This paper describes the testing of the recovery questions in section 3 of the ADOM for routine use in adult community-based (outpatient) addiction services in New Zealand, including the perceived acceptability to clients, clinical utility, convergent validity and sensitivity to change.
These services reflect a variety of different adult community-based (outpatient) addiction services in New Zealand, in which the collection of the ADOM is most appropriate (for example, opioid substitution treatment, joint AOD and mental health service, rural satellite services, and also include services with a large Maori population base).
Client data included demographic characteristics and ADOM scores related to AOD use, lifestyle and wellbeing, and recovery.
The current study assessed the convergent validity by examining the correlation coefficients (r) between the recovery items and mental and social wellbeing items included in section 2 of the ADOM.
Clients who consented to being followed up post-programme were administered the ADOM at entry to the programme and then at two further time points (3 and 6-months post-programme).
Clinicians and researchers (n=14) who had used the ADOM with clients as part of the pilot Offender Programme were asked to provide feedback by email to seven structured questions on ease of use (in-person and by phone), clinical utility and advantages/disadvantages of using the ADOM in real-world practice.
The companion paper describes the cohort demographics and the aggregated ADOM results at each of the three time-points.
Eight CADS clinicians and three researchers provided feedback about using the ADOM in practice (n=11/14).
In addition to the ADOM, the measures listed below were administered to participating clients at the first (treatment admission) and third (four to six weeks post admission) assessment points.
The DDI and TLFB were employed as comparative measures for Part A of the ADOM, whilst the TOP and SF-36 questions were employed as comparative measures for Part B.
Parts A and B of the pilot ADOM were completed by participants after a mean of 3.
The results of test-retest analyses for Part A of the ADOM are shown in Table 2.