Projects conducted under this theme will increase the capacity of the alcohol and other drugs (AOD) sector to implement routine outcome measures and feedback (ROMF) and determine the most effective way to increase their uptake.

Project 1 will combine the chief investigator's clinical research and implementation science knowledge with the knowledge of other addiction experts, consumers, and AOD clinicians to develop a consumer-clinician-expert consensus best practice framework for implementing ROMF in the AOD sector. 

Project 2 will firstly, examine client and staff preferences for completing outcome measures and receiving feedback through a series of discrete choice experiments. Secondly, a stepped-wedged cluster randomised control trial will be conducted to increase the uptake of outcome measures and feedback within AOD services. The impact of ROMF on client engagement, attendance, and outcomes for different types of AOD services will also be determined.
 

Project 1: Implementation framework for integrating ROM and assessment feedback into AOD Services

Led by Dr Nina Pocuca, Professor Leanne Hides, Dr Gabrielle Campbell, Professor Peter Kelly, Mr Robert Stirling, Dr Alison Beck

Services

All AOD

Timeframe

First 12 months of the grant

Aim

To develop a consumer-clinician-expert consensus framework for implementing ROMF into AOD practice and policy. 

Method

A systematic review of research and series of interviews with AOD clients and will be conducted to understand the use of ROMF in AOD treatment and identify barriers and facilitators to the implementation of ROMF into AOD services. 

The results of these reviews and interviews will be integrated with existing knowledge on the individual (client and staff), organizational and systems barriers to ROMF, and the multifaceted strategies needed to address implementation of ROMF. 

Learnings from this project will then be used to develop and refine a framework and accompanying guidelines for the successful implementation of ROMF in AOD services.

Team

Professor Leanne HidesProfessor Leanne Hides
School of Psychology
The University of Queensland
Professor Peter Kelly 

Professor Peter Kelly 
School of Psychology 
University of Wollongong

Dr Nina Pocuca

Dr Nina Pocuca 
School of Psychology 
The University of Queensland 

Dr Gabrielle Campbell 

Dr Gabrielle Campbell 
School of Psychology 
The University of Queensland 

Dr Alison Beck  

Dr Alison Beck  
School of Psychology 
University of Wollongong

Mr Robert Stirling 

Mr Robert Stirling 
Network of Alcohol and Other Drug Agencies (NADA), NSW, Australia 


 

Project 2: Increasing the uptake of ROM & Feedback (ROMF) in AOD services

Led by Professor Leanne Hides, Dr Gabrielle Campbell, Dr Nina Pocuca, Associate Professor Mitchell Giles, Professor Peter Kelly, Dr Robert Sterling, Dr Alison Beck, Professor Luke Connelly, Dr Sabrina Lenzen

Services

LLW and AOD Health Services in QLD and NSW

Timeframe

2nd-4th year of the grant

Aim

To determine the most effective way to increase the uptake of routine outcome measures and feedback (ROMF) in the AOD sector.

Method

Project 2a - A series of discrete choice experiments (DCE) will be conducted to increase understanding of the uptake of ROMF by staff and clients and identify the conditions under which they are most likely to be completed. 

LLW staff and clients will be presented with a series of hypothetical, but realistic scenarios (choice sets) related to ROMF and asked to select their preferred option from competing alternatives.
Key attributes will be identified from literature reviews and interviews with clients and staff; will undergo pilot testing with staff and clients to ensure their acceptability. 

Example potential attributes include:

  1. Mode of ROM delivery (online, phone, face-to-face)
  2. Access (ROM link sent by staff, automated)
  3. The type of feedback delivered (none, minimal, comprehensive with and without normative data).

Project 2b - A stepped wedge cluster RCT will also be conducted across LLW outpatient, day and residential services to determine the impact of ROMF implementation on their level of uptake by staff and clients.  Services involved will consist of 8 geographic clusters (approx. 1000 clients/year each).

Team

Professor Leanne Hides
School of Psychology
The University of Queensland

Professor Peter Kelly 
School of Psychology 
University of Wollongong

Professor Luke Connelly  
Centre for the Business and Economics of Health (CBEH) 
The University of Queensland 

Dr Gabrielle Campbell 
School of Psychology 
The University of Queensland 

Dr Sabrina Lenzen 

Dr Sabrina Lenzen 
Research Fellow, CBEH
The University of Queensland

Dr Nina Pocuca 

Dr Nina Pocuca 
School of Psychology 
The University of Queensland 

Associate Professor Mitchell Giles Associate Professor Mitchell Giles 
Lives Lived Well 

Mr Robert Stirling Mr Robert Stirling 
Network of Alcohol and Other Drug Agencies (NADA) 

Dr Alison Beck  Dr Alison Beck  
School of Psychology 
University of Wollongong, NSW, Australia