Validation of the Australian Treatment Outcomes Profile for use in clients with cannabis dependence

Mills, Llewellyn; Lintzeris, Nicholas; Bruno, Raimondo; Montebello, Mark; Dunlop, Adrian; Deacon, Rachel; Copeland, Jan; Jefferies, Meryem; Rivas, Consuelo; Mammen, Kristie

doi:10.1111/dar.13050

Cited by 7 publications

(6 citation statements)

References 49 publications

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Section: Methodsmentioning

confidence: 99%

“…ATOP is a brief psychometrically valid instrument, 36 with items demonstrating concurrent validity and inter-rater reliability 35 and moderate to strong correlations with other quality-of-life, mental health, and physical health measures. 37 The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) is a five-item screening tool designed to identify individuals with probable PTSD. 38 The measure begins with an item designed to assess whether the participant has had any exposure to traumatic events.…”

Section: Methodsmentioning

confidence: 99%

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Substances and Your Senses: The Sensory Patterns of Young People within an Alcohol and Drug Treatment Service

Kelly¹,

Taylor²,

Morphett³

et al. 2021

Substance Abuse

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Background Substance use disorders (SUD) and trauma histories in adults have been linked with sensory processing patterns that are significantly different from the general population. Nevertheless, no studies have investigated sensory patterns, or the variables with which they are related, in youth with SUD. This study aimed to compare sensory patterns of this sample with normative data and consider associations between sensory patterns and: substance use, trauma, quality-of-life, mental and physical health. Methods A cross-sectional quantitative research design was employed with a sample of 87 young people (mean age = 20.8 years) with SUD voluntarily attending a specialist youth outpatient alcohol and other drug (AOD) service. For participants, the Adolescent Adult Sensory Profile was added to measures routinely collected at the service. Results Participants’ sensory processing patterns for low registration, sensory sensitivity, and sensation avoiding were significantly higher than the normative population, while sensation seeking was both lower and higher. Ninety-one percent reported atypical scores on one or more sensory patterns. High rates of probable Post-Traumatic-Stress-Disorder (PTSD), psychological distress, and low quality-of-life were also reported, which were meaningfully related with sensory patterns. Conclusion Young people reported complex combinations of sensory processing patterns, with comorbid probable PTSD, psychological distress, and low quality-of-life. Findings reflect studies with adult AOD, trauma, and other clinical conditions, and highlight the potential value of screening for sensory patterns and applying transdiagnostic approaches which simultaneously address substance use, mental health, trauma and sensory needs to optimize outcomes for young people with SUD.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Substances and Your Senses: The Sensory Patterns of Young People within an Alcohol and Drug Treatment Service

Kelly¹,

Taylor²,

Morphett³

et al. 2021

Substance Abuse

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“…It builds upon the Treatment Outcomes Profile (TOP) used in Britain [6] and similar scales developed internationally [7–9]. The ATOP has demonstrated reliability and validity across different populations [10–13], and there are published recommended clinical cut‐offs for assessing single‐occasion risk [14]. However, it is also important to know what amount of change is required on the tool for it to be considered clinically meaningful.…”

Section: Introductionmentioning

confidence: 99%

Identifying thresholds for clinically meaningful change among clients of drug and alcohol services using the Australian Treatment Outcomes Profile

et al. 2023

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AimsThe Austraian Treatment Outcomes Profile (ATOP) is a brief clinical outcomes tool used widely in the Australian alcohol and other drugs treatment sector to monitor clients’ substance use, health, wellbeing and clinical risk factors. It has demonstrated reliability and validity, and has recommended clinical cut‐offs for assessing single‐occasion client‐rated health scores. This study determined clinically meaningful change thresholds for ATOP substance use and health and wellbeing variables for use by clinicians in monitoring client progress, and for quality improvement and service evaluation.Design, Setting and ParticipantsA framework for assessing clinically meaningful changes scores was developed by (1) calculating statistically reliable change thresholds using data‐driven techniques with a reference sample of clinical ATOP data and (2) conducting a multi‐disciplinary subject matter expert group to review the utility and validity of data‐derived clinically meaningful change. The study was conducted within Outpatient Alcohol and Other Drug treatment services in New South Wales, Australia. The reference sample comprised 6100 ATOPs from clients at entry to public outpatient Alcohol and Other Drug treatment services; the subject matter expert group comprised 29 key stakeholders from the specialist alcohol and other drug treatment sector.Measurements and FindingsWe used the Reliable Change Index method to calculate clinically meaningful change thresholds for ATOP variables. For substance use variables, a change of 30% in days of use in the last 28 (minimum 4 days) was the threshold for clinically meaningful change for substance use; for health and wellbeing variables, a change of 2 or more points in psychological health, physical health or quality of life scores (measured on 0–10 scales) was the minimum clinically meaningful change.ConclusionsClinically meaningful change thresholds have been proposed for Australian Treatment Outcomes Profile substance use and health and wellbeing items, based on statistical reliability and subject matter expert assessment. These will be used in the development of an outcomes metric for assessing change and assigning meaning in aggregated data for evaluation of services.

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“…[17–19]). Recent separate research has examined the validity of the ATOP in populations presenting primarily for treatment of cannabis [20], for use over the telephone [21] and for older clients attending specialist AoD services for opioid or alcohol treatment [22], and is under way for amphetamine‐related problems.…”

Section: Introductionmentioning

confidence: 99%

Assessing the concurrent validity, inter‐rater reliability and test–re‐test reliability of the Australian Treatment Outcomes Profile (ATOP) in alcohol and opioid treatment populations

et al. 2021

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Background and Aims The Australian Treatment Outcomes Profile (ATOP) is a brief instrument measuring recent substance use, risk profile and general health and wellbeing among clients attending alcohol and other drug (AoD) treatment services. This study evaluates the ATOP for concurrent validity, inter‐rater and test–re‐test reliability among alcohol and opioid treatment groups. Design For concurrent validity and inter‐rater reliability, participants completed an ATOP with a clinician and an ATOP plus standardized questionnaires (time‐line follow‐back, Opiate Treatment Index, Kessler‐10, 12‐item Short Form Survey, World Health Organization Quality of Life‐BREF, Personal Wellbeing Index) with a researcher within 3 days. For test–re‐test reliability, participants completed two ATOPs with a researcher within a 3‐day interval. Setting Outpatient AoD treatment centres in Australia. Participants For testing concurrent validity and inter‐rater reliability, 278 participants were recruited by advertisements in waiting‐rooms or clinician invitation during 2016 to 2018. A further 94 participants were recruited to examine test–re‐test reliability. Measurements Statistical tests used for concurrent validity and test–re‐test reliability were Pearson’s and Spearman’s rank order correlations for continuous variables, and Cohen’s κ for nominal variables. Inter‐rater reliability was assessed using Krippendorf’s α. Findings Most Australian Treatment Outcomes Profile items returned excellent or moderate validity and reliability. For the main substances used—alcohol, cannabis and benzodiazepines—concurrent validity, inter‐rater reliability and test–re‐test reliability all reached excellent or good agreement (0.72–0.96). Psychological health, physical health and quality of life showed fair to strong agreement with their comparator scales (0.47–0.85). Conclusions The Australian Treatment Outcomes Profile is a validated and reliable instrument for assessing recent substance use and clinical risk, health and welfare among alcohol and opioid clients in alcohol and other drug treatment settings. Its ability to reliably measure complex constructs, such as psychological and physical health, against longer scales makes it suitable for integration into routine clinical care, enabling regular monitoring of patient outcomes and safety parameters.

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Validation of the Australian Treatment Outcomes Profile for use in clients with cannabis dependence

Cited by 7 publications

References 49 publications

Substances and Your Senses: The Sensory Patterns of Young People within an Alcohol and Drug Treatment Service

Substances and Your Senses: The Sensory Patterns of Young People within an Alcohol and Drug Treatment Service

Identifying thresholds for clinically meaningful change among clients of drug and alcohol services using the Australian Treatment Outcomes Profile

Assessing the concurrent validity, inter‐rater reliability and test–re‐test reliability of the Australian Treatment Outcomes Profile (ATOP) in alcohol and opioid treatment populations

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