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What Matters Most When Visiting a Rapid Access Addiction Medicine Clinic in Canada for Alcohol Use Care: A National eDelphi Study: Ce qui compte le plus lorsque l'on visite une clinique d'accès rapide au traitement médical de la toxicomanie (RAAM) au Canada pour des soins liés à la consommation d'alcool : une étude eDelphi nationale

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Title: What Matters Most When Visiting a Rapid Access Addiction Medicine Clinic in Canada for Alcohol Use Care: A National eDelphi Study: Ce qui compte le plus lorsque l'on visite une clinique d'accès rapide au traitement médical de la toxicomanie (RAAM) au Canada pour des soins liés à la consommation d'alcool : une étude eDelphi nationale
Authors: Dowson, Mackenzie (AUTHOR), Thavorn, Kednapa (AUTHOR), Palumbo, Amelia (AUTHOR), Willows, Melanie (AUTHOR), Suschinsky, Kelly (AUTHOR), Garner, Gord (AUTHOR), Peters, Brianne (AUTHOR), Epp, Tanisse (AUTHOR), Hutton, Brian (AUTHOR), Wolfe, Dianna (AUTHOR), Chaiyakunapruk, Nathorn (AUTHOR), Ngorsuraches, Surachat (AUTHOR), Nochaiwong, Surapon (AUTHOR), Bartram, Mary (AUTHOR), Grant, Alyssa (AUTHOR), Tran, Chau (AUTHOR), Porath, Amy (AUTHOR), Corace, Kim (AUTHOR), Presseau, Justin (AUTHOR)
Source: Canadian Journal of Psychiatry. May2026, Vol. 71 Issue 5, p369-382. 14p.
Subjects: Alcoholism, Patient-centered care, Delphi method, Health services accessibility, Canadians, Treatment of addictions
Geographic Terms: Canada
Abstract (English): Objective: This study explored the importance of various aspects of Rapid Access Addiction Medicine (RAAM) based care for alcohol use health from the perspectives of people across Canada, including those who had and had not accessed RAAM services. Design: Participants (n = 160) responded to items in rounds of an eDelphi survey, with each progressive round aiming to reach a consensus on the most important components of care at a RAAM clinic. Thirty-eight evidence-informed components were organized into five domains of healthcare accessibility. Ranking was conducted on a 5-point scale, with options ranging from "not at all important" to "critical". Consensus was defined a priori as 75% or greater ranking agreement. The survey was designed to close after 10 components reached consensus or following four rounds. Results: Eighty-nine participants (mean AUDIT = 13.9, SD = 5.4; mean age = 53.1, SD = 16.1; women = 43%) completed three rounds of the eDelphi. Seven per cent of participants reported having visited a RAAM clinic. The top ten components of care included compassionate care, RAAM team collaboration and effective communication, prompt care, low costs, easy contact, accessible clinic information, strength-focused care, shared decision making and availability of services for individuals across the substance use health spectrum. Conclusions: Findings highlight client-prioritized features of alcohol use health services and offer actionable insights that can help enhance care across care settings. Future research should focus on under-represented populations to ensure that their specific needs are addressed and incorporated into service planning and policy development. Plain Language Summary Title: What Matters Most About Alcohol Use Health Services? Insights from People Across Canada Plain Language Summary: Why was this study done? It is important for health services providers to know what people want when seeking care. This study asked people across Canada what they believe is most important when thinking about alcohol use health care at Rapid Access Addiction Medicine (RAAM) clinics. RAAM clinics offer fast and flexible support for people who want help with substance use. The goal of this research was to find out what matters most to people who might consider going to a RAAM clinic in Canada. What did the researchers do? Using an online survey, researchers asked 160 participants across Canada to rate how important different parts of care were. For example, how important is it that the RAAM clinic staff are kind and compassionate, how important is it that it is easy to get information about the clinic, or how important is it that the services are free? The goal was for the participants input to create a top ten list of what matters most when considering care at a RAAM clinic. What were the findings? After three rounds of the survey, where participants could rank and re-rank the importance of parts of RAAM services, a final group of 89 participants helped identify ten key features. The top ten included: being treated with compassion, having a team that communicates well, getting care quickly, keeping costs low, making it easy to get in touch with the clinic, offering clear information, focusing on strengths rather than just problems, involving clients in decisions, and providing services for all levels of needs. Why is this research important? These findings show what people value most when thinking about alcohol use care and can help improve services in RAAM clinics and beyond. The researchers suggest future studies should include voices from under-represented groups to make sure everyone's needs are met. [ABSTRACT FROM AUTHOR]
