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Using Measurement-Based Care as a Precision Medicine Strategy for Substance Use Disorders
Andriy V Samokhvalov1,2,3,4,5, Emily Levitt6,7,8, James MacKillop6,7,8
1Homewood Research Institute, Guelph, ON, Canada. avsamokhvalov@yahoo.ca.
Measurement-based care (MBC) offers a precision medicine approach for substance use disorder (SUD) treatment by using systematic assessments. While promising, wider implementation requires further research and overcoming identified barriers.
Area of Science:
- Addiction Medicine
- Precision Medicine
- Clinical Psychology
Background:
- Precision medicine tailors treatments to individual patient characteristics.
- Substance Use Disorders (SUD) treatment can benefit from personalized approaches.
- Measurement-based care (MBC) systematically uses assessments to guide treatment.
Purpose of the Study:
- To review the current state of Measurement-based Care (MBC) in Substance Use Disorder (SUD) treatment.
- To evaluate MBC as a precision medicine strategy for SUD.
- To encourage greater adoption of MBC models in addiction programs.
Main Methods:
- Review of existing randomized controlled trials and pragmatic clinical research.
- Analysis of literature on MBC implementation in SUD settings.
- Identification of barriers and challenges to MBC adoption and research.
Main Results:
- Evidence suggests MBC is a potentially useful strategy in SUD treatment.
- Significant need exists for larger clinical trials and quality improvement initiatives.
- Barriers to MBC implementation exist at multiple levels: patient, provider, organization, and system.
Conclusions:
- Measurement-based care (MBC) is a viable and promising precision medicine strategy for SUD treatment.
- Further research, implementation efforts, and scientific inquiry are warranted.
- Addressing identified barriers is crucial for advancing MBC in SUD care.
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