Emerging consensus on measuring addiction recovery: Findings from a multi-stakeholder consultation exercise

Abstract

Aim: To identify indicators that diverse stakeholders believe are important when measuring recovery from addiction. Methods: Our previous work with service users had generated 28 indicators of recovery. Using Delphi group methodology (three rounds), we assessed the extent to which stakeholders working in the addictions field agreed that the 28 indicators were important on a scale of 1–10. Participants included 146 individuals with diverse job roles in 124 organisations across the British Isles. Findings: Round 1 scores were high. There was evidence of greater scoring consensus in Round 2, but this trend was less certain in Round 3. Participants scored 27/28 indicators ≥7/10 in Round 3, so confirming their importance. The only Round 3 indicator with a mean score <7 was “experiencing cravings”. There were statistical differences between the Round 3 indicator scores of some sub-groups of participants, but absolute differences were small (never more than 1 point for any indicator). Conclusions: We have identified 27 recovery indicators that stakeholders working within the addiction field in the British Isles consistently ranked as important. Replicating our methods in other countries, and with additional stakeholder groups, will provide greater clarity on the term “recovery”, its relevance and value, and how it can best be measured.

• Delphi group
• measurement
• recovery
• service users
• stakeholder consultation

Acknowledgements

The views expressed in this article are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. The authors would like to thank all participating stakeholders for their interest and for engaging so enthusiastically with the consultation exercise.

Declaration of interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article. This study presents independent research funded by the National Institute for Health Research (NIHR) Biomedical Research Centre for Mental Health at South London and Maudsley NHS Foundation Trust and King's College London.

Notes

¹≥7 was used in the first Delphi study to designate indicators as important (Neale et al., 2014).