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Outcome Measurement and Evaluation as a Routine practice in alcohol and other drug services in Belgium (OMER-BE)
- C. Migchels, A. Zerrouk, F. Matthys, W. van den Brink, K. Fernandez, J. Antoine, W. Vanderplasschen, C. L. Crunelle
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, pp. S141-S142
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Introduction
There is a variety of specialized outpatient and residential Alcohol and Other Drugs (AOD) services, but research on outcomes of these services is limited. Given the chronic, relapsing nature of AOD problems, there is a need for longitudinal research on outcomes after treatment in various AOD services.
Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) are hardly used in the AOD field but provide excellent tools and a framework to monitor progress and outcomes in these services based on experiences of service users.
ObjectivesThe objectives of the OMER-BE study are to:
1. Assess and compare patient characteristics at baseline in various treatment modalities
2. Test and prepare the routine measurement of PROMs and PREMs in AOD services using a self-report tool
3. Assess patient-reported experiences qualitatively in various treatment modalities for AOD patients
The overall goal is to continuously assess and improve AOD services.
MethodsWe have set up a naturalistic, longitudinal cohort study for which we will engage and follow up 250 AOD users as they present themselves in selected AOD services in four different treatment modalities (outpatient non-pharmacological treatment, outpatient substitution treatment, residential psychiatric treatment and therapeutic communities for addictions).
Sociodemographic and clinical factors and PROMs will be assessed at baseline. PROMs and PREMs will be assessed at 45-, 90- and 180-days follow-up. The questionnaires that will be used during the baseline and follow-up assessments are based on the ICHOM Standard Set for Addictions (ICHOM SSA, 2020), a set of brief validated questionnaires to measure and monitor treatment outcomes routinely in AOD services.
Following the 6-month follow-up we will perform a qualitative study in a subset of N=20 participants (5 per treatment modality). These participants will be invited to take part in an in-depth interview with one of the researchers, where the following topics will be discussed: treatment history, recovery experiences, helping and hindering factors in recovery, and experiences with different treatment modalities.
Results47 participants have been recruited in the OMER-BE study up until October 2022. 38 (81%) of the participants were born male, 9 (19%) were born female. The average age of participants is 33, with ages ranging from 19 to 47 years old.
Preliminary findings will be presented at the congress.
Further recruitment of study participants up to a total of 250 will be undertaken until the end of 2023.
ConclusionsThe OMER-BE study aims to assess and improve AOD services by using a self-report tool, measuring PROMs and PREMs.
Disclosure of InterestNone Declared
EPA-0029 – The Role of Phenomenology in Adolescent Psychiatric Research
- J. Sibeoni, A. Khiar Zerrouk, M. Orri, J. Lachal, Qualigramh, A. Revah-Levy, M.R. Moro
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- Journal:
- European Psychiatry / Volume 29 / Issue S1 / 2014
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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The aim of this communication is to show how the phenomenological method, adapted for scientific purposes, can help medical research to improve our understanding and our knowledge about psychiatric disorders during adolescence.
Adolescence is a complex process at the interface of many fields of knowledge, such as biology, anthropology, psychology or sociology. Using phenomenology in research enables to explore adolescents ‘personal experience end subjective perception of an object or event without any theoretical preconceptions and presuppositions. Indeed, phenomenological approach involves a detailed exploration of participants’ experiences. Moreover, rather than reducing a phenomenon to a number or an identifiable variable, and controlling the setting in which the phenomenon is studied, phenomenology aims to describe it as faithfully as possible, within the context in which it occurs.
In order to illustrate the role of phenomenology in adolescent psychiatric research, we will present a study about the place of food in family relationships among adolescents with and without anorexia nervosa using phenomenological analysis. The research method was qualitative, and used photo-elicitation – i.e using one or several photographs taken by the participant as the basis of the interview- 14 adolescents and 18 parents were included. Data analysis was performed using Interpretative Phenomenological Analysis (IPA) method[1]. It is an established qualitative methodology that enables to explore how individuals perceive particular situations they are facing, and how they make sense of their personal and social world.