Abstract (French): cette étude visait à explorer l'importance de divers aspects des soins basés sur l'accès rapide au traitement médical de la toxicomanie (RAAM pour Rapid Access Addiction Medicine) liés à la consommation d'alcool du point de vue de personnes des quatre coins du Canada, y compris celles qui ont eu accès aux services de RAAM et celles qui n'y ont pas eu accès. les participants (n = 160) ont répondu à des séries de questions dans le cadre d'un sondage eDelphi comportant plusieurs rondes, chaque série progressive visant à dégager un consensus sur les composants les plus importants des soins dans une clinique de RAAM. Trente-huit composants fondés sur des données probantes ont été organisés en cinq domaines d'accessibilité aux soins de santé. Le classement a été effectué sur une échelle à 5 points, avec des options allant de « pas du tout important » à « critique ». Le consensus a été défini a priori comme un classement de 75 % ou plus relativement aux accords. Le sondage a été conçu pour se terminer lorsque 10 composants ont atteint le consensus ou après quatre rondes. quatre-vingt-neuf participants (AUDIT moyen = 13,9, É.-T. = 5,4; âge moyen = 53,1, É.-T. = 16,1; femmes = 43 %) ont participé à trois rondes du sondage eDelphi. Sept pour cent des participants ont déclaré s'être rendus à une clinique de RAAM. Les dix principaux composants des soins comprenaient les soins de compassion, la collaboration et la communication efficace de l'équipe de RAAM, des soins rapides, des coûts peu élevés, un contact facile, des renseignements cliniques accessibles, des soins axés sur la force, la prise de décisions partagée et la disponibilité de services pour les personnes dans l'ensemble du spectre de la santé liée à l'usage de substances. les résultats mettent en évidence les caractéristiques des services de santé liés à la consommation d'alcool qui sont prioritaires pour les clients et offrent des renseignements utiles qui peuvent aider à améliorer les soins dans tous les milieux de soins. Les recherches futures devraient être axées sur les populations sous-représentées pour veiller à ce que leurs besoins particuliers soient pris en compte et intégrés à la planification des services et à l'élaboration des politiques. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Objective: This study explored the importance of various aspects of Rapid Access Addiction Medicine (RAAM) based care for alcohol use health from the perspectives of people across Canada, including those who had and had not accessed RAAM services. Design: Participants (n = 160) responded to items in rounds of an eDelphi survey, with each progressive round aiming to reach a consensus on the most important components of care at a RAAM clinic. Thirty-eight evidence-informed components were organized into five domains of healthcare accessibility. Ranking was conducted on a 5-point scale, with options ranging from "not at all important" to "critical". Consensus was defined a priori as 75% or greater ranking agreement. The survey was designed to close after 10 components reached consensus or following four rounds. Results: Eighty-nine participants (mean AUDIT = 13.9, SD = 5.4; mean age = 53.1, SD = 16.1; women = 43%) completed three rounds of the eDelphi. Seven per cent of participants reported having visited a RAAM clinic. The top ten components of care included compassionate care, RAAM team collaboration and effective communication, prompt care, low costs, easy contact, accessible clinic information, strength-focused care, shared decision making and availability of services for individuals across the substance use health spectrum. Conclusions: Findings highlight client-prioritized features of alcohol use health services and offer actionable insights that can help enhance care across care settings. Future research should focus on under-represented populations to ensure that their specific needs are addressed and incorporated into service planning and policy development. Plain Language Summary Title: What Matters Most About Alcohol Use Health Services? Insights from People Across Canada Plain Language Summary: Why was this study done? It is important for health services providers to know what people want when seeking care. This study asked people across Canada what they believe is most important when thinking about alcohol use health care at Rapid Access Addiction Medicine (RAAM) clinics. RAAM clinics offer fast and flexible support for people who want help with substance use. The goal of this research was to find out what matters most to people who might consider going to a RAAM clinic in Canada. What did the researchers do? Using an online survey, researchers asked 160 participants across Canada to rate how important different parts of care were. For example, how important is it that the RAAM clinic staff are kind and compassionate, how important is it that it is easy to get information about the clinic, or how important is it that the services are free? The goal was for the participants input to create a top ten list of what matters most when considering care at a RAAM clinic. What were the findings? After three rounds of the survey, where participants could rank and re-rank the importance of parts of RAAM services, a final group of 89 participants helped identify ten key features. The top ten included: being treated with compassion, having a team that communicates well, getting care quickly, keeping costs low, making it easy to get in touch with the clinic, offering clear information, focusing on strengths rather than just problems, involving clients in decisions, and providing services for all levels of needs. Why is this research important? These findings show what people value most when thinking about alcohol use care and can help improve services in RAAM clinics and beyond. The researchers suggest future studies should include voices from under-represented groups to make sure everyone's needs are met. [ABSTRACT FROM AUTHOR]
ISSN:07067437
DOI:10.1177/07067437251412555