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How's it going? Visual-ADOM

How's it going? Visual-ADOM

What is ?

This Visual-Alcohol and Drugs Outcome Measure, also known as , is a visual chart that measures and displays changes in alcohol  and drug use and changes in lifestyle.  It is an innovative tool intended for use by alcohol and drug services.

Value: ConnectedThe aim of the tool is to help clients and clinicians understand how they are doing with their treatment and make the measurement of treatment outcomes meaningful.  Treatment outcomes assess the impact of our health services and tells the client and our clinicians about the client’s health status.

The Visual-ADOM is designed to help clients understand their particular issues related to drug and alcohol use.  It helps them understand the nature and impact of changes that happen during treatment.   It is an attractive way of delivering information that is more than “just another form”.

The ideas for the development of this tool came from our consumers.  We ran focus groups to get their ideas to make sure that the tool is helpful, asks the right questions the right way, and is easy to use.

How is the tool used?

How's it going?This tool is designed to help the client see the changes they have made to their alcohol and drug use AND their lifestyle since starting treatment.  ADOM helps the client to look at their progress so that they can set goals around the areas they want to change.

On the back of the “How’s it Going?” form there are 16 questions that help the client look at change.  They are asked to think about their life over the past few weeks and answer the questions as fully as they can.   They will then revisit the form in one month and three months’ time (or as their counselor recommends), which enables the client to get a really good understanding of their progress, successes and challenges.

Clients are asked to:

  1. Complete the questionnaire on the back of the form
  2. Use their answers to place a dot on the colour that matches their answer to the question (see example below)
  3. Connect the dots

The first time the chart is completed the lines will usually look lopsided.  As the client’s recovery progresses, the shape will change

Visual-ADOM chart

Example chart



Where to from here?

Before we introduce the tool to our drug and alcohol services, we need to do some further testing. In particular we need to check the validity (accuracy) and reliability (consistency) of the Visual-ADOM and this is currently being done.  We are doing a feasibility study with the tool and we are planning to use it across all our Auckland CADS (community alcohol and drug services) from February 2014.

Winner of the "Excellence in research or technology" poster award at Waitemata Health Excellence Awards 2012