Gender Differences in Treatment Services Effectiveness

治疗服务有效性的性别差异

• 批准号: 7017768
• 负责人: JEANNE C MARSH
• 金额: $ 32.79万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-06-01 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7017768
• 关键词: HIV infections; behavioral /social science research tag; child rearing; clinical research; drug /alcohol abstinence; drug abuse therapy; gender difference; health care service; health care service evaluation; health disparity; health services research tag; human data; human therapy evaluation; mathematical model; outcomes research; patient care personnel relations; racial /ethnic difference

DESCRIPTION (provided by applicant): Substance abuse treatment is effective for clients who remain in treatment for three months or longer. Research indicates that effective programs use linkage services (e.g., referral, case management, child care) as well as core substance abuse counseling supplemented by comprehensive health and social services to improve client functioning The proposed research extends these findings by determining gender differences in specific components of SAT that affect substance abuse, health and social outcomes. The research will document organizational and service components that predict positive substance abuse outcomes for women and men. Although comprehensive services and positive client-provider relationships are important for women, their value for men is unknown. In the proposed research, gender comparisons will reveal how specific program components differentially affect retention and outcome for women and men. The gender comparisons will include race/ethnic, parenting and HIV/AIDS subgroup analyses. The specific relevance of comprehensive services and client-provider relationships will be tested. Thus, the Specific Aims of the study are: 1) To test gender differences in the impact of comprehensive substance abuse services on substance abuse, health and social outcomes and 2) To test gender differences in the impact of client-provider relationship on substance abuse, health and social outcomes. To accomplish these aims, the study will use mixed effects linear modeling in a secondary, multilevel analysis of data from the National Treatment Improvement Evaluation Study (NTIES). NTIES data were collected on organizational, service and client characteristics from a national sample of 78 programs and 6593 clients. We hypothesize that clients in the programs who receive comprehensive health and social services and who have a positive relationship with a provider will be retained in the program and will demonstrate reduced substance use and improved health and social functioning. Further, we hypothesize the magnitude of these effects will be greater for women than men. The research team has substantial prior experience with substance abuse services research, with the NTIES data set and with the methodologies used. The research has significant utility for efforts to reduce gender disparities in the provision of substance abuse services, for efforts to tailor SAT to the specific needs of women and men, and for the development of gender-specific protocols.

描述（由申请人提供）： 药物滥用治疗对于在治疗三个月或更长时间的患者中有效。研究表明，有效的计划使用连锁服务（例如，推荐，病例管理，托儿服务）以及补充了全面健康和社会服务的核心滥用咨询，以改善客户功能，以通过确定特定组件的性别差异来扩展这些发现，从而扩展了这些发现影响药物滥用，健康和社会成果的SAT。该研究将记录组织和服务组件，以预测男女滥用滥用药物的积极结果。尽管全面的服务和积极的客户关系对女性很重要，但她们对男性的价值尚不清楚。在拟议的研究中，性别比较将揭示特定计划组成部分如何差异地影响男女的保留率和结果。性别比较将包括种族/族裔，育儿和艾滋病毒/艾滋病亚组分析。将测试综合服务和客户支持者关系的具体相关性。因此，该研究的具体目的是：1）在全面的药物滥用服务对滥用药物，健康和社会成果的影响中测试性别差异，以及2）在客户提供者关系对药物滥用的影响中测试性别差异，健康和社会成果。为了实现这些目标，该研究将在国家治疗改进评估研究（NTIE）的次要多级分析中使用混合效应线性建模。从全国78个计划和6593个客户的国家样本中收集了有关组织，服务和客户特征的数据。我们假设计划中获得全面的健康和社会服务并与提供者建立积极关系的计划中的客户将保留在计划中，并将证明使用物质使用减少，改善了健康和社会功能。此外，我们假设这些影响的幅度对女性的程度要大于男性。研究团队在药物滥用服务研究，NTIES数据集以及使用的方法方面具有丰富的先前经验。这项研究具有重要的实用性，可以努力减少提供药物滥用服务的性别差异，以量身定制男女的特定需求，并制定特定于性别的方案。