical facility (Fowler & Longabaugh, 1975; Longabaugh, Fowler, Stout, & Kreibel, 1983). Of the 279 patients who met the criteria for study inclusion and who gave informed consent to participate in the research protocol, 229 patients (82%) completed the baseline assessment and were randomized to treatment condition.…”

Section: Methodsmentioning

confidence: 99%

Matching treatment focus to patient social investment and support: 18-month follow-up results.

Longabaugh¹,

Wirtz²,

Beattie³

et al. 1995

Journal of Consulting and Clinical Psychology

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Patients were randomly assigned to 1 of 3 treatments: brief broad-spectrum (BBS), extended relationship enhancement (ERE), or extended cognitive-behavioral (ECB). A hierarchical latent growth model was used to analyze the data of 188 patients (82%) followed for 18 months. ERE treatment was significantly more effective in increasing abstinence of patients entering treatment with a network unsupportive of abstinence or with a low level of investment in their network, whereas BBS treatment was more effective for patients with either (a) both a social network unsupportive of abstinence and a low level of network investment or (b) high investment in a network supportive of abstinence. ECB outcomes were neither as good as those matched nor as bad as those mismatched to the different exposures of relationship enhancement. This suggests that dose of relationship enhancement should be determined after assessing patient relationships.

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“…Since Lawrence Weed's 1969 publication 1 recommending the use of the problem‐oriented record (POR), interest has spread. Many reports have dealt with applications and modifications of the POR for doctors'offices, inpatient psychiatric facilities, and general hospital areas 2–11 . Modifications of the POR for long‐term care facilities are less frequently documented 12–16…”

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confidence: 99%

Team Approach to the Problem‐oriented Record in a Long‐term Care Facility

Beattie

Crawshaw²

1982

J American Geriatrics Society

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At the Extended Care Unit of the Health Sciences Centre Hospital at the University of British Columbia, team participation in the care of 300 elderly patients includes the team's ability to facilitate use of the problem-oriented record (POR). The key to making the POR a functional communication tool was the development of a useful Problem List. In establishing this system, many difficulties arose. It was imperative to recognize that many staff members had not been trained in problem-solving techniques, and that they had varying degrees of knowledge about the data base. Active physician involvement was mandatory. Employment of a half-time POR Coordinator working with a supporting interdisciplinary POR Committee was needed to make the system work. Guidelines for defining problems were developed, and Problem Lists gradually acquired significance for the entire health care team. Examples are included. Concurrent continuing education was started in pathophysiology, problem-solving, and use of the POR.

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The Problem-Oriented Record

Cited by 24 publications

References 9 publications

Matching treatment focus to patient social investment and support: 18-month follow-up results.

Matching treatment focus to patient social investment and support: 18-month follow-up results.

Matching treatment focus to patient social investment and support: 18-month follow-up results.

Team Approach to the Problem‐oriented Record in a Long‐term Care Facility

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