title: Development and Validation of Quality Indicators on Continuing Care for Patients With AUD: A Delphi Study.
abstract: OBJECTIVE
  To develop indicators to assess quality of continuing care for persons with alcohol use disorder (AUD).
  
  
  METHODS
  A guideline-based RAND-modified Delphi method was used to develop and validate indicators regarding the process and outcome of continuing care. We systematically searched for evidence-based guidelines and existing quality indicators. A multidisciplinary expert panel prioritized recommendations using a written questionnaire followed by a group discussion. Important recommendations were then translated to quality indicators. The panel subsequently selected indicators that were measurable and applicable in Belgium. In a final round the indicators face-validity was assessed.
  
  
  RESULTS
  We extracted 69 recommendations from 06 guidelines and 17 relevant quality indicators. Of all, 13 indicators remained after 03 written rounds and 02 group discussions.
  
  
  CONCLUSIONS
  This study describes a systematic approach to develop and validate quality indicators for continuing care for AUD. The final set of selected indicators consisted of 10 process and 03 outcome indicators. As the level of evidence of effective continuing care components is very low further development of the indicators is recommended.
  
  
  OBJECTIVE
  This study describes a systematic approach to develop and validate quality indicators for continuing care for AUD. The proposed set of indicators consisted of 10 process and 03 outcome indicators. As the level of evidence of effective continuing care components is very low further development of the indicators is recommended.
authors.affiliation: Academic Center for General Practice, KU Leuven, Kapucijnenvoer 33, Blok j, 3000 Leuven, Belgium.
authors.forename: Geertruida E
authors.initials: GE
authors.lastname: Bekkering
authors.affiliation: Department of Psychiatry, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
authors.forename: Dieter
authors.initials: D
authors.lastname: Zeeuws
authors.affiliation: Academic Center for General Practice, KU Leuven, Kapucijnenvoer 33, Blok j, 3000 Leuven, Belgium.
authors.forename: Evelien
authors.initials: E
authors.lastname: Lenaerts
authors.affiliation: Academic Center for General Practice, KU Leuven, Kapucijnenvoer 33, Blok j, 3000 Leuven, Belgium.
authors.forename: Leo
authors.initials: L
authors.lastname: Pas
authors.affiliation: VAD (Flemish Centre of Expertise on Alcohol and Other Drugs), Vanderlindenstraat 15, 1030 Schaarbeek Brussels, Belgium.
authors.forename: Geert
authors.initials: G
authors.lastname: Verstuyf
authors.affiliation: Department of Psychiatry, Universitair Ziekenhuis Brussel (UZ Brussel), Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium VAD (Flemish Centre of Expertise on Alcohol and Other Drugs), Vanderlindenstraat 15, 1030 Schaarbeek Brussels, Belgium.
authors.forename: Frieda
authors.initials: F
authors.lastname: Matthys
authors.affiliation: Academic Center for General Practice, KU Leuven, Kapucijnenvoer 33, Blok j, 3000 Leuven, Belgium.
authors.forename: Bert
authors.initials: B
authors.lastname: Aertgeerts
authors.affiliation: Academic Center for General Practice, KU Leuven, Kapucijnenvoer 33, Blok j, 3000 Leuven, Belgium catharina.mathei@med.kuleuven.be.
authors.forename: Catharina
authors.initials: C
authors.lastname: Matheï
mesh_terms: D019973:Alcohol-Related Disorders / Q000628:therapy*; D003266:Continuity of Patient Care / Q000592:standards*; D003697:Delphi Technique; D006801:Humans; D017410:Practice Guidelines as Topic; D019984:Quality Indicators, Health Care / Q000592:standards; D011787:Quality of Health Care / Q000592:standards; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires