ArticleAddiction science & clinical practice2015
Predictive validity of two process-of-care quality measures for residential substance use disorder treatment.
Article in Addiction science & clinical practice, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Outpatient follow-up and use of medications for opioid use disorder after residential treatment among Medicaid enrollees in 10 states.Drug and alcohol dependence · 2022Pooled it
- Continuity of care with doctors-a matter of life and death? A systematic review of continuity of care and mortality.BMJ open · 2018Pooled it
- Rural Clients' Continuity Into Follow-Up Substance Use Disorder Treatment: Impacts of Travel Time, Incentives, and Alerts.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Trial
- Initiation and engagement as mechanisms for change caused by collaborative care in opioid and alcohol use disorders.Drug and alcohol dependence · 2018Trial
- Impact of Agency Receipt of Incentives and Reminders on Engagement and Continuity of Care for Clients With Co-Occurring Disorders.Psychiatric services (Washington, D.C.) · 2018Trial
- Community place attachment as a significant correlate of motivation to change substance use behavior among adults who inject drugs in rural U.S.Frontiers in public health · 2026Article
- Real-world effectiveness of Motivational Enhancement for Engagement in Treatment (MEET) to improve substance use disorder care transitions.Drug and alcohol dependence reports · 2025Article
- Barriers to retention in inpatient and residential drug treatment among persons who use opioids and/or injection drugs living in the rural U.S.Journal of substance use and addiction treatment · 2024Article
- Key person-centered care domains for residential substance use disorder treatment facilities: former clients' perspectives.Substance abuse treatment, prevention, and policy · 2023Article
- The impact of psychological distress on quality of care and access to mental health services in cancer survivors.Frontiers in health services · 2023Article
- Motivations for Treatment Engagement in a Residential Substance Use Disorder Treatment Program: A Qualitative Study.Substance abuse : research and treatment · 2020Article
- Patient experiences with interdisciplinary treatment for substance dependence: an assessment of quality indicators based on two national surveys in Norway.Patient preference and adherence · 2019Article
- Measuring and improving the quality of mental health care: a global perspective.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2018Article
- Agency-level financial incentives and electronic reminders to improve continuity of care after discharge from residential treatment and detoxification.Drug and alcohol dependence · 2018Article
- The association of mental health program characteristics and patient satisfaction.The American journal of managed care · 2017Article
- Association Between Process-Based Quality Indicators and Mortality for Patients With Substance Use Disorders.Journal of studies on alcohol and drugs · 2017Article
- Use of Veterans Health Administration Mental Health and Substance Use Disorder Treatment After Exiting Prison: The Health Care for Reentry Veterans Program.Administration and policy in mental health · 2017Article
- Association Between Quality Measures and Mortality in Individuals With Co-Occurring Mental Health and Substance Use Disorders.Journal of substance abuse treatment · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn order to monitor and ultimately improve the quality of addiction treatment, professional societies, health care systems, and addiction treatment programs must establish clinical practice standards and then operationalize these standards into reliable, valid, and feasible quality measures. Before being implemented, quality measures should undergo tests of validity, including predictive validity. Predictive validity refers to the association between process-of-care quality measures and subsequent patient outcomes. This study evaluated the predictive validity of two process quality measures of residential substance use disorder (SUD) treatment.
methodsWashington Circle (WC) Continuity of Care quality measure is the proportion of patients having an outpatient SUD treatment encounter within 14 days after discharge from residential SUD treatment. The Early Discharge measure is the proportion of patients admitted to residential SUD treatment who discharged within 1 week of admission. The predictive validity of these process measures was evaluated in US Veterans Health Administration patients for whom utilization-based outcome and 2-year mortality data were available. Propensity score-weighted, mixed effects regression adjusted for pre-index imbalances between patients who did and did not meet the measures' criteria and clustering of patients within facilities.
resultsFor the WC Continuity of Care measure, 76 % of 10,064 patients had a follow-up visit within 14 days of discharge. In propensity score-weighted models, patients who had a follow-up visit had a lower 2-year mortality rate [odds ratio (OR) = 0.77, p = 0.008], but no difference in subsequent detoxification episodes relative to patients without a follow-up visit. For the Early Discharge measure, 9.6 % of 10,176 discharged early and had significantly higher 2-year mortality (OR = 1.49, p < 0.001) and more subsequent detoxification episodes.
conclusionsThese two measures of residential SUD treatment quality have strong associations with 2-year mortality and the Early Discharge measure is also associated with more subsequent detoxification episodes. These results provide initial support for the predictive validity of residential SUD treatment quality measures and represent the first time that any SUD quality measure has been shown to predict subsequent mortality.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